{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T10:30:21Z","timestamp":1786962621499,"version":"build-2736575974"},"reference-count":25,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Mens Health"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>We examined whether women\u2019s perceptions of men\u2019s involvement in family planning\u2014specifically partner approval and joint decision-making about contraception\u2014were associated with perceived couple concordance on the desired number of children in Peru. Using data from the 2019 Demographic and Family Health Survey (ENDES), we conducted a cross-sectional analysis accounting for survey weights, stratification, and clustering. We fitted survey-weighted generalized linear models (Poisson family with a log link) to estimate crude and adjusted prevalence ratios (aPRs) with design-based (Taylor-linearized) 95% confidence intervals. The analytic sample included 14,956 women: 67.5% were aged 30\u201349 years and 76.7% lived in urban areas; 96.2% perceived partner approval of family planning and 76.8% reported joint contraceptive decision-making. In adjusted models, partner approval was associated with a higher prevalence of couple concordance (aPR = 1.35; 95% CI = [1.10, 1.62]), and joint decision-making showed a similar association (aPR = 1.14; 95% CI = [1.07, 1.20]). Overall, women\u2019s perceptions of men\u2019s involvement were positively related to concordance in fertility preferences. Programs that promote gender-equitable, couple-centered approaches\u2014such as male-friendly clinic hours, couple counseling, and communication skills training\u2014may strengthen family planning outcomes in Peru.<\/jats:p>","DOI":"10.1177\/15579883261418256","type":"journal-article","created":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T11:48:01Z","timestamp":1786708081000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Female Perceptions of Male Involvement in Family Planning and Agreement on Desired Number of Children: Evidence from a National Survey in Peru, 2019"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0729-5900","authenticated-orcid":false,"given":"Rosa Amparo del Milagro","family":"Seminario-Amez","sequence":"first","affiliation":[{"name":"Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9553-2285","authenticated-orcid":false,"given":"Violeta del Carmen","family":"Becerra-Tello","sequence":"additional","affiliation":[{"name":"Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0282-6634","authenticated-orcid":false,"given":"Percy","family":"Herrera-A\u00f1azco","sequence":"additional","affiliation":[{"name":"Universidad Cient\u00edfica del Sur, Lima, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9158-1108","authenticated-orcid":false,"given":"Vicente A.","family":"Benites-Zapata","sequence":"additional","affiliation":[{"name":"Unidad de Investigaci\u00f3n para la Generaci\u00f3n y S\u00edntesis de Evidencias en Salud, Universidad San Ignacio de Loyola, Lima, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,14]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"crossref","unstructured":"Alspaugh A. 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N.","year":"2003","unstructured":"Azimi Y. N., Atiya A. S. (2003). Husband\u2013wife communication and family planning practices among Malay married couples. Medical Journal of Malaysia, 58(2), 218\u2013228.","journal-title":"Medical Journal of Malaysia"},{"key":"e_1_3_2_5_1","doi-asserted-by":"crossref","unstructured":"Castro A. Kabra R. Coates A. Kiarie J. (2025). Successful strategies that address gender-related barriers and promote bodily autonomy within efforts to scale up and sustain postpregnancy contraception: A scoping review. BMJ Global Health 10(2) Article e016638. https:\/\/doi.org\/10.1136\/bmjgh-2024-016638","DOI":"10.1136\/bmjgh-2024-016638"},{"key":"e_1_3_2_6_1","doi-asserted-by":"crossref","unstructured":"Compton S. Nakua E. Moyer C. Dzomeku V. Treleaven E. Otupiri E. Lori J. (2023). Contraceptive use by number of living children in Ghana: Evidence from the 2017 maternal health survey. 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