AUTHOR=Mugisa Kevin Micheal , Rujumba Joseph , Chien Li-Yin 
  
TITLE=Male initiation in contraceptive negotiation among Boda-Boda riders in Kampala, Uganda
  
JOURNAL=International Journal of Public Health
  
VOLUME=Volume 71 - 2026
  
YEAR=2026
  
URL=https://www.ssph-journal.org/journals/international-journal-of-public-health/articles/10.3389/ijph.2026.1609598
  
DOI=10.3389/ijph.2026.1609598
  
ISSN=1661-8564
  
ABSTRACT=ObjectivesThis study examined male initiation of contraceptive negotiations, related factors, and associations with method agreement and use frequency among Boda-Boda riders motorcycle taxi operators in Uganda.MethodsA cross-sectional survey (August–September 2023) included 421 sexually active male Boda-Boda riders in Kampala. Logistic and multinomial logistic regression models were used to analyze the data.ResultsOverall, 54.39% of participants initiated contraceptive negotiations, mostly regarding hormonal methods (55%). Initiation was positively associated with age <45 years, history of sexually transmitted infections, recent receipt of family planning information, and partner contraceptive side effects. Factors unexpectedly negatively associated included income ≥1M Ugandan shillings, commercial sex work, and discussing family planning with healthcare workers, the last potentially reflecting reverse causation (men consulting providers after a partner raised the topic). Initiators had significantly higher odds of adopting all contraceptive methods and reporting consistent contraception use.ConclusionResults highlight the need for targeted, male-friendly, and couple-centered interventions. Risk-tailored social behavioral change communication practices and inclusive family planning services are recommended to strengthen reproductive health decision-making.