Sexual Health

Norms of masculinity: community voices on sexual and reproductive health communication in rural southwestern Uganda.

TL;DR

Masculinity norms in rural southwestern Uganda leave boys to navigate sexual and reproductive health issues independently, as fathers avoid SRH discussions and fear-based communication pushes boys toward secrecy and misinformation from peers and media.

Key Findings

Cultural norms in rural southwestern Uganda assigned SRH communication responsibilities primarily to mothers guiding daughters, leaving boys without structured parental guidance on SRH topics.

  • The study found that while mothers were culturally expected to guide daughters on SRH, boys were largely excluded from these structured communication pathways.
  • This gendered division of SRH communication meant boys were expected to navigate sexual and reproductive health issues independently.
  • Data were collected from emerging adults, parents, and community stakeholders using qualitative methods and a community-based participatory research design.
  • The study was conducted in rural southwestern Uganda, a context described as constrained by 'gender socialisation, fear-based approaches, and traditional expectations of masculinity.'

Fathers actively avoided discussing SRH with their sons, reinforcing masculine ideals of self-reliance and emotional restraint.

  • Fathers' avoidance of SRH discussions was framed as consistent with traditional masculine ideals rather than as neglect.
  • The norms of self-reliance and emotional restraint were identified as core components of masculinity socialization that discouraged open dialogue.
  • This paternal avoidance was identified as a key barrier to effective SRH communication between parents and boys.
  • The study used a community-based participatory research design to capture these dynamics from multiple community perspectives including parents and stakeholders.

Fear-based communication focused on pregnancy, HIV, and societal shame limited boys' openness and pushed them toward secrecy and misinformation.

  • When SRH communication did occur, it was described as centered on concerns about pregnancy, HIV, and societal shame rather than comprehensive health information.
  • This fear-based approach was found to limit rather than encourage boys' openness about SRH matters.
  • Boys were pushed 'towards secrecy and misinformation from peers and media' as a result of fear-based communication.
  • The reliance on peers and media as alternative information sources was identified as a consequence of inadequate parental SRH communication.

The neglect of boys in SRH communication was found to perpetuate sexual risk behaviors and create missed opportunities to challenge harmful masculinity norms.

  • The study identified that the absence of structured SRH communication for boys 'perpetuates sexual risk and creates missed opportunities to challenge harmful norms.'
  • Participants included emerging adults, parents, and community stakeholders, providing multiple perspectives on the consequences of this communication gap.
  • The study highlighted that existing SRH programs have insufficiently addressed the specific impact of masculinity norms on boys' access to SRH information.
  • The findings point to boys as an underserved population in SRH communication research and programming in Sub-Saharan African contexts.

The study identified the need for gender-sensitive SRH programs that promote equitable and open dialogue between parents and boys to improve adolescent health outcomes.

  • The authors call for 'programmes and interventions that address the impact of masculinity norms on SRH communication.'
  • Promoting 'equitable, open dialogue between parents and boys' was identified as key to improving adolescent health outcomes.
  • The study explicitly advocates for 'fostering gender-sensitive SRH education' as a programmatic response.
  • The community-based participatory research design was used to ground these recommendations in community voices from rural southwestern Uganda.

What This Means

This research examined how traditional ideas about masculinity affect conversations about sexual and reproductive health (SRH) between parents and boys in rural southwestern Uganda. The researchers spoke with young adults, parents, and community members to understand why these conversations are so rare. They found that cultural expectations assign SRH guidance almost exclusively to mothers talking with daughters, leaving boys largely on their own when it comes to learning about sex, relationships, and health. Fathers, in particular, tended to avoid these conversations because doing so aligned with traditional masculine values like being tough, self-reliant, and emotionally restrained. When SRH topics did come up, the communication was typically focused on fear — warning boys about getting girls pregnant, contracting HIV, or bringing shame to the family. Rather than encouraging boys to ask questions or seek help, this approach made them more likely to keep secrets and turn to peers or media for information, sources that may be unreliable or even harmful. This pattern leaves boys vulnerable to sexual health risks and reinforces the very masculine norms that created the communication gap in the first place. This research suggests that health programs in similar settings need to specifically address how masculinity norms shape boys' access to sexual and reproductive health information. Rather than focusing only on girls or using scare tactics, interventions should aim to create open, honest, and supportive conversations between parents — especially fathers — and their sons. Making SRH education more gender-sensitive and inclusive of boys could help reduce health risks and begin to shift harmful norms around masculinity in these communities.

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Citation

Achen D, Coene G, Akatukwasa C, Kemigisha E, Mlahagwa W, Kaziga R, et al.. (2025). Norms of masculinity: community voices on sexual and reproductive health communication in rural southwestern Uganda.. Culture, health & sexuality. https://doi.org/10.1080/13691058.2025.2471456