Introduction: Males have substantial sexual and reproductive health (SRH) needs, but there is low utilization of these SRH services. We compared the utilization and ascertained factors associated with the utilization of sexual and reproductive health services among males in urban and rural areas of Anambra State, Nigeria.

Methods: A community-based cross-sectional study was conducted in Anambra State. Using multistage sampling, 1147 respondents were surveyed via interviewer-administered, structured questionnaires. Data was collected on socio-demographic characteristics, utilization of, and factors associated with the utilization of SRH services. We compared differences in the utilization of SRH services among males using Z test. Simple binary logistic regression analysis was performed to obtain odds ratios and 95% confidence intervals of the crude associations between each predisposing, enabling, and need factor and the utilization of male SRH services. Factors that had a p-value of ≤ 0.05 in the bivariable analysis were included in a multivariable logistic regression analysis to ascertain the independent association between each factor and the utilization of SRH services while controlling for the other factors. The level of statistical significance was set at < 0.05.

Results: The mean age of the respondents was 28.00 ± 9.35 years. There was a low level of utilization, with males in rural areas (35.6%) having a higher level of utilization than males in urban areas (27.0%). Rural location, older age, higher educational level, communication with sexual partner, access to SRH information, exposure to SRH information on mass media, access to health insurance, being sexually active, feeling susceptible to SRH diseases, and having a diagnosis of SRH disease in the last 12 months were positively associated with the utilization of male sexual and reproductive health services. Marital and employment status, number of children, number of sexual partners and recent sexual intercourse were negatively associated with the utilization of male sexual and reproductive health services.

Conclusion: There is suboptimal utilization of SRH services in Anambra State, Nigeria. Interventions targeting these identified factors could increase the utilization of male sexual and reproductive health services in such settings.

Keywords: Male; Nigeria; Reproductive health; Sexual health; Urban‒Rural; Utilization.

© 2025. The Author(s).

简介： 男性有重要的性与生殖健康（SRH）需求，但这些服务的利用率很低。我们在尼日利亚安纳姆州的城市和农村地区比较了男性的SRH服务利用情况，并确定了影响其利用的相关因素。

方法： 本研究在安纳姆州进行了一项基于社区的横断面调查。采用多阶段抽样法，通过结构化问卷对1147名受访者进行了面对面访问。收集的数据包括社会人口统计学特征、SRH服务利用情况及影响其利用的相关因素。使用Z检验比较了男性在城市和农村地区之间SRH服务利用率的差异。进行简单二元逻辑回归分析以获得每个先驱性、促进性和需求因素与男性的SRH服务利用之间的粗略关联的比值比和95%置信区间。双变量分析中p值小于等于0.05的因素被纳入多变量逻辑回归分析，以确定在控制其他因素的情况下各因素与SRH服务利用率之间的独立关系。统计学意义水平设定为

结果： 受访者的平均年龄为28.00 ± 9.35岁。总体利用程度较低，农村地区的男性（35.6%）比城市地区的男性（27.0%）的利用率更高。居住在农村地区、年纪较大、受教育水平较高、与性伴侣沟通良好、接触SRH信息、在大众媒体上接触到SRH信息、拥有健康保险、有性生活活跃、感觉易患SRH疾病以及过去12个月中被诊断为患有SRH疾病的男性，其利用男性的性与生殖健康服务的几率更高。婚姻和就业状况、子女数量、性伴侣数量和近期有过性行为则与此类服务利用率较低有关。

结论： 尼日利亚安纳姆州的SRH服务利用率不高。针对这些已识别的因素采取干预措施，可能会提高该地区男性的性与生殖健康服务利用率。

关键词： 男性；尼日利亚；生育健康；性健康；城乡差异；利用率。