Unraveling vasectomy stigma: gender dynamics among single individuals in Jakarta

Abstract

Purpose: This study analyzes how health communication and shifting gender power relations shape vasectomy perceptions among unmarried young people in urban Jakarta, addressing a gap in research that previously focused solely on married couples.

Methodology/Approach: A qualitative interpretive phenomenological analysis (IPA) was conducted on five single individuals (N=5; 25–30 years, S1 education) in Jakarta. Data were collected via in-depth remote interviews and analyzed using Collaizzi’s seven-step method.

Results/Findings: The findings confirm that Persistent Social Stigma (linked to masculinity loss) operates as a Social Reality (SCR Theory). Gender Dynamics show a conflict between male autonomy and the desire for collaborative decision-making. Health communication from trusted sources is crucial for internalizing these facts. Vasectomy is increasingly viewed as an act of shared responsibility and gender equality.

Conclusion: This study concludes that vasectomy perceptions among unmarried young people in urban Jakarta are shaped by health communication and changing gender power relations. While stigma related to masculinity persists, effective communication from trusted sources helps reframe vasectomy as shared responsibility and gender equality. Addressing masculine norms is therefore essential for reducing stigma and strengthening inclusive reproductive health policies.

Limitations: The findings have restricted generalizability due to the small, specific sample (highly educated, urban Jakarta).

Contribution: This study Contributes to Gender Studies and Public Health Policy by guiding the BKKBN to develop culturally sensitive destigmatization strategies emphasizing responsible masculinity.