Barriers and motivators to voluntary medical male circumcision uptake among different age groups of men in Zimbabwe: results from a mixed methods study.
Barriers and motivators to voluntary medical male circumcision uptake among different age groups of men in Zimbabwe: results from a mixed methods study.
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DOI：
10.1371/journal.pone.0085051
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发表时间：
2014
期刊：
影响因子：
3.7
通讯作者：
Njeuhmeli E
中科院分区：
文献类型：
--
作者：
Hatzold K;Mavhu W;Jasi P;Chatora K;Cowan FM;Taruberekera N;Mugurungi O;Ahanda K;Njeuhmeli E
我们进行了定量和定性研究，探讨了VMMC预防艾滋病的障碍和激励因素，并评估了现有VMMC沟通渠道的利用情况。我们进行了一项以人口为基础的调查，共有2350名年龄在15至49岁之间的受访者。分析包括描述性统计和包皮环切术与选定人口统计学之间的双变量分析。使用逻辑回归来确定男性包皮环切接受与包皮环切意图的预测因素。进行了焦点小组讨论（fgd），有意选择男性代表一系列种族。68%和53%的女性/男性受访者分别听说过VMMC预防艾滋病毒，主要是通过广播（71%）。在男性受访者中，11.3%的人报告接受过包皮环切术，49%的人表示愿意接受VMMC。据报告，促使男性接受阴道阴道包膜手术的因素包括预防艾滋病毒/性传播感染（44%）、改善卫生（26%）、提高性行为能力（6%）和为伴侣预防宫颈癌（6%）。阻止男性接受阴道阴道切除手术的因素包括害怕疼痛（40%）、不相信自己有艾滋病毒风险（18%）、缺乏伴侣支持（6%）。此外，不同年龄的人在激励因素和障碍方面也存在差异。女性性别障碍报告指出了其他障碍，包括害怕艾滋病毒检测、伴侣拒绝、不愿禁欲以及误解和误解。VMMC创造需求的信息需要针对不同的年龄进行专门定制，并应强调非艾滋病毒预防的好处，例如改善卫生和性吸引力，并且需要解决男性对疼痛的恐惧。在女性中推广VMMC是至关重要的，因为她们似乎对男性决定割包皮有相当大的影响。
We conducted quantitative and qualitative studies to explore barriers and motivating factors to VMMC for HIV prevention, and to assess utilization of existing VMMC communication channels. A population-based survey was conducted with 2350 respondents aged 15–49. Analysis consisted of descriptive statistics and bivariate analysis between circumcision and selected demographics. Logistic regression was used to determine predictors of male circumcision uptake compared to intention to circumcise. Focus group discussions (FGDs) were held with men purposively selected to represent a range of ethnicities. 68% and 53% of female/male respondents, respectively, had heard about VMMC for HIV prevention, mostly through the radio (71%). Among male respondents, 11.3% reported being circumcised and 49% reported willingness to undergo VMMC. Factors which men reported motivated them to undergo VMMC included HIV/STI prevention (44%), improved hygiene (26%), enhanced sexual performance (6%) and cervical cancer prevention for partner (6%). Factors that deterred men from undergoing VMMC included fear of pain (40%), not believing that they were at risk of HIV (18%), lack of partner support (6%). Additionally, there were differences in motivators and barriers by age. FGDs suggested additional barriers including fear of HIV testing, partner refusal, reluctance to abstain from sex and myths and misconceptions. VMMC demand-creation messages need to be specifically tailored for different ages and should emphasize non-HIV prevention benefits, such as improved hygiene and sexual appeal, and need to address men's fear of pain. Promoting VMMC among women is crucial as they appear to have considerable influence over men's decision to get circumcised.
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影响因子：
3.7
作者：
Odeny TA;Bailey RC;Bukusi EA;Simoni JM;Tapia KA;Yuhas K;Holmes KK;McClelland RS
通讯作者：
McClelland RS
影响因子：
15.8
作者：
Njeuhmeli E;Forsythe S;Reed J;Opuni M;Bollinger L;Heard N;Castor D;Stover J;Farley T;Menon V;Hankins C
通讯作者：
Hankins C
DOI：
10.1080/09540121.2011.579939
发表时间：
2011-01-01
影响因子：
1.7
作者：
Albert, Lisa M.;Akol, Angela;Baine, Sebastian O.
通讯作者：
Baine, Sebastian O.
影响因子：
4.4
作者：
Westercamp N;Bailey RC
通讯作者：
Bailey RC
影响因子：
3.7
作者：
Lanham M;L'engle KL;Loolpapit M;Oguma IO
通讯作者：
Oguma IO