Male circumcision, attitudes to HIV prevention and HIV status: a cross-sectional study in Botswana, Namibia and Swaziland.
Male circumcision, attitudes to HIV prevention and HIV status: a cross-sectional study in Botswana, Namibia and Swaziland.
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DOI：
10.1080/09540121.2011.608793
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发表时间：
2012
期刊：
影响因子：
1.7
通讯作者：
Cockcroft A
中科院分区：
文献类型：
--
作者：
Andersson N;Cockcroft A
在疗效试验中，男性包皮环切术（MC）保护男性免受艾滋病毒感染。企业需要与实践中的MC计划相关的信息。2008年，我们采访了2915名男性和4549名女性，年龄在15-29岁的代表性集群样本在博茨瓦纳，纳米比亚和斯威士兰，询问社会经济特征，知识和态度，艾滋病毒和MC和MC的历史。我们测试了手指刺血样本的艾滋病毒。我们计算了MC知识和态度的加权频率，以及MC历史和HIV状态。多变量分析研究MC和其他变量与HIV状态之间的关联。在博茨瓦纳，11%的年轻男性报告了MC，纳米比亚为28%，斯威士兰为8%;大多数（博茨瓦纳为75%，纳米比亚为94%，斯威士兰为68%）为婴儿或儿童。总体而言，6.5%的人艾滋病毒呈阳性（博茨瓦纳8.3%，纳米比亚2.6%，斯威士兰9.1%）。考虑到其他变量，包皮环切术的男性与未包皮环切术的男性一样可能是艾滋病毒阳性。近一半未接受割礼的年轻男子计划接受割礼;三分之二的年轻男女计划让他们的儿子接受割礼。一些受访者对MC和艾滋病毒有不准确的信念和无益的看法，各国之间存在差异。9%至15%的人认为包皮环切术的男性完全可以预防艾滋病毒; 20%至26%的人认为男性在MC之前不需要进行艾滋病毒检测; 14%至26%的人认为包皮环切术的艾滋病毒阳性男性不会传播病毒; 8%至34%的人认为“包皮环切术的男性可以在没有安全套的情况下进行性行为”。对MC保护的不准确认识可能导致风险补偿，并降低妇女谈判安全性行为的能力。需要作出更多努力，提高人们对千年发展目标保护的局限性，特别是对妇女的局限性的认识，并研究千年发展目标推广方案与艾滋病毒初级预防方案之间的相互作用。
In efficacy trials male circumcision (MC) protected men against HIV infection. Planners need information relevant to MC programmes in practice. In 2008, we interviewed 2915 men and 4549 women aged 15–29 years in representative cluster samples in Botswana, Namibia and Swaziland, asking about socio-economic characteristics, knowledge and attitudes about HIV and MC and MC history. We tested finger prick blood samples for HIV. We calculated weighted frequencies of MC knowledge and attitudes, and MC history and HIV status. Multivariate analysis examined associations between MC and other variables and HIV status. In Botswana, 11% of young men reported MC, 28% in Namibia and 8% in Swaziland; mostly (75% in Botswana, 94% – mostly Herero – in Namibia and 68% in Swaziland) as infants or children. Overall, 6.5% were HIV positive (8.3% Botswana, 2.6% Namibia and 9.1% Swaziland). Taking other variables into account, circumcised men were as likely as uncircumcised men to be HIV positive. Nearly half of the uncircumcised young men planned to be circumcised; two-thirds of young men and women planned to have their sons circumcised. Some respondents had inaccurate beliefs and unhelpful views about MC and HIV, with variation between countries. Between 9 and 15% believed a circumcised man is fully protected against HIV; 20–26% believed men need not be tested for HIV before MC; 14–26% believed HIV-positive men who are circumcised cannot transmit the virus; and 8–34% thought it was “okay for a circumcised man to expect sex without a condom”. Inaccurate perceptions about protection from MC could lead to risk compensation and reduce women's ability to negotiate safer sex. More efforts are needed to raise awareness about the limitations of MC protection, especially for women, and to study the interactions between MC roll out programmes and primary HIV prevention programmes.
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影响因子：
3.7
作者：
Nagelkerke, Nico J. D.;Moses, Stephen;Bailey, Robert C.
通讯作者：
Bailey, Robert C.
风险补偿与肯尼亚Kisumu的男性包皮环切术无关：对参加随机对照试验的男性的多方面评估。
影响因子：
3.7
作者：
Mattson, Christine L.;Campbell, Richard T.;Bailey, Robert C.;Agot, Kawango;Ndinya-Achola, J. O.;Moses, Stephen
通讯作者：
Moses, Stephen
DOI：
10.1097/01.qai.0000242455.05274.20
发表时间：
2007-01-01
影响因子：
3.6
作者：
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通讯作者：
Weiss, Noel S.
影响因子：
168.9
作者：
Wawer, Maria J.;Makumbi, Frederick;Kigozi, Godfrey;Serwadda, David;Watya, Stephen;Nalugoda, Fred;Buwembo, Dennis;Ssempijja, Victor;Kiwanuka, Noah;Moulton, Lawrence H.;Sewankambo, Nelson K.;Reynolds, Steven J.;Quinn, Thomas C.;Opendi, Pius;Iga, Boaz;Ridzon, Renee;Laeyendecker, Oliver;Gray, Ronald H.
通讯作者：
Gray, Ronald H.
影响因子：
1.9
作者：
Williams, RL
通讯作者：
Williams, RL