Medical circumcision and manhood initiation rituals in the Eastern Cape, South Africa: a post intervention evaluation
Medical circumcision and manhood initiation rituals in the Eastern Cape, South Africa: a post intervention evaluation
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DOI：
10.1080/13691050802389777
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发表时间：
2009-01-01
影响因子：
2.2
通讯作者：
Kanta, Xola
中科院分区：
文献类型：
--
作者：
Peltzer, Karl;Kanta, Xola
这项研究的目的是第一，报告的不良事件报告后，由医疗专业人员进行为期一天的培训讲习班;第二，报告的态度，周围的信仰和经验，包皮环切和启动;第三，评估艾滋病毒的风险行为的年轻男子参加启动学校后，医疗包皮环切。在割礼后第七天，由受过训练的保健提供者进行了医学割礼的同修进行了检查和访谈，此外，还与同修进行了焦点小组讨论。结果表明，78个初始身体检查包皮环切术后的第七天，由一个训练有素的临床护士，七（9%）不良事件（并发症）被发现。大多数新教徒（70%）认为，他们可能会因为选择医学而不是传统的包皮环切术而受到侮辱，20%的人认为医学和传统包皮环切术之间的关系是敌对的。在包皮环切术之前，大多数新入门者（92%）性活跃，并从事艾滋病毒风险行为。焦点小组讨论显示，性活跃的发起人，当被问及包皮环切术后的性行为，表示他们希望在恢复性活动与预期的避孕套使用率高，禁欲一段时间。研究结果是有希望的努力，以提高规模的综合医疗包皮环切术与传统的启动到成年。
The objectives of this study were first, to report the adverse events reported following male circumcision performed by medical professionals after a one-day training workshop; second, to report on the attitudes towards, beliefs surrounding and experiences regarding circumcision and initiation; and third, to assess the HIV-risk behaviour of young men attending initiation schools post medical circumcision. Initiates who had been medically circumcised by trained healthcare providers were examined and interviewed on the seventh day after circumcision and, in addition, focus-group discussions were conducted with initiates. Results indicate that of the 78 initiates physically examined on the seventh day after circumcision by a trained clinical nurse, seven (9%) adverse events (complications) were found. Initiates reported mixed attitudes towards combining medical circumcision with traditional initiation. The majority of the initiates (70%) felt that they could be stigmatized as a result of choosing medical rather than traditional circumcision and 20% thought that the relationship between medical and traditionally circumcised men was hostile. Prior to circumcision, most initiates (92%) had been sexually active and had engaged in HIV-risk behaviour. Focus-group discussions revealed that sexually active initiates, when asked about sex after circumcision, indicated they wished to abstain for a short period before resuming sexual activities with intended condom use being high. Findings are promising for efforts to up-scale integrated medical circumcision alongside traditional initiation into manhood.