Women's roles in voluntary medical male circumcision in Nyanza Province, Kenya.

Women's roles in voluntary medical male circumcision in Nyanza Province, Kenya.
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DOI:
10.1371/journal.pone.0044825
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发表时间:
2012
期刊:
影响因子:
3.7
通讯作者:
Oguma IO
Oguma IO
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Lanham M;L'engle KL;Loolpapit M;Oguma IO

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妇女是自愿医疗男性包皮环切术宣传信息的重要受众,因此她们知道,自愿医疗男性包皮环切术只能提供部分保护,防止感染艾滋病毒。她们也可以影响她们的男性伴侣接受割礼,并在VMMC后采取其他艾滋病毒保护措施。本研究分两个阶段进行定性数据收集。第一阶段采用深入访谈,探讨妇女对部分保护的理解及其在VMMC中的作用。第二阶段以第一阶段的调查结果为基础,利用焦点小组来测试尼扬扎省目前使用的VMMC通信信息,并进一步探讨妇女在VMMC中的作用。64名年龄在18岁至35岁之间的性活跃女性参与了研究。在第一阶段,所有妇女都说她们听说过部分保护,尽管有些人无法详细说明这一概念的含义。然而,当第二阶段的妇女接触到关于部分保护的信息时,参与者很好地理解了这些信息,并能够确定要点。在第一阶段和第二阶段,许多参与者说他们已经与他们的伴侣讨论了VMMC,对一些人来说,这是一个共同的决定,该名男子去VMMC。这些研究结果表明,目前的VMMC信息正在向妇女传播,尽管传播可以更有效地针对妇女,以提高她们传播关于VMMC部分艾滋病毒保护的能力。此外,妇女似乎在鼓励男子接受割礼方面发挥着重要作用,因此,接触妇女可能是一种有价值的干预战略,可以增加VMMC的使用,并促进VMMC后使用其他艾滋病毒保护措施。
Women are an important audience for voluntary medical male circumcision (VMMC) communication messages so that they know that VMMC provides only partial protection against HIV. They may also be able to influence their male partners to get circumcised and practice other HIV protective measures after VMMC. This study was conducted in two phases of qualitative data collection. Phase 1 used in-depth interviews to explore women’s understanding of partial protection and their role in VMMC. Phase 2 built on the findings from the Phase 1, using focus groups to test VMMC communication messages currently used in Nyanza Province and to further explore women’s roles in VMMC. Sixty-four sexually active women between the ages of 18 and 35 participated. In Phase 1, all women said they had heard of partial protection, though some were not able to elaborate on what the concept means. When women in Phase 2 were exposed to messages about partial protection, however, participants understood the messages well and were able to identify the main points. In Phases 1 and 2, many participants said that they had discussed VMMC with their partner, and for several, it was a joint decision for the man to go for VMMC. These findings suggest that current VMMC messaging is reaching women, though communications could more effectively target women to increase their ability to communicate about partial HIV protection from VMMC. Also, women seem to be playing an important role in encouraging men to get circumcised, so reaching out to women could be a valuable intervention strategy for increasing VMMC uptake and promoting use of other HIV protective measures after VMMC.
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