Voluntary medical male circumcision and sexual practices among sexually active circumcised men in Mzuzu, Malawi: a cross-sectional study
Voluntary medical male circumcision and sexual practices among sexually active circumcised men in Mzuzu, Malawi: a cross-sectional study
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DOI：
10.1186/s12889-020-8309-5
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发表时间：
2020-02-11
影响因子：
4.5
通讯作者：
Jumbe, Vincent C.
中科院分区：
文献类型：
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作者：
Chatsika, Zimveka Jones;Kumitawa, Andrew;Jumbe, Vincent C.
研究背景男性自愿性包皮环切术（VMMC）是预防艾滋病异性性传播的策略之一。它已被14个艾滋病毒流行率高、包皮环切率低的国家采用。VMMC的60.0%的保护效力在马拉维的一些社会中存在误解，因此VMMC的客户可能会选择危险的性行为，因为它的保护作用。这项研究估计比例包皮环切男子从事危险的性行为后VMMC，评估知识VMMC的保护作用，并确定与危险的性practices.MethodA横断面研究进行了两个站点的姆祖祖市的社会人口因素。采用系统随机抽样的方法，选择322名年龄在18-49岁的参与者进行VMMC。自变量包括年龄、居住地、职业、宗教信仰、婚姻状况和教育程度。结果变量包括不使用安全套、有多个性伴侣和从事性交易。问卷调查数据采用Pearson卡方检验和Logistic回归分析。结果在322名调查对象中，84.8%（273）的人了解VMMC在预防HIV方面提供的部分保护。96%的参与者自我报告在VMMC后继续使用避孕套。总体而言，23.7-38.3%的参与者自我报告在VMMC后从事危险的性行为，23.7%（76）有一个以上的性伴侣; 29.2%（94）支付性行为，而39.9%（n=187）没有使用安全套。居住在人口密度高的地区与不使用避孕套有关（p=0.043）。单身（P）
BackgroundVoluntary Medical Male Circumcision (VMMC) is one of the strategies being promoted to prevent sexual heterosexual transmission of HIV. It has been adopted by 14 countries with high HIV prevalence and low circumcision rates. The 60.0% protective efficacy of VMMC has come with misconceptions in some societies in Malawi, hence VMMC clients may opt for risky sexual practices owing to its perceived protective effect. The study estimated proportion of circumcised men engaging in risky sexual behaviors post-VMMC, assessed knowledge on VMMC protective effect and identified socio-demographic factors associated with risky sexual practices.MethodA cross sectional study was conducted at two sites of Mzuzu city. Systematic random sampling was used to select 322 participants aged 18-49 who had undergone VMMC. The independent variables included age, location, occupation, religion, marital status and education. Outcome variables were non condom use, having multiple sexual partners and engaging in transactional sex. Data from questionnaires was analyzed using Pearson's chi square test and logistic regression.ResultsOut of 322 respondents, 84.8% (273) understood the partial protection offered by VMMC in HIV prevention. Ninety-six percent of the participants self-reported continued use of condoms post VMMC. Overall 23.7-38.3% participants self-reported engaging in risky sexual practices post VMMC, 23.7% (76) had more than one sexual partner; 29.2% (94) paid for sex while 39.9% (n=187) did not use a condom. Residing in high density areas was associated with non-condom use, (p=0.043). Being single (p