Soccer-based promotion of voluntary medical male circumcision: A mixed-methods feasibility study with secondary students in Uganda.
Soccer-based promotion of voluntary medical male circumcision: A mixed-methods feasibility study with secondary students in Uganda.
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DOI：
10.1371/journal.pone.0185929
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发表时间：
2017
期刊：
影响因子：
3.7
通讯作者：
MENISCUS project
中科院分区：
文献类型：
--
作者：
Miiro G;DeCelles J;Rutakumwa R;Nakiyingi-Miiro J;Muzira P;Ssembajjwe W;Musoke S;Gibson LJ;Hershow RB;Francis S;Torondel B;Ross DA;Weiss HA;MENISCUS project
乌干达政府致力于扩大经证实的艾滋病毒预防战略，包括安全的男性包皮环切术，并需要创新战略来增加包皮环切术的采用。本研究的目的是评估在乌干达城市周边地区的男生中实施基于足球的干预（“Make The Cut”）的可接受性和可行性。干预行动由受过训练、最近接受过包皮环切术的“教练”领导，他们在学校主持了60分钟的课程，包括使用预防艾滋病毒比喻的互动点球大战游戏、分享教练的包皮环切术故事、小组讨论以及教练不断参与，以促进与男性包皮环切术的联系。这项研究在乌干达恩德培分区的四所中学进行。安全的男性包皮环切术的可接受性通过横断面定量调查进行评估。实施干预的可行性进行了评估，在一所学校进行试点干预，修改它，并在第二所学校实施修改后的版本。通过对参与者的深入采访来评估对干预措施的看法。在横断面调查的210名男孩中，59%的人表示接受了包皮环切术。调查结果显示，人们对包皮环切术的了解程度很高，普遍持赞成态度。"切割“方案的初步实施使58名未接受割礼的男孩中有6名（10.3%）接受了割礼。所作的改变包括增加与家长的接触，并就干预的时间安排加强与学校的联系。此后，第二所学校的入学率提高到18/69（26.1%）。深入访谈强调了家庭和同伴的支持以及教练在促进决定行割礼方面的重要作用。这项研究表明，修改后的Make The Cut干预措施可能有效地提高了该人群对安全男性包皮环切术的接受率。然而，干预是时间密集型的，需要进一步的工作来评估大规模干预的成本效益。
The Ugandan government is committed to scaling-up proven HIV prevention strategies including safe male circumcision, and innovative strategies are needed to increase circumcision uptake. The aim of this study was to assess the acceptability and feasibility of implementing a soccer-based intervention (“Make The Cut”) among schoolboys in a peri-urban district of Uganda. The intervention was led by trained, recently circumcised “coaches” who facilitated a 60-minute session delivered in schools, including an interactive penalty shoot-out game using metaphors for HIV prevention, sharing of the coaches’ circumcision story, group discussion and ongoing engagement from the coach to facilitate linkage to male circumcision. The study took place in four secondary schools in Entebbe sub-district, Uganda. Acceptability of safe male circumcision was assessed through a cross-sectional quantitative survey. The feasibility of implementing the intervention was assessed by piloting the intervention in one school, modifying it, and implementing the modified version in a second school. Perceptions of the intervention were assessed with in-depth interviews with participants. Of the 210 boys in the cross-sectional survey, 59% reported being circumcised. Findings showed high levels of knowledge and generally favourable perceptions of circumcision. The initial implementation of Make The Cut resulted in 6/58 uncircumcised boys (10.3%) becoming circumcised. Changes made included increasing engagement with parents and improved liaison with schools regarding the timing of the intervention. Following this, uptake improved to 18/69 (26.1%) in the second school. In-depth interviews highlighted the important role of family and peer support and the coach in facilitating the decision to circumcise. This study showed that the modified Make The Cut intervention may be effective to increase uptake of safe male circumcision in this population. However, the intervention is time-intensive, and further work is needed to assess the cost-effectiveness of the intervention conducted at scale.
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影响因子：
7.2
作者：
Localio, A. Russell;Margolis, David J.;Berlin, Jesse A.
通讯作者：
Berlin, Jesse A.
DOI：
10.1097/qai.0000000000001045
发表时间：
2016-10-01
影响因子：
3.6
作者：
Thirumurthy, Harsha;Masters, Samuel H.;Agot, Kawango
通讯作者：
Agot, Kawango
DOI：
10.1016/s2352-3018(15)00042-9
发表时间：
2015-05
期刊：
The lancet. HIV
影响因子：
--
作者：
Weiss SM;Zulu R;Jones DL;Redding CA;Cook R;Chitalu N
通讯作者：
Chitalu N
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
影响因子：
15.8
作者：
Williams BG;Lloyd-Smith JO;Gouws E;Hankins C;Getz WM;Hargrove J;de Zoysa I;Dye C;Auvert B
通讯作者：
Auvert B