Male circumcision and HIV prevention: looking to the future.

Male circumcision and HIV prevention: looking to the future.
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DOI:
10.1007/s10461-009-9523-4
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发表时间:
2010-10
期刊:
影响因子:
4.4
通讯作者:
Coates, Thomas J.
Coates, Thomas J.
中科院分区:
医学2区
文献类型:
--
作者:
Brooks, Ronald A.;Etzel, Mark;Klosinski, Lee E.;Leibowitz, Arleen A.;Sawires, Sharif;Szekeres, Greg;Weston, Mark;Coates, Thomas J.

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现在,男性包皮环切术已被证明有一个保护作用,防止艾滋病毒感染的男性从事阴道性交时,与艾滋病毒感染的妇女,研究重点需要转向操作研究,可以铺平道路,有效地实施包皮环切计划。需要进行行为研究,以了解人们如何看待这一程序以及吸收的障碍和促进因素。缔约国还应评估包皮环切术后不安全性行为增加的风险。社会研究必须检查非洲及其他地区对这种做法的文化看法,包括未割包皮社区接受手术的可能性以及需要哪些信息来说服他们。男性包皮环切术的倡导者将受益于研究如何影响卫生政策制定者,如何最好地向公众传达好处,以及如何设计有效的交付模式。
Now that male circumcision has been shown to have a protective effect for men against HIV infection when engaging in vaginal intercourse with HIV-infected women, the research focus needs to shift towards the operational studies that can pave the way for effective implementation of circumcision programs. Behavioral research is needed to find out how people perceive the procedure and the barriers to and facilitators of uptake. It should also assess the risk of an increase in unsafe sex after circumcision. Social research must examine cultural perceptions of the practice, in Africa and beyond, including how likely uncircumcised communities are to access surgery and what messages are needed to persuade them. Advocates of male circumcision would benefit from research on how to influence health policy-makers, how best to communicate the benefits to the public, and how to design effective delivery models.
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