"Now we are in a different time; various bad diseases have come." Understanding men's acceptability of male circumcision for HIV prevention in a moderate prevalence setting.
"Now we are in a different time; various bad diseases have come." Understanding men's acceptability of male circumcision for HIV prevention in a moderate prevalence setting.
复制标题
DOI：
10.1186/1471-2458-12-67
复制
发表时间：
2012-01-22
影响因子：
4.5
通讯作者：
Male Circumcision Acceptability and Impact Study (MCAIS) team
中科院分区：
文献类型：
--
作者：
Kelly A;Kupul M;Fitzgerald L;Aeno H;Neo J;Naketrumb R;Siba P;Kaldor JM;Vallely A;Male Circumcision Acceptability and Impact Study (MCAIS) team
成年男性手术包皮环切术（MC）已被证明可以减少男性艾滋病毒感染，世卫组织建议将其纳入高流行率环境中的综合性国家艾滋病毒预防计划。到目前为止，只有有限的研究已在经历中等负担流行病的国家进行，在这些国家，MC的可接受性，操作可行性和潜在的流行病学影响仍不清楚。在巴布亚新几内亚（PNG）的四个地点进行了一项多方法定性研究，在276名男子中进行了24次焦点小组讨论和65次深入访谈。大多数男子赞成巴布亚新几内亚采用MC预防艾滋病毒，并认为改善生殖器卫生、增强性快感和文化上的适当性是未来干预措施可接受性的关键因素。少数男性反对引入MC，主要是出于对性风险补偿的担忧，而且这种干预违背了流行的文化和宗教信仰。这是在非洲以外的中等流行环境中进行的第一个以社区为基础的MC可接受性研究之一。这项研究的研究结果表明，未来的MC艾滋病毒预防计划将被巴布亚新几内亚的男性广泛接受。
Adult male surgical circumcision (MC) has been shown to reduce HIV acquisition in men and is recommended by the WHO for inclusion in comprehensive national HIV prevention programs in high prevalence settings. Only limited research to date has been conducted in countries experiencing moderate burden epidemics, where the acceptability, operational feasibility and potential epidemiological impact of MC remain unclear. A multi-method qualitative research study was conducted at four sites in Papua New Guinea (PNG), with 24 focus group discussions and 65 in-depth interviews carried out among 276 men. The majority of men were in favour of MC being introduced for HIV prevention in PNG and considered improved genital hygiene, enhanced sexual pleasure and culturally appropriateness key factors in the acceptability of a future intervention. A minority of men were against the introduction of MC, primarily due to concerns regarding sexual risk compensation and that the intervention went against prevailing cultural and religious beliefs. This is one of the first community-based MC acceptability studies conducted in a moderate prevalence setting outside of Africa. Research findings from this study suggest that a future MC program for HIV prevention would be widely accepted by men in PNG.
登录
查看更多内容
影响因子：
--
作者：
Dowsett, Gary W.;Couch, Murray
通讯作者：
Couch, Murray
DOI：
10.1097/01.qai.0000242455.05274.20
发表时间：
2007-01-01
影响因子：
3.6
作者：
Agot, Kawango E.;Kiarie, James N.;Weiss, Noel S.
通讯作者：
Weiss, Noel S.
影响因子：
--
作者：
Aggleton, Peter
通讯作者：
Aggleton, Peter
影响因子：
168.9
作者：
Gray, Ronald H.;Kigozi, Godfrey;Wawer, Maria J.
通讯作者：
Wawer, Maria J.
影响因子：
15.8
作者：
Auvert B;Taljaard D;Lagarde E;Sobngwi-Tambekou J;Sitta R;Puren A
通讯作者：
Puren A