Male circumcision for HIV prevention: Awareness, risk compensation, and risk perceptions among South African women.
Male circumcision for HIV prevention: Awareness, risk compensation, and risk perceptions among South African women.
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男性预防艾滋病毒的包皮环切术：南非妇女的意识，风险补偿和风险看法。
DOI：
10.1080/17441692.2018.1427277
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发表时间：
2018-11
影响因子：
3.3
通讯作者：
Nkoko K
中科院分区：
文献类型：
--
作者：
Kalichman S;Mathews C;Kalichman M;Eaton LA;Nkoko K
医用男性包皮环切术是一种被证实的降低南部非洲男性艾滋病毒风险的方法。医用男性包皮环切术(MMC)推广活动和扩大方案在整个南非共和国广泛实施。然而，促进MMC对女性的意识、信念和行为的影响还没有得到充分的研究。我们对南非开普敦一个贫困小镇的279名接受医疗服务的妇女进行了一项自我管理的匿名调查。结果显示，三分之二的女性没有意识到男性包皮环切术部分地保护了男性免受艾滋病毒感染。意识到MMC预防艾滋病毒的妇女也支持这样的信念，即男性包皮环切术减少了男性担心艾滋病毒的需要，并减少了男性使用避孕套的需要。男性包皮环切术意识也与女性对艾滋病毒风险的认知减少有关。多变量模型显示，女性的MMC意识、包皮环切风险补偿信念和风险认知与避孕套使用量的减少和更高的HIV风险指数得分(定义为无避孕套的阴道性交X性伴数量)相关。这些结果表明，有必要为生活在艾滋病毒高流行社区的妇女进行MMC教育努力，在那里，男性是MMC的目标。
Medical male circumcision is a proven method of HIV risk reduction for men in southern Africa. Medical male circumcision (MMC) promotion campaigns and scale-up programs are widely implemented throughout the Republic of South Africa. However, the impact of promoting MMC on women’s awareness, beliefs, and behaviors has been understudied. We conducted a self-administered anonymous survey of 279 women receiving health services in an impoverished township located in Cape Town, South Africa. Results showed that two in three women were unaware that male circumcision partially protects men from contracting HIV. Women who were aware of MMC for HIV prevention also endorsed beliefs that male circumcision reduces the need for men to worry about HIV and reduces the need for men to use condoms. Male circumcision awareness was also related to reduced perceptions of HIV risk among women. Multivariable models showed that women’s MMC awareness, circumcision risk compensation beliefs, and risk perceptions were associated with decreased condom use and higher HIV risk index scores defined as condomless vaginal intercourse X number of sex partners. These results suggest a need for MMC education efforts tailored for women living in communities with high-HIV prevalence where men are targeted for MMC.
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影响因子：
3.7
作者：
Maffioli, Elisa M.
通讯作者：
Maffioli, Elisa M.
影响因子：
3.1
作者：
Gray, Ronald H;Wawer, Maria J;Serwadda, David
通讯作者：
Serwadda, David
影响因子：
3.7
作者：
Riess TH;Achieng' MM;Bailey RC
通讯作者：
Bailey RC
影响因子：
4.5
作者：
Mutombo, Namuunda;Maina, Beatrice;Jamali, Monica
通讯作者：
Jamali, Monica
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.