Ethnic identity, region and attitudes towards male circumcision in a high HIV-prevalence country.
Ethnic identity, region and attitudes towards male circumcision in a high HIV-prevalence country.
复制标题
艾滋病毒高流行国家的种族认同、地区和对男性包皮环切的态度。
DOI：
10.1080/17441692.2013.790988
复制
发表时间：
2013
影响因子：
3.3
通讯作者：
Poulin M
中科院分区：
文献类型：
--
作者：
Dionne KY;Poulin M
我们研究如何考虑男性包皮环切作为一个有利的做法，并作为保护艾滋病毒与种族在撒哈拉以南非洲，那里的许多民族传统上不包皮环切。我们重点关注马拉维，这是一个艾滋病毒流行率高但男性包皮环切率低的国家。从人口为基础的随机抽样调查数据在农村马拉维（N=3400）进行了分析，对男性包皮环切术的态度的民族区域模式。我们使用logit回归模型来衡量报告的包皮环切术状态，居住地区和种族认同与对包皮环切术的态度。总体而言，马拉维人对男性包皮环切术的负面意见多于正面意见，但对包皮环切术的态度因种族和地区而异。机构和政府积极扩大提供男性包皮环切术的影响是明确的：接受包皮环切术作为艾滋病毒预防的工具可能是低的社会由民族区域身份，也塑造包皮环切术的做法。
We study how considerations of male circumcision as both a favourable practice and as protective against HIV are linked with ethnicity in sub-Saharan Africa, where many ethnic groups do not traditionally circumcise. We focus on Malawi, a country with a high HIV prevalence but low male circumcision prevalence. Survey data from a population-based random sample in rural Malawi (N=3400) was analysed for ethnoregional patterns in attitudes toward male circumcision. We used logit regression models to measure how reported circumcision status, region of residence, and ethnic identity relate to attitudes toward circumcision. Overall, Malawians reported more negative than positive opinions about male circumcision, but attitudes toward circumcision varied by ethnicity and region. The implications for agencies and governments aggressively scaling up the provision of male circumcision are clear: acceptance of circumcision as a tool for HIV prevention could be low in societies divided by ethnoregional identities that also shape the practice of circumcision.