Acceptability of male circumcision for prevention of HIV/AIDS in sub-Saharan Africa: a review.
Acceptability of male circumcision for prevention of HIV/AIDS in sub-Saharan Africa: a review.
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DOI：
10.1007/s10461-006-9169-4
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发表时间：
2007-05
影响因子：
4.4
通讯作者：
Bailey RC
中科院分区：
文献类型：
--
作者：
Westercamp N;Bailey RC
根据流行病学、临床和实验证据，男性包皮环切术(MC)可能对选定地区的艾滋病毒流行产生重大影响。我们回顾了关于MC在撒哈拉以南非洲地区可接受性的研究，以评估将影响传统上不做包皮环切术的人群接受包皮环切术的因素。来自9个国家的13项研究被确定。在所有研究中，未割包皮的男性愿意接受割礼的比例中位数为65%(范围为29-87%)。69%(47%-79%)的女性支持为其伴侣进行割礼，71%(50%-90%)的男性和81%(70%-90%)的女性愿意为她们的儿子割礼。由于九个国家的可接受性水平相当一致，没有必要进行额外的可接受性研究，向参与者提出假设性问题。我们建议试点干预措施，将安全的包皮环切术服务与目前的艾滋病毒预防战略结合起来，并评估包皮环切术的安全性和可接受性。
Based on epidemiological, clinical and experimental evidence, male circumcision (MC) could have a significant impact on the HIV epidemic in selected areas. We reviewed studies of the acceptability of MC in sub-Saharan Africa to assess factors that will influence uptake of circumcision in traditionally non-circumcising populations. Thirteen studies from nine countries were identified. Across studies, the median proportion of uncircumcised men willing to become circumcised was 65% (range 29–87%). Sixty nine percent (47–79%) of women favored circumcision for their partners, and 71% (50–90%) of men and 81% (70–90%) of women were willing to circumcise their sons. Because the level of acceptability across the nine countries was quite consistent, additional acceptability studies that pose hypothetical questions to participants are unnecessary. We recommend pilot interventions making safe circumcision services available in conjunction with current HIV prevention strategies and evaluating the safety and acceptability of circumcision.
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