Acceptability of male circumcision as a tool for preventing HIV infection in a highly infected community in South Africa
Acceptability of male circumcision as a tool for preventing HIV infection in a highly infected community in South Africa
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DOI：
10.1097/00002030-200301030-00012
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发表时间：
2003-01-03
期刊：
影响因子：
3.8
通讯作者：
Bertran, A
中科院分区：
文献类型：
--
作者：
Lagarde, E;Dirk, T;Bertran, A
背景资料：由于越来越多的证据表明，男性包皮环切术（MC）与非洲艾滋病毒感染风险降低有关，因此它被认为是减少感染传播的潜在预防工具。因此，其可行性必须assessment.Methods：一个以社区为基础的横断面研究中进行了随机抽样的482名男子，年龄在19-29岁，302名妇女，年龄在14-25岁，所有生活在Westonaria区，南非。男性艾滋病毒感染率为11%，女性为30%。训练有素的人员管理标准化的questionnaire.Results：三分之二的108包皮环切术的男子（CM）在传统的仪式和三分之一的临床环境中进行了包皮环切术，后者报告较少的疼痛和不良后果。超过70%的未割包皮的男性（NCM）表示，如果MC被证明可以预防性传播疾病（STD），他们希望接受割礼。29%的CM和22%的NCM认为MC可以预防艾滋病毒和其他性病。此外，分别有30%和18%的人认为CM可以安全地与多个伴侣发生性关系。多因素分析显示，CM更可能报告多个终身伴侣。结论：虽然该地区的MC水平相对较低，但它是积极的看法。很大一部分CM认为割礼保护了他们，不幸的是，这种感觉转化为不安全的做法。我们的研究结果强烈表明，包括MC在内的干预措施应仔细解决它可能提供的虚假安全感。(C)2003年利平科特威廉姆斯威尔金斯。
Background: Because a growing body of evidence suggests that male circumcision (MC) is associated with a reduced risk of HIV infection in Africa, it is being considered as a potential prevention tool to reduce the spread of infection. Its feasibility must therefore be assessed.Methods: A community-based cross-sectional study was conducted among a random sample of 482 men aged 19-29 years and 302 women aged 14-25 years, all living in the Westonaria district, South Africa. The prevalence of HIV infection was 11% among the men and 30% among the women. Trained personnel administered standardized questionnaires.Results: Two-thirds of the 108 circumcised men (CM) were circumcised during a traditional ceremony and one-third in a clinical setting; the latter reported less pain and adverse outcomes. More than 70% of the non-circumcised men (NCM) stated that they would want to be circumcised if MC were proved to protect against sexually transmitted diseases (STD). Twenty-nine per cent of the CM and 22% of the NCM believed that MC protects against HIV and other STD. Moreover, 30% and 18%, respectively, believed that CM could safely have sex with multiple partners. Multivariate analysis showed that CM were more likely to report many lifetime partners.Conclusion: Although the level of MC in the area is relatively low, it is perceived positively. A significant proportion of the CM felt protected by their circumcision, a feeling unfortunately translated into unsafe practices. Our results strongly suggest that interventions including MC should carefully address the false sense of security that it may provide. (C) 2003 Lippincott Williams Wilkins.