Rural Zulu women's knowledge of and attitudes towards medical male circumcision
Rural Zulu women's knowledge of and attitudes towards medical male circumcision
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DOI：
10.4102/phcfm.v7i1.775
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发表时间：
2015-01-01
影响因子：
2
通讯作者：
Ogbonnaya, Harbor
中科院分区：
文献类型：
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作者：
Ikwegbue, Joseph N.;Ross, Andrew;Ogbonnaya, Harbor
背景：医用男性包皮环切术(MMC)是南非HIV感染预防一揽子计划中的一项关键战略。在支持这一战略方面，女性可能会发挥潜在的强大作用。包皮环切术不是祖鲁族社会的传统组成部分，祖鲁族妇女可能对MMC的了解有限，态度矛盾或消极。目的：本研究使用定量数据来扩大对农村祖鲁族妇女对MMC的了解和态度，这项研究很重要，因为妇女可能会对她们的伴侣和儿子的决定产生强大的积极或消极影响。背景：夸祖鲁-纳塔尔农村的一家医院产前诊所。方法：参与研究的590名孕妇，大部分是说伊西祖鲁语的妇女。结果：大多数女性支持MMC，但对其潜在益处的了解程度普遍较低。大多数人会鼓励他们的伴侣和儿子接受MMC。手术的首选地点是医院。结论：祖鲁族参与者支持MMC，并支持他们的伴侣和孩子接受割礼。对潜在利益的了解少得令人担忧，对传播信息的进一步研究至关重要。研究结果强调了扩大妇女健康教育运动的必要性，并建议采用创新的方法来提高信息的可及性。更倾向于在医院开展MMC的原因还需要进一步探讨。
Background: Medical male circumcision (MMC) is a key strategy in the South African HIV infection prevention package. Women may have a potentially powerful role in supporting such a strategy. Circumcision is not a traditional part of Zulu society, and Zulu women may have limited knowledge and ambivalent or negative attitudes towards MMC.Aim: This study employs quantitative data to expand insight into rural Zulu women's knowledge of and attitudes towards MMC, and is important as women could potentially yield a powerful positive or negative influence over the decisions of their partners and sons.Setting: A hospital-based antenatal clinic in rural KwaZulu-Natal.Methods: Participants were 590 pregnant, mostly isiZulu-speaking women. Data on their knowledge of and attitude towards MMC were collected using a questionnaire and were analysed descriptively.Results: The majority of the women supported MMC; however, knowledge of the potential benefits was generally poor. Most would encourage their partners and sons to undergo MMC. The preferred place for the procedure was a hospital.Conclusion: Zulu participants supported MMC and would support their partners and children being circumcised. Knowledge around potential benefits was worryingly poor, and further research into disseminating information is essential. The findings highlight the need for an expanded campaign of health education for women, and innovative means are suggested to enhance information accessibility. Reasons for preferring that MMC be carried out in hospital need to be explored further.