Acceptability of male circumcision for prevention of HIV infection in Malawi
Acceptability of male circumcision for prevention of HIV infection in Malawi
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DOI：
10.1007/s10461-006-9076-8
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发表时间：
2006-07-01
影响因子：
4.4
通讯作者：
Bailey, Robert C.
中科院分区：
文献类型：
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作者：
Ngalande, Rebecca C.;Levy, Judith;Bailey, Robert C.
许多流行病学和生物学研究表明，男性包皮环切术 (MC) 对预防 HIV-1 感染具有显着的保护作用。本研究评估了马拉维四个地区对 MC 的可接受性，马拉维是一个 HIV-1 患病率较高而 MC 患病率较低的国家。与年龄 16-80 岁的 159 名男性和 159 名女性进行了 32 次焦点小组讨论。北部地区的接受度较低，因为这种做法鲜为人知，较年轻的参与者接受度较高，而中部和南部地区的接受度较高，因为那里的穆斯林少数民族群体（瑶族）实行MC。包皮环切术的障碍包括担心感染和出血、费用和疼痛。促进因素包括卫生、降低性传播感染风险、宗教、医疗条件和增强性快感。如果马拉维推出 MC 服务，接受程度可能会因地区而异，但如果这些服务安全、负担得起且保密，许多父母和年轻人都会使用这些服务。
Numerous epidemiological and biological studies report male circumcision (MC) to have a significant protective effect against HIV-1 acquisition. This study assesses the acceptability of MC in four districts in Malawi, a country with high HIV-1 prevalence and low prevalence of MC. Thirty-two focus group discussions were conducted with 159 men and 159 women ages 16-80 years. Acceptability was lower in the north where the practice was little known, higher in younger participants and higher in central and southern districts where MC is practiced by a minority Muslim group (Yao). Barriers to circumcision included fear of infection and bleeding, cost, and pain. Facilitators included hygiene, reduced risk of STI, religion, medical conditions, and enhanced sexual pleasure. If MC services are introduced in Malawi, acceptance is likely to vary by region, but many parents and young men would use the services if they were safe, affordable and confidential.