Women's beliefs about male circumcision, HIV prevention, and sexual behaviors in Kisumu, Kenya.

Women's beliefs about male circumcision, HIV prevention, and sexual behaviors in Kisumu, Kenya.
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DOI:
10.1371/journal.pone.0097748
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发表时间:
2014
期刊:
影响因子:
3.7
通讯作者:
Bailey RC
Bailey RC
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Riess TH;Achieng' MM;Bailey RC

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重要的是要了解妇女的性行为如何可能受到男性包皮环切术(MC)作为艾滋病毒预防工作的影响。妇女对MC和性行为的信念可能会影响医学MC的规模扩大和吸收。我们对肯尼亚基苏穆的30名性活跃妇女进行了定性访谈。妇女们讨论了与健康益处、安全套使用、性行为、对艾滋病毒和性传播感染易感性的了解、包皮环切术偏好以及对包皮环切术接受的影响有关的避孕套。受访者有一个很好的理解部分保护MC获得艾滋病毒的男性。女性认为割包皮的男性更干净,携带更少的疾病,并需要更多的时间达到射精。男性的包皮环切状况是女性性决策(包括伴侣选择和避孕套使用)的一个重要因素。重要的是,教育信息确认,避孕药具只能部分防止艾滋病毒和某些性传播感染从女性传播到男性;避孕药具必须与其他预防艾滋病毒和性传播感染的方法结合使用,如避孕套;避孕药具并不排除男子感染艾滋病毒;夫妇应制定计划,在男子康复期间不发生性行为。
It is important to understand how women's sexual practices may be influenced by male circumcision (MC) as an HIV prevention effort. Women's beliefs about MC and sexual behaviour will likely influence the scale-up and uptake of medical MC. We conducted qualitative interviews with 30 sexually active women in Kisumu, Kenya. Women discussed MC related to perceived health benefits, condom use, sexual behaviour, knowledge of susceptibility to HIV and sexually transmitted infections (STIs), circumcision preference, and influence on circumcision uptake. Respondents had a good understanding of the partial protection of MC for acquisition of HIV for men. Women perceived circumcised men as cleaner, carrying fewer diseases, and taking more time to reach ejaculation. Male's circumcision status is a salient factor for women's sexual decision making, including partner choice, and condom use. It will be important that educational information affirms that MC provides only partial protection against female to male transmission of HIV and some STIs; that other HIV and STI prevention methods such as condoms need to be used in conjunction with MC; that MC does not preclude a man from having HIV; and that couples should develop plans for not having sex while the man is healing.
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