Women's role in male circumcision promotion in Rakai, Uganda.

Women's role in male circumcision promotion in Rakai, Uganda.
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DOI:
10.1080/09540121.2018.1500009
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发表时间:
2019-04
期刊:
影响因子:
1.7
通讯作者:
Kennedy CE
Kennedy CE
中科院分区:
医学4区
文献类型:
--
作者:
Nakyanjo N;Piccinini D;Kisakye A;Yeh PT;Ddaaki W;Kigozi G;Gray RH;Kennedy CE

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医用男性包皮环切术(MMC)已在撒哈拉以南非洲地区扩大,但仍未达到最佳效果。我们试图了解乌干达Rakai的女性对MMC的看法和影响。我们对渔业和贸易社区的27名女性进行了深入的采访,其中包括与受过割礼和未受过割礼的男性结婚的女性、单身女性和性工作者。数据分析遵循基于团队的框架方法。所有女性参与者都更喜欢做包皮环切术的男性,因为他们认为这降低了艾滋病毒和性传播感染(STI)的风险,改善了阴茎卫生,增加了性快感。感知到的负面因素包括伤口愈合期间的禁欲,潜在的男性性行为风险增加,担心被指责为感染艾滋病毒的罪魁祸首,以及因休假而产生的经济不安全感。参与者认为,女性可以说服她们的伴侣接受割礼,陪他们去诊所,拒绝与未受割礼的男性发生性关系,并参与社区MMC活动。研究结果支持女性在接受MMC方面的重要作用。
Medical male circumcision (MMC) has expanded in sub-Saharan Africa, yet uptake remains sub-optimal. We sought to understand women’s perceptions of and influence on MMC in Rakai, Uganda. We conducted in-depth interviews with 27 women in fishing and trading communities, including women married to circumcised and uncircumcised men, single women, and sex workers. Data analysis followed a team-based framework approach. All female participants preferred circumcised men because of perceived reduced HIV and sexually transmitted infection (STI) risk, improved penile hygiene, and increased sexual pleasure. Perceived negative aspects included abstinence during wound healing, potentially increased male sexual risk behaviors, fear of being blamed for HIV acquisition, and economic insecurity due to time off work. Participants felt women could persuade their partners to be circumcised, accompany them to the clinic, refuse sex with uncircumcised men, and participate in community MMC activities. Findings support women’s important role in MMC acceptance.
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