Women's knowledge and perception of male circumcision before and after its roll-out in the South African township of Orange Farm from community-based cross-sectional surveys.
Women's knowledge and perception of male circumcision before and after its roll-out in the South African township of Orange Farm from community-based cross-sectional surveys.
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DOI：
10.1371/journal.pone.0173595
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发表时间：
2017
期刊：
影响因子：
3.7
通讯作者：
Auvert B
中科院分区：
文献类型：
--
作者：
Maraux B;Lissouba P;Rain-Taljaard R;Taljaard D;Bouscaillou J;Lewis D;Puren A;Auvert B
男性包皮环切术 (MC) 的推广正在非洲南部和东部取得进展。人们对这一推出对女性的影响知之甚少。本研究的目的是评估推出前后女性对 MC 的了解和看法。这项研究是在南非 Orange Farm 镇进行的，2008 年至 2010 年期间，该地区男性 MC 患病率从 17% 上升至 53%。研究了 2007 年、2010 年和 2012 年分别针对 1,258、1,197 和 2,583 名成年女性进行的三项基于社区的横断面调查的数据。 2012年，在2583名女性中，73.7%的人表示偏好接受割礼的伴侣，87.9%的人知道接受割礼的男性可能感染艾滋病毒。共有95.8%的人愿意让自己的男孩接受割礼。在推出期间，这三个比例显着增加。 2007年，相应数值分别为64.4%、82.9%和80.4%。在与受过包皮环切和未受过包皮环切的男性发生过性行为的 2581 名女性中，大多数人（55.8%，1440/2581）认为受过包皮环切的男性更容易使用安全套，20.5%（530/2581）不同意； 23.07 (611/2581) 不知道。然而，一些女性错误地表示，当她们与接受了包皮环切术的艾滋病毒阳性伴侣发生无保护性行为时，她们得到了完全（32/2579；1.2%；95%CI：0.9%至1.7%）或部分（233/2579；9.0%；95%CI：8.0%至10.2%）的保护。本研究表明，在VMMC推出期间，女性对VMMC的好感度和相对正确的知识有所增加。在可能的情况下，妇女应参与 VMMC 的推广，但应进一步努力提高她们的知识。
The roll-out of medical male circumcision (MC) is progressing in Southern and Eastern Africa. Little is known about the effect of this roll-out on women. The objective of this study was to assess the knowledge and perceptions of women regarding MC in a setting before and after the roll-out. This study was conducted in the South African township of Orange Farm where MC prevalence among men increased from 17% to 53% in the period 2008–2010. Data from three community-based cross sectional surveys conducted in 2007, 2010 and 2012 among 1258, 1197 and 2583 adult women, respectively were studied. In 2012, among 2583 women, 73.7% reported a preference for circumcised partners, and 87.9% knew that circumcised men could become infected with HIV. A total of 95.8% preferred to have their male children circumcised. These three proportions increased significantly during the roll-out. In 2007, the corresponding values were 64.4%, 82.9% and 80.4%, respectively. Among 2581 women having had sexual intercourse with circumcised and uncircumcised men, a majority (55.8%, 1440/2581) agreed that it was easier for a circumcised man to use a condom, 20.5% (530/2581) disagreed; and 23.07 (611/2581) did not know. However, some women incorrectly stated that they were fully (32/2579; 1.2%; 95%CI: 0.9% to 1.7%) or partially (233/2579; 9.0%; 95%CI: 8.0% to 10.2%) protected when having unprotected sex with a circumcised HIV-positive partner. This study shows that the favorable perception of women and relatively correct knowledge regarding VMMC had increased during the roll-out of VMMC. When possible, women should participate in the promotion of VMMC although further effort should be made to improve their knowledge.