Acceptability of male circumcision for prevention of HIV infection among men and women in Uganda
Acceptability of male circumcision for prevention of HIV infection among men and women in Uganda
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DOI：
10.1080/09540121.2011.579939
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发表时间：
2011-01-01
影响因子：
1.7
通讯作者：
Baine, Sebastian O.
中科院分区：
文献类型：
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作者：
Albert, Lisa M.;Akol, Angela;Baine, Sebastian O.
在过去十年中，在肯尼亚、南非和乌干达进行的三项随机对照试验表明，男性割礼（MMC）减少了艾滋病病毒从女性向男性的性传播。该评估的目的是衡量成人MMC和儿童包皮环切术的可接受性，以告知有关是否以及如何促进MMC作为艾滋病毒预防策略的政策。这项混合方法研究在乌干达四个地区进行，包括对833名成年男性和842名成年女性进行两阶段的家庭调查、焦点小组讨论和卫生保健提供者调查。在被告知最近的随机试验结果后，受访者对MMC的接受程度是积极和实质性的。在未割包皮的男性中，40%到62%的人会考虑割包皮。在四个地区，60%到86%的父亲和49%到95%的母亲支持儿子的MMC。在这项研究中，男性和女性普遍支持将MMC作为乌干达目前的“ABC +”艾滋病毒预防战略的一部分来推广。
In the last decade, three randomized controlled trials in Kenya, South Africa, and Uganda have shown that medical male circumcision (MMC) reduces the sexual transmission of HIV from women to men. Objectives of this assessment were to measure acceptability of adult MMC and circumcision of children to inform policies regarding whether and how to promote MMC as an HIV prevention strategy. This mixed-method study, conducted across four Ugandan districts, included a two-stage household survey of 833 adult males and 842 adult females, focus group discussions, and a health provider survey.Respondents' acceptability of MMC was positive and substantial after being informed about the results of recent randomized trials. In uncircumcised men, between 40% and 62% across the districts would consider getting circumcised. Across the four districts between 60% and 86% of fathers and 49% and 95% of mothers were supportive of MMC for sons. Widespread support exists among men and women in this study for promoting MMC as part of Uganda's current 'ABC +' HIV prevention strategy.