Factors Associated with Preference for Early Infant Male Circumcision Among a Representative Sample of Parents in Homa Bay County, Western Kenya.
Factors Associated with Preference for Early Infant Male Circumcision Among a Representative Sample of Parents in Homa Bay County, Western Kenya.
复制标题
肯尼亚西部霍马湾县代表性父母样本中与早期婴儿男性包皮环切偏好相关的因素。
DOI：
10.1007/s10461-016-1288-y
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发表时间：
2016
影响因子：
4.4
通讯作者：
Bailey,RobertC
中科院分区：
文献类型：
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作者：
Young,MarisaR;Adera,Frederick;Mehta,SupriyaD;Jaoko,Walter;Adipo,Timothy;Badia,Jacinta;Nordstrom,SherryK;Irwin,TracyE;Ongong'a,Dedan;Bailey,RobertC
一些正在扩大成人医学男性包皮环切（MMC）以预防艾滋病毒的国家打算引入婴儿早期男性包皮环切（EIMC）。为了评估一个拥有成熟成人MMC项目的社区对EIMC的偏好，我们在肯尼亚西部的16个卫生机构对男婴（“索引儿子”）的母亲（n = 613）和父亲（n = 430）的代表性样本进行了横断面调查。大多数（59%）是EIMC。只有29%的人赞成对男婴进行割礼。疼痛和对HIV的保护分别是EIMC最常被引用的障碍和促进因素。在多变量logistic回归中，曾与伴侣谈论过EIMC和阳性血清状态与对EIMC的偏好有关。对EIMC的态度是有利的。愿意给婴儿行割礼是很谦虚的。为了促进EIMC的吸收，应该将EIMC疼痛管理的教育和鼓励父母在怀孕期间讨论EIMC。
Several countries scaling-up adult medical male circumcision (MMC) for HIV prevention intend to introduce early infant male circumcision (EIMC). To assess preference for EIMC in a community with a mature adult MMC program, we conducted a cross-sectional survey of a representative sample of mothers (n = 613) and fathers (n = 430) of baby boys (“index son”) at 16 health facilities in western Kenya. Most (59 %) were for EIMC, generally. Just 29 % were for circumcising the index son. Pain and protection from HIV were the most frequently cited barrier and facilitator to EIMC, respectively. In multivariable logistic regression, ever talking with the partner about EIMC and positive serostatus were associated with preference for EIMC for the index son. Attitudes towards EIMC are favorable. Willingness to circumcise an infant son is modest. To facilitate EIMC uptake, education about EIMC pain management and encouraging discussion between parents about EIMC during pregnancy should be integrated into programs.