Sequential Cross-Sectional Surveys in Orange Farm, a Township of South Africa, Revealed a Constant Low Voluntary Medical Male Circumcision Uptake among Adults despite Demand Creation Campaigns and High Acceptability
Sequential Cross-Sectional Surveys in Orange Farm, a Township of South Africa, Revealed a Constant Low Voluntary Medical Male Circumcision Uptake among Adults despite Demand Creation Campaigns and High Acceptability
复制标题
DOI：
10.1371/journal.pone.0158675
复制
发表时间：
2016-07-18
期刊：
影响因子：
3.7
通讯作者：
Auvert, Bertran
中科院分区：
文献类型：
--
作者：
Marshall, Esaie;Rain-Taljaard, Reathe;Auvert, Bertran
世卫组织建议，男性包皮环切术（MC）的流行率高于80%，才能对东部和南部非洲的艾滋病毒/艾滋病流行产生重大影响。南非的奥兰治农场镇自2008年以来就开设了一家免费服务的自愿医疗男性包皮环切（VMMC）诊所。经过2008年至2010年的激烈运动，MC患病率上升至55.4% （ANRS-12126）。正在进行和过去的VMMC活动通过学校讲座关注年轻人，并在社区一级关注成年人。本研究的主要目的是评估18-19岁和18-49岁的成年人在过去5年中MC患病率的变化。方法2015年随机抽取522名成年男性进行横断面调查（ANRS-12285）。通过生殖器检查和面对面的问卷调查来收集参与者的MC状况和特征。结果18 ~ 19岁青年男性smc患病率由2010年的61.2% （95%CI: 57.4% ~ 65.0%）显著上升至2015年的87.5% (76.0% ~ 94.6%)（p < 0.05）
BackgroundWHO recommends a male circumcision (MC) prevalence rate higher than 80% to have a substantial impact on the HIV-AIDS epidemic in Eastern and Southern Africa. Orange Farm, a township in South Africa, has a free-for-service voluntary medical male circumcision (VMMC) clinic in operation since 2008. Following an intense campaign from 2008 to 2010, MC prevalence rate increased to 55.4% (ANRS-12126). Ongoing and past VMMC campaigns focused on youths, through school talks, and adults at a community level. The main objective of the study was to assess the change in MC prevalence rate among adults aged 18-19 and 18-49 years in the past 5 years.MethodsA cross-sectional survey (ANRS-12285) was conducted among a random sample of 522 adult men in 2015. MC status and characteristics of participants were collected through a genital examination and a face-to-face questionnaire.ResultsMC prevalence rate among young adult men aged 18-19 years increased markedly from 61.2% (95%CI: 57.4% to 65.0%) in 2010 to 87.5% (76.0% to 94.6%) in 2015 (p