Male circumcision: an acceptable strategy for HIV prevention in Botswana
Male circumcision: an acceptable strategy for HIV prevention in Botswana
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DOI：
10.1136/sti.79.3.214
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发表时间：
2003-06-01
影响因子：
3.6
通讯作者：
Shapiro, RL
中科院分区：
文献类型：
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作者：
Kebaabetswe, P;Lockman, S;Shapiro, RL
背景资料：男性包皮环切术是已知的，以减少获得艾滋病毒的风险，但很少有研究已经进行，以评估其可接受的儿童或成人在撒哈拉以南Africa.Methods：我们进行了一项横断面调查，在9个地理代表性的位置在博茨瓦纳，以确定在该国的男性包皮环切术的可接受性，以及男性包皮环切术的首选年龄和设置。在信息会议之前和之后使用标准化问卷进行访谈，概述男性包皮环切术的风险和益处。结果：在605名接受调查的人中，中位年龄为29岁（范围18-74岁），52%为男性，代表了> 15个种族。在信息会议之前，408人（68%）回答说，如果在医院环境中免费提供包皮环切术，他们肯定或可能会为男孩进行包皮环切术;信息会议之后，这一数字增加到542人（89%）。在238名未接受包皮环切术的男子中，145人（61%）表示，如果在医院免费提供，他们肯定会或可能会接受包皮环切术;在信息会议后，这一数字增加到192人（81%）。在对所有参与者的多变量分析中，有孩子的人比没有孩子的人更倾向于包皮环切术（调整后的比值比为1.8，95% CI为1.0至3.4）。大多数参与者（55%）认为，包皮环切术的理想年龄是6年前，和90%的参与者认为，包皮环切术应在医院setting.Conclusions：男性包皮环切术似乎是高度可接受的在博茨瓦纳。博茨瓦纳的父母应该为其男孩提供安全的包皮环切术选择。如果临床试验支持包皮环切术作为性活跃人群中的艾滋病毒预防策略的有效性，包皮环切术也可能是成年人和青少年可以接受的选择。
Background: Male circumcision is known to reduce the risk of acquiring HIV, but few studies have been performed to assess its acceptability among either children or adults in sub-Saharan Africa.Methods: We conducted a cross sectional survey in nine geographically representative locations in Botswana to determine the acceptability of male circumcision in the country, as well as the preferred age and setting for male circumcision. Interviews were conducted using standardised questionnaires both before and after an informational session outlining the risks and benefits of male circumcision.Results: Among 605 people surveyed, the median age was 29 years (range 18-74 years), 52% were male, and > 15 ethnicities were represented. Before the informational session, 408 (68%) responded that they would definitely or probably circumcise a male child if circumcision was offered free of charge in a hospital setting; this number increased to 542 (89%) after the informational session. Among 238 uncircumcised men, 145 (61%) stated that they would definitely or probably get circumcised themselves if it were offered free of charge in a hospital setting; this increased to 192 (81%) after the informational session. In a multivariate analysis of all participants, people with children were more likely to favour circumcision than people without children (adjusted odds ratio 1.8, 95% Cl 1.0 to 3.4). Most participants (55%) felt that the ideal age for circumcision is before 6 years, and 90% of participants felt that circumcision should be performed in the hospital setting.Conclusions: Male circumcision appears to be highly acceptable in Botswana. The option for safe circumcision should be made available to parents in Botswana for their male children. Circumcision might also be an acceptable option for adults and adolescents, if its efficacy as an HIV prevention strategy among sexually active people is supported by clinical trials.