Sexual Risk Behaviours and Willingness to Be Circumcised among Uncircumcised Adult Men in Uganda
Sexual Risk Behaviours and Willingness to Be Circumcised among Uncircumcised Adult Men in Uganda
复制标题
DOI：
10.1371/journal.pone.0144843
复制
发表时间：
2015-12-14
期刊：
影响因子：
3.7
通讯作者：
Sandoy, Ingvild Fossgard
中科院分区：
文献类型：
--
作者：
Kibira, Simon P. S.;Makumbi, Fredrick;Sandoy, Ingvild Fossgard
在乌干达，在方案扩大的早期阶段，对安全男性包皮环切术的需求很大。研究表明，新干预措施的早期采用者在一系列行为方面往往与后来采用者不同。然而，对在启动SMC方案时愿意接受包皮环切术的男性的风险状况了解有限，与那些不情愿的人相比，潜在的早期采用者。本研究的目的是解决这一差距，以提供是否有可能，男性包皮环切术的潜在早期采用者更需要这种新的预防措施比others.MethodsData的指标是从2011年乌干达艾滋病指标调查（UAIS），具有全国代表性的男性样本15至59岁。分析的基础上广义线性模型，获得患病风险比（PRR）与95%的置信区间（CI）之间的关联性的措施，愿意接受包皮环切术和多个性伴侣，交易性行为，非婚姻性行为和非使用避孕套在最后非婚姻sex.ResultsOf的5,776名男性在调查中，44%表示愿意接受包皮环切术。年轻、城市和受过教育的男子接受割礼的意愿较高。在未调整的分析中，所有的性风险行为都与愿意接受包皮环切术有关，而在调整后的分析中，（调整PRR 1.27; CI：1.16-1.40）和最后一次此类性行为时不使用避孕套（调整PRR 1.18; CI：（1.07-1.29）与更高的愿意接受包皮环切术。结论在SMC计划启动时，在报告性风险行为的未割包皮男子中更为常见。这表明，早期采用SMC的人可能特别需要这种额外的艾滋病毒保护措施。
BackgroundThere has been substantial demand for safe male circumcision (SMC) in Uganda in the early programme scale-up phase. Research indicates that early adopters of new interventions often differ from later adopters in relation to a range of behaviours. However, there is limited knowledge about the risk profile of men who were willing to be circumcised at the time of launching the SMC programme, i.e., potential early adopters, compared to those who were reluctant. The aim of this study was to address this gap to provide indications on whether it is likely that potential early adopters of male circumcision were more in need of this new prevention measure than others.MethodsData were from the 2011 Uganda AIDS Indictor Survey (UAIS), with a nationally representative sample of men 15 to 59 years. The analysis was based on generalized linear models, obtaining prevalence risk ratios (PRR) with 95% confidence intervals (CI) as measures of association between willingness to be circumcised and multiple sexual partners, transactional sex, non-marital sex and non-use of condoms at last non-marital sex.ResultsOf the 5,776 men in the survey, 44% expressed willingness to be circumcised. Willingness to be circumcised was higher among the younger, urban and educated men. In the unadjusted analyses, all the sexual risk behaviours were associated with willingness to be circumcised, while in the adjusted analysis, non-marital sex (Adj PRR 1.27; CI: 1.16-1.40) and non-use of condoms at last such sex (Adj PRR 1.18; CI: 1.07-1.29) were associated with higher willingness to be circumcised.ConclusionWillingness to be circumcised was relatively high at the launch of the SMC programme and was more common among uncircumcised men reporting sexual risk behaviours. This indicates that the early adopters of SMC were likely to be in particular need of such additional HIV protective measures.