Male circumcision for HIV prevention: Awareness, risk compensation, and risk perceptions among South African women

被引:12
|
作者
Kalichman, Seth [1 ]
Mathews, Catherine [2 ]
Kalichman, Moira [1 ]
Eaton, Lisa A. [1 ]
Nkoko, Koena [3 ]
机构
[1] Univ Connecticut, Inst Collaborat Hlth Intervent & Policy, Storrs, CT 06269 USA
[2] South African Med Res Council, Hlth Syst Res Unit, Cape Town, South Africa
[3] City Hlth Directorate, Cape Town, South Africa
关键词
HIV prevention; medical male circumcision; risk compensation; women's health; MEDICAL MALE CIRCUMCISION; KENYA; MEN; BEHAVIOR; DEMAND; KISUMU;
D O I
10.1080/17441692.2018.1427277
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Medical male circumcision (MMC) is a proven method of HIV risk reduction for men in southern Africa. MMC promotion campaigns and scale-up programmes are widely implemented throughout the Republic of South Africa. However, the impact of promoting MMC on women's awareness, beliefs, and behaviours has been understudied. We conducted a self-administered anonymous survey of 279 women receiving health services in an impoverished township located in Cape Town, South Africa. Results showed that two in three women were unaware that male circumcision partially protects men from contracting HIV. Women who were aware of MMC for HIV prevention also endorsed beliefs that male circumcision reduces the need for men to worry about HIV and reduces the need for men to use condoms. Male circumcision awareness was also related to reduced perceptions of HIV risk among women. Multivariable models showed that women's MMC awareness, circumcision risk compensation beliefs, and risk perceptions were associated with decreased condom use and higher HIV risk index scores defined as number of condomless vaginal intercourse X number of sex partners. These results suggest a need for MMC education efforts tailored for women living in communities with high-HIV prevalence where men are targeted for MMC.
引用
收藏
页码:1682 / 1690
页数:9
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