Madhivanan Purnima, Krupp Karl, Chandrasekaran Varalakshmi, Karat Samuel C, Reingold Arthur L, Klausner Jeffrey D
Department of Epidemiology, School of Public Health, University of California, Berkeley, California 94720-7350, USA.
AIDS. 2008 May 11;22(8):983-8. doi: 10.1097/QAD.0b013e3282ffde52.
There is currently little information on the acceptability of male circumcision in India. This study investigated the acceptability of male circumcision among Indian mothers with male children.
A cross-sectional survey was conducted among a convenience sample of 795 women attending a reproductive health clinic in Mysore, India, between January and April 2007.
Of the 1012 invited eligible participants, 795 women agreed to participate (response rate = 78.5%). The majority of women were Hindus (78%), 18% were Muslims, and 4% were Christians. About 26% of respondents had no schooling, 29% had 7 years of schooling, 42% had 8-12 years, and 3% had more than 12 years. After women were informed about the risks and benefits of male circumcision, a majority of women with uncircumcised children (n = 564, 81%) said they would definitely circumcise their children if the procedure were offered in a safe hospital setting, free of charge, and a smaller number (n = 50, 7%) said they would probably consider the procedure. Only seven women (1%) said that they would definitely/probably not consider male circumcision, and 63 (9%) were unsure.
Since male circumcision has been found to decrease risk of HIV infection among men, it is important to determine its acceptability as a potential HIV prevention strategy in India. This study found male circumcision to be highly acceptable among a broad range of mothers with male children in Mysore, India. Further studies of acceptability among fathers and other populations are warranted.
目前关于印度男性包皮环切术可接受性的信息很少。本研究调查了印度有男孩的母亲对男性包皮环切术的可接受性。
2007年1月至4月间,在印度迈索尔一家生殖健康诊所对795名女性进行了便利抽样的横断面调查。
在1012名受邀的合格参与者中,795名女性同意参与(应答率 = 78.5%)。大多数女性是印度教徒(78%),18%是穆斯林,4%是基督教徒。约26%的受访者未接受过学校教育,29%接受过7年学校教育,42%接受过8 - 12年教育,3%接受过12年以上教育。在向女性告知男性包皮环切术的风险和益处后,大多数未给孩子进行包皮环切术的女性(n = 564,81%)表示,如果该手术在安全的医院环境中免费提供,她们肯定会给自己的孩子进行包皮环切术,少数(n = 50,7%)表示可能会考虑该手术。只有7名女性(1%)表示肯定/可能不会考虑男性包皮环切术,63名(9%)不确定。
由于已发现男性包皮环切术可降低男性感染艾滋病毒的风险,确定其作为印度潜在的艾滋病毒预防策略的可接受性很重要。本研究发现,在印度迈索尔,广大有男孩的母亲中,男性包皮环切术是高度可接受的。有必要对父亲及其他人群的可接受性进行进一步研究。