Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
Prev Med. 2011 Mar-Apr;52(3-4):270-3. doi: 10.1016/j.ypmed.2011.01.015. Epub 2011 Feb 2.
The study aims to assess the acceptability of male circumcision as an HIV prevention intervention and the potential for risk compensation in the continental U.S. METHODS.: ConsumerStyles 2008 survey was used to identify correlates of 1) a "likely" or "very likely" response among uncircumcised men to "How likely are you to get circumcised if your health care provider told you that circumcision would reduce your chance of becoming HIV infected?" and 2) agreement or neutrality with a statement indicating that given the protective effects of circumcision for heterosexual men shown by research, men do not have to worry about risks like not wearing condoms during sex or having more sex partners (assessed potential for risk compensation).
Response rate was 50.6% (10,108/19,996). Overall, 13.1% of uncircumcised men reported they would be likely to get circumcised if their health care provider told them it would reduce the risk of HIV infection through sex with infected women. Nearly 18% of all men responded in a way indicating a potential for risk compensation if circumcised.
Tailored educational materials about the benefits and risks, including risk compensation, associated with male circumcision as an HIV prevention intervention should be made available to health care providers and specific groups.
本研究旨在评估男性割礼作为艾滋病预防干预措施的可接受性，以及在美国大陆地区可能出现的风险补偿。方法：采用消费者风格 2008 年调查，确定以下因素的相关性：1）未割礼男性对“如果您的医疗保健提供者告诉您割礼会降低您感染艾滋病毒的机会，您是否更有可能接受割礼？”的回答中，“很可能”或“非常可能”的比例；2）同意或中立于以下说法的比例，即鉴于研究表明割礼对异性恋男性具有保护作用，男性不必担心不戴安全套进行性行为或有更多性伴侣等风险（评估潜在的风险补偿）。
回复率为 50.6%（10108/19996）。总体而言，13.1%的未割礼男性表示，如果他们的医疗保健提供者告诉他们割礼可以降低通过与感染女性发生性行为感染艾滋病毒的风险，他们很可能会接受割礼。几乎 18%的男性以一种表示如果割礼就可能出现风险补偿的方式做出回应。
应向医疗保健提供者和特定群体提供有关男性割礼作为艾滋病预防干预措施的益处和风险（包括风险补偿）的定制教育材料。
