肯尼亚全国男性割礼项目启动一年后，未割礼男性对男性割礼的可接受性。
Acceptability of medical male circumcision among uncircumcised men in Kenya one year after the launch of the national male circumcision program.
机构信息
Division of Epidemiology and Biostatistics, University of Illinois at Chicago, Chicago, Illinois, United States of America.
出版信息
PLoS One. 2011;6(5):e19814. doi: 10.1371/journal.pone.0019814. Epub 2011 May 16.
BACKGROUND
Numerous studies have demonstrated that male circumcision (MC) reduces the incidence of the Type-1 human immunodeficiency virus (HIV) among heterosexual men by at least half.
METHODS
One year after the launch of a national Voluntary Medical Male Circumcision program in Kenya, this study conducted 12 focus group discussions among uncircumcised men in Nyanza Province to assess the revealed, non-hypothetical, facilitators and barriers to the uptake of MC.
RESULTS
The primary barriers to MC uptake included time away from work; culture and religion; possible adverse events; and the post-surgical abstinence period. The primary facilitators of MC uptake included hygiene; social pressure; protection against HIV and other sexually transmitted infections; and improved sexual performance and satisfaction.
CONCLUSIONS
Some activities which might increase MC uptake include dispelling MC misconceptions; increasing involvement of religious leaders, women's groups, and peer mobilizers for MC promotion; and increasing the relevance of MC among men who are already practicing an HIV prevention method.
背景
大量研究表明，男性包皮环切术（MC）可使异性恋男性感染 1 型人类免疫缺陷病毒（HIV）的风险降低至少一半。
方法
在肯尼亚启动全国志愿医疗男性包皮环切计划一年后，本研究在奈亚扎省对未行包皮环切术的男性进行了 12 次焦点小组讨论，以评估接受 MC 的明显、非假设的促进因素和障碍。
结果
MC 接受度的主要障碍包括工作时间之外的时间；文化和宗教；可能的不良事件；以及术后禁欲期。MC 接受度的主要促进因素包括卫生；社会压力；预防 HIV 和其他性传播感染；以及改善性表现和满意度。
结论
一些可能增加 MC 接受度的活动包括消除 MC 的误解；增加宗教领袖、妇女团体和同伴动员者的参与，以促进 MC；以及增加已经在使用 HIV 预防方法的男性对 MC 的重视。
Zotero 插件