National Institute for Medical Research, Mwanza, Tanzania.
BMC Public Health. 2011 May 23;11:373. doi: 10.1186/1471-2458-11-373.
Data from traditionally circumcising communities show that non-circumcised males and those circumcised in the medical settings are stigmatised. This is because traditional circumcision embodies local notions of bravery as anaesthetics are not used. This study was conducted to assess the acceptability of safe medical circumcision before the onset of sexual activity for HIV infection risk reduction in a traditionally circumcising community in Tanzania.
A cross-sectional study was conducted among males and females aged 18-44 years in traditionally circumcising communities of Tarime District in Mara Region, North-eastern Tanzania. A face-to-face questionnaire was administered to females to collect information on the attitudes of women towards circumcision and the preferred age for circumcision. A similar questionnaire was administered to males to collect information on socio-demographic, preferred age for circumcision, factors influencing circumcision, client satisfaction, complications and beliefs surrounding the practice.
Results were available for 170 males and 189 females. Of the males, 168 (98.8%) were circumcised and 61 (36.3%) of those circumcised had the procedure done in the medical setting. Of those interviewed, 165 (97.1%) males and 179 (94.7%) females supported medical male circumcision for their sons. Of these, 107 (64.8%) males and 130 (72.6%) females preferred prepubertal medical male circumcision (12 years or less). Preference for prepubertal circumcision was significantly associated with non-Kurya ethnic group, circumcision in the medical setting and residence in urban areas for males in the adjusted analysis. For females, preference for prepubertal circumcision was significantly associated non-Kurya ethnic group and being born in urban areas in the adjusted analysis.
There is a shift of preference from traditional male circumcision to medical male circumcision in this traditionally circumcising population. However, this preference has not changed the circumcision practices in the communities because of the community social pressure. Male circumcision national program should take advantage of this preference of medical male circumcision by introducing safe and affordable circumcision services and mobilising communities in a culturally sensitive manner to take up circumcision services.
来自传统割礼社区的数据显示，未割礼的男性和在医疗环境中接受割礼的男性都受到歧视。这是因为传统割礼体现了当地勇敢的观念，因为不使用麻醉剂。这项研究旨在评估在坦桑尼亚一个传统割礼社区中，在性行为开始之前进行安全的医疗割礼以降低 HIV 感染风险的可接受性。
在坦桑尼亚东北部马拉地区塔里梅区的传统割礼社区中，对 18-44 岁的男性和女性进行了横断面研究。对女性进行面对面问卷调查，以收集她们对割礼的态度和割礼首选年龄的信息。对男性进行类似的问卷调查，以收集他们的社会人口统计学、割礼首选年龄、影响割礼的因素、客户满意度、并发症和对该做法的看法等信息。
共获得 170 名男性和 189 名女性的结果。在男性中，168 人（98.8%）接受了割礼，其中 61 人（36.3%）在医疗环境中接受了割礼。在接受采访的男性中，165 人（97.1%）和 179 人（94.7%）支持对他们的儿子进行医学男性割礼。其中，107 人（64.8%）和 130 人（72.6%）更喜欢医学男性割礼的青春期前割礼（12 岁或以下）。在调整分析中，男性青春期前割礼的偏好与非库利亚族裔、医疗环境中的割礼和城市地区的居住有关。对于女性，青春期前割礼的偏好与非库利亚族裔和出生在城市地区在调整分析中显著相关。
在这个传统割礼人群中，从传统男性割礼向医学男性割礼的偏好发生了转变。然而，由于社区的社会压力，这种偏好并没有改变社区的割礼做法。国家男性割礼计划应利用对医学男性割礼的这种偏好，通过引入安全和负担得起的割礼服务，并以文化上敏感的方式动员社区接受割礼服务。
