Albert Lisa M, Akol Angela, L'Engle Kelly, Tolley Elizabeth E, Ramirez Catalina B, Opio Alex, Tumwesigye Nazarius M, Thomsen Sarah, Neema Stella, Baine Sebastian O
Behavioral and Social Science Research, Family Health International, Research Triangle Park, USA.
AIDS Care. 2011 Dec;23(12):1578-85. doi: 10.1080/09540121.2011.579939. Epub 2011 Jul 7.
In the last decade, three randomized controlled trials in Kenya, South Africa, and Uganda have shown that medical male circumcision (MMC) reduces the sexual transmission of HIV from women to men. Objectives of this assessment were to measure acceptability of adult MMC and circumcision of children to inform policies regarding whether and how to promote MMC as an HIV prevention strategy. This mixed-method study, conducted across four Ugandan districts, included a two-stage household survey of 833 adult males and 842 adult females, focus group discussions, and a health provider survey. Respondents' acceptability of MMC was positive and substantial after being informed about the results of recent randomized trials. In uncircumcised men, between 40% and 62% across the districts would consider getting circumcised. Across the four districts between 60% and 86% of fathers and 49% and 95% of mothers were supportive of MMC for sons. Widespread support exists among men and women in this study for promoting MMC as part of Uganda's current 'ABC + ' HIV prevention strategy.
在过去十年中，肯尼亚、南非和乌干达的三项随机对照试验表明，男性医学包皮环切术（MMC）可减少女性向男性的HIV性传播。本评估的目的是衡量成年男性MMC和儿童包皮环切术的可接受性，以为关于是否以及如何推广MMC作为一种HIV预防策略的政策提供信息。这项在乌干达四个地区开展的混合方法研究，包括对833名成年男性和842名成年女性进行的两阶段家庭调查、焦点小组讨论以及医疗服务提供者调查。在了解近期随机试验的结果后，受访者对MMC的接受度积极且较高。在未接受包皮环切术的男性中，各地区有40%至62%的人会考虑接受包皮环切术。在四个地区，60%至86%的父亲和49%至95%的母亲支持为儿子进行MMC。本研究中的男性和女性普遍支持将推广MMC作为乌干达当前“ABC+”HIV预防策略的一部分。
