男性包皮环切术对博茨瓦纳因阻碍使用避孕套而导致的艾滋病病毒风险代偿的影响。
Impact of male circumcision on HIV risk compensation through the impediment of condom use in Botswana.
作者信息
Ayiga N, Letamo G
机构信息
Population Training and Research Unit, North West University Mafikeng Campus, Private Bag x2046, Mmabatho 2735, South Africa.
出版信息
Afr Health Sci. 2011 Dec;11(4):550-9.
BACKGROUND
Male circumcision has been recommended as a method of reducing the risk of transmitting HIV. However, widespread uptake of male circumcision may lead to HIV risk compensation by impeding condom use.
OBJECTIVE
To investigate the impact of male circumcision on condom use.
METHODS
The study used cross-sectional data from the Botswana AIDS Impact Survey III on 1,257 men aged 15 years or older who were sexually active. Data were analyzed using Pearson's chi-square statistic and binary logistic regression.
RESULTS
The study found that 15% of circumcised men did not use condoms compared to 12% of uncircumcised men, and circumcision was not significantly associated with condom use. Non-use of condoms was significantly affected by religious beliefs, low level of education, marriage, drunkenness, and misconceptions regarding antiretroviral therapy (ART).
CONCLUSIONS
We conclude that male circumcision does not impede condom use. Condom use is impeded by low level of education, marriage, drunkenness, and misconceptions regarding ART. We recommend the emphasis of consistent condom use targeting people with low education, those in marriage, users of alcohol, and people receiving ART.
背景
男性包皮环切术已被推荐为降低艾滋病毒传播风险的一种方法。然而，广泛开展男性包皮环切术可能会因阻碍避孕套的使用而导致艾滋病毒风险补偿。
目的
调查男性包皮环切术对避孕套使用的影响。
方法
该研究使用了博茨瓦纳艾滋病影响调查III的横断面数据，涉及1257名15岁及以上性活跃男性。数据采用Pearson卡方统计量和二元逻辑回归进行分析。
结果
研究发现，15%的包皮环切男性不使用避孕套，未进行包皮环切的男性这一比例为12%，包皮环切术与避孕套使用无显著关联。不使用避孕套受到宗教信仰、低教育水平、婚姻、醉酒以及对抗逆转录病毒疗法（ART）的误解的显著影响。
结论
我们得出结论，男性包皮环切术不会阻碍避孕套的使用。避孕套的使用受到低教育水平、婚姻、醉酒以及对抗逆转录病毒疗法的误解的阻碍。我们建议重点针对低教育人群、已婚者、饮酒者以及接受抗逆转录病毒疗法的人群持续推广避孕套的使用。
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