Aminu Kano Teaching Hospital & Bayero University, Kano, Nigeria.
Am J Mens Health. 2013 Mar;7(2):94-101. doi: 10.1177/1557988312456698. Epub 2012 Aug 14.
Recent trials demonstrate the effectiveness of male circumcision (MC) in reducing HIV acquisition in men. However, little is known about the prevalence and acceptability of the practice in northern Nigeria. A cross-sectional study design was employed to explore knowledge and attitudes to MC among university students in Kano, Nigeria (n = 375). Almost all respondents (98.1%) reported being circumcised (n = 368; 95% confidence interval = 96.2% to 99.2%). There was no variation in circumcision status by age, ethnicity, religion, or marital status. Majority of the respondents were circumcised by a health worker (51.2%). Most circumcisions were performed between the ages of 5 and 10 years (57.9%) and for religious reasons (79.2%). Only 38% of the respondents (n = 104) were aware of the role of MC in reducing HIV acquisition in heterosexual males. Three quarters of the respondents agreed that circumcised men still need to use condoms. The practice of MC is nearly universal in northern Nigeria, despite low awareness of its protective role in HIV transmission. Public health programs should seize the opportunity offered by high MC acceptance rates to integrate safe medical MC services into existing HIV/AIDS prevention initiatives.
最近的试验表明，男性割礼（MC）可有效降低男性感染艾滋病毒的风险。然而，对于尼日利亚北部男性割礼的流行程度和接受程度，人们知之甚少。本研究采用横断面研究设计，旨在探讨尼日利亚卡诺州大学生对 MC 的认知和态度（n=375）。几乎所有的受访者（98.1%）报告自己接受过割礼（n=368；95%置信区间=96.2%至 99.2%）。年龄、种族、宗教和婚姻状况对割礼状况无影响。大多数受访者（51.2%）是由卫生工作者进行割礼。大多数割礼是在 5 至 10 岁之间进行的（57.9%），且主要是出于宗教原因（79.2%）。只有 38%的受访者（n=104）知道 MC 可降低异性恋男性感染艾滋病毒的风险。四分之三的受访者（75%）同意，割礼男性仍需使用避孕套。尽管对 MC 在 HIV 传播中的保护作用认识不足，但尼日利亚北部的 MC 做法几乎普遍存在。公共卫生项目应抓住高 MC 接受率提供的机会，将安全的医疗 MC 服务纳入现有的艾滋病毒/艾滋病预防措施中。
