Department of Psychology, The George Washington University, Washington, USA.
Cult Health Sex. 2012 Oct;14(9):991-1005. doi: 10.1080/13691058.2012.712719. Epub 2012 Aug 23.
Male circumcision has received increased attention for its potential to reduce sexual transmission of HIV. Research on the acceptability of circumcision as a means of HIV prevention among men who have sex with men is limited. Men who have sex with men in Bogotá, Colombia, either participated in a focus group in which they shared information regarding their perceptions of circumcision or completed a survey that assessed circumcision experiences, attitudes, beliefs and willingness. Few participants reported they were circumcised, yet most participants reported knowing something about the procedure. Overall, attitudes towards circumcision were mixed: although circumcision was viewed as safe, it was also viewed as unnatural and cruel to babies. Beliefs that circumcision could improve sexual functioning and protect against STIs and HIV were not widely endorsed by survey participants, although focus-group participants discussed the potential impacts of circumcision on the availability of sexual partners and sexual performance. Some focus-group participants and many survey participants reported a hypothetical willingness to get circumcised if strong evidence of its effectiveness could be provided, barriers removed and recovery time minimised.
男性割礼因其可能降低 HIV 的性传播而受到越来越多的关注。但对于男男性行为者接受割礼作为预防 HIV 的手段的可接受性的研究是有限的。哥伦比亚波哥大的男男性行为者要么参加了一个焦点小组,在小组中分享了他们对割礼的看法,要么完成了一项评估割礼经验、态度、信仰和意愿的调查。很少有参与者报告说他们接受了割礼,但大多数参与者表示对该手术有所了解。总的来说,对割礼的态度是复杂的:尽管割礼被认为是安全的,但也被认为对婴儿来说是不自然和残忍的。尽管焦点小组参与者讨论了割礼对性伴侣的可用性和性表现的潜在影响,但调查参与者并没有广泛认可割礼可以改善性功能以及预防性传播感染和 HIV 的观点。一些焦点小组参与者和许多调查参与者报告说,如果能提供强有力的有效性证据、消除障碍并尽量减少恢复时间,他们愿意接受假设性的割礼。