乌干达拉凯地区扩大项目规模4年后男性包皮环切术的覆盖率、知识水平及态度
Male circumcision coverage, knowledge, and attitudes after 4-years of program scale-up in Rakai, Uganda.
作者信息
Kong Xiangrong, Ssekasanvu Joseph, Kigozi Godfrey, Lutalo Tom, Nalugoda Fred, Serwadda David, Wawer Maria, Gray Ronald
机构信息
Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, 627 N. Washington St. RM2-C, Baltimore, MD, 21205, USA,
出版信息
AIDS Behav. 2014 May;18(5):880-4. doi: 10.1007/s10461-014-0740-0.
We assessed medical male circumcision (MMC) coverage and knowledge and attitudes toward MMC adoption in men in Rakai, Uganda after 4 years of scale-up. MMC prevalence only reached 28 %, with an annual increase of 4 %. Prevalence was lower in men not using condoms or having never received HIV testing and counseling. Over 95 % of uncircumcised men knew the health benefits of and places offering MMC, but only 27 % were willing to adopt MMC. Main reasons for non-acceptance were fear of pain or injury. The data suggest MMC uptake in Rakai has been suboptimal and demand generation is key for scale-up.
在扩大规模4年后，我们评估了乌干达拉凯地区男性的医学包皮环切术（MMC）覆盖率以及男性对采用MMC的认知和态度。MMC普及率仅达到28%，年增长率为4%。未使用避孕套或从未接受过艾滋病毒检测与咨询的男性中，MMC普及率较低。超过95%未行包皮环切术的男性知晓MMC的健康益处及提供MMC的地点，但只有27%愿意接受MMC。不接受的主要原因是害怕疼痛或受伤。数据表明，拉凯地区MMC的采用情况未达最佳水平，扩大规模的关键在于激发需求。
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