Boyee Dorica, Peacock Erin, Plotkin Marya, Hellar Augustino, Mahler Hally, Edouard Elizabeth, Kisendi Renatus, Mlanga Erick, Njeuhmeli Emmanuel, Andrinopoulos Katherine
Jhpiego, Dar Es Salaam, Tanzania.
Tulane School of Public Health and Tropical Medicine, New Orleans, LA, USA.
AIDS Behav. 2017 May;21(5):1383-1393. doi: 10.1007/s10461-016-1515-6.
Uncircumcised adolescent males in sub-Saharan Africa are an important group to reach with voluntary medical male circumcision (VMMC) services due to high HIV burden occurring among this age group. Appropriateness of the content and delivery of sexual health and HIV prevention messages to adolescent VMMC clients has not been extensively described. A study was conducted in Tanzania to examine quality, delivery and content of messages provided to adolescent (aged 15-19) and adult (aged 20+) VMMC clients (n = 320). Results show that counseling of mixed age groups during group education lacked selected key messages, compared to more age-homogeneous groups. Additionally, adolescents received more comprehensive information in individual counseling compared to group education. We recommend that health care providers are provided with skills and job aides to assist them to segment VMMC clients by age; provide age-appropriate messages; and increase use of individual counseling as a means to communicate with adolescent clients.
由于撒哈拉以南非洲未接受包皮环切术的青少年男性中艾滋病毒感染负担较重，因此这一年龄组人群是自愿医学男性包皮环切术（VMMC）服务的重要覆盖对象。向接受VMMC的青少年客户提供性健康和艾滋病毒预防信息的内容及方式是否恰当，目前尚无详尽描述。在坦桑尼亚开展了一项研究，以调查向青少年（15 - 19岁）和成人（20岁及以上）VMMC客户（n = 320）提供的信息的质量、方式及内容。结果显示，与年龄更为同质化的群体相比，在集体教育期间对不同年龄组混合群体进行咨询时缺少某些关键信息。此外，与集体教育相比，青少年在个别咨询中获得了更全面的信息。我们建议为医疗保健提供者提供技能和工作辅助工具，以帮助他们按年龄对VMMC客户进行分类；提供适合不同年龄的信息；并增加使用个别咨询作为与青少年客户沟通的方式。
