U.S. Agency for International Development, 2100 Crystal Drive, Arlington, VA, 22202, USA.
Department of Health, Behavior & Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
AIDS Behav. 2018 Feb;22(2):447-453. doi: 10.1007/s10461-016-1633-1.
Malawi is one of 14 priority countries for voluntary medical male circumcision (VMMC) initiatives with the lowest VMMC uptake. Using data from a study of 269 men accessing VMMC in southern Malawi and latent class analysis, men were classified based on four risk factors: ever tested for HIV, condom use at last sex, having casual/concurrent sexual partners, and using alcohol before sex. Two distinct classes were identified: 8% of men were classified as high risk, while 92% were classified as low/medium risk. Poisson regression modeling indicated that men who had lower education (risk ratio [RR] 1.07, p < 0.05) and were ages 19-26 (RR 1.07, p < 0.05) were more likely to be in the high risk group. The low numbers of men in the high risk category seeking services suggests the need to implement targeted strategies to increase VMMC uptake among such high risk men.
马拉维是自愿男性包皮环切（VMMC）倡议的 14 个重点国家之一，其 VMMC 普及率最低。本研究利用在马拉维南部接受 VMMC 的 269 名男性的数据和潜在类别分析，根据四个风险因素对男性进行分类：是否曾接受过 HIV 检测、上次性行为时是否使用安全套、是否有偶然/同时发生的性伴侣以及性行为前是否饮酒。确定了两个不同的类别：8%的男性被归类为高风险，而 92%的男性被归类为低/中风险。泊松回归模型表明，受教育程度较低的男性（风险比 [RR] 1.07，p < 0.05）和 19-26 岁的男性（RR 1.07，p < 0.05）更有可能属于高风险群体。高风险人群中寻求服务的男性人数较少，这表明需要实施有针对性的策略，以提高此类高风险男性的 VMMC 普及率。
J Int Assoc Provid AIDS Care. 2014
Glob Public Health. 2018-1-25
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