Douglas Mbuyiselo, Maluleke Thelmah Xavela, Manyaapelo Thabang, Pinkney-Atkinson Vicki
1 Human Sciences Research Council, Department of Population Health, Health Systems and Innovation (PHHSI), Pretoria, South Africa.
2 SA NCDs Alliance, University of Witwatersrand, Johannesburg, South Africa.
Am J Mens Health. 2018 Mar;12(2):453-462. doi: 10.1177/1557988317736991. Epub 2017 Oct 26.
The notion of manhood values is highly treasured and respected by various cultural groups practicing traditional male circumcision (TMC) in South Africa. This study was conducted at Libode, Eastern Cape, South Africa. The goals of this study were to (a) explore opinions and perceptions related to TMC among boys from 12 to 18 years of age, and (b) determine the actions to be taken to prevent high mortality and morbidity rates related to TMC. A simple random sampling was used to select three focus group discussions with 36 circumcised boys, and purposive sampling was used to select 10 key informants. The overarching themes collated included the following: (a) accepted age for circumcision, (b) causes attributed to deaths and complications, (c) TMC is preferred to medical male circumcision, and (d) acceptable community actions to prevent the problem. The study concludes with discussion and recommendation of a comprehensive health promotion program that is considerate of community opinions and perceptions in the prevention of deaths and complications affecting the circumcision initiates and at the same time respecting the culture.
男子气概价值观的观念受到南非实施传统男性割礼（TMC）的各种文化群体的高度珍视和尊重。本研究在南非东开普省的利博德进行。本研究的目标是：（a）探讨12至18岁男孩对传统男性割礼的看法和认知，以及（b）确定为预防与传统男性割礼相关的高死亡率和发病率而应采取的行动。采用简单随机抽样选取了3组共36名接受过割礼的男孩进行焦点小组讨论，并采用目的抽样选取了10名关键信息提供者。整理出的总体主题包括：（a）可接受的割礼年龄，（b）死亡和并发症的归因，（c）相较于医学男性割礼，传统男性割礼更受青睐，以及（d）社区为预防该问题可采取的可接受行动。该研究最后讨论并推荐了一项全面的健康促进计划，该计划在预防影响割礼初行者的死亡和并发症时要考虑社区意见和认知，同时尊重文化。
