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2014-2019 年莫桑比克绍奎地区自愿男性包皮环切术预防艾滋病毒感染的流行情况。

Prevalence of Voluntary Medical Male Circumcision for HIV Infection Prevention - Chókwè District, Mozambique, 2014-2019.

出版信息

MMWR Morb Mortal Wkly Rep. 2021 Jul 2;70(26):942-946. doi: 10.15585/mmwr.mm7026a2.


DOI:10.15585/mmwr.mm7026a2
PMID:34197361
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8248593/
Abstract

Male circumcision is an important preventive strategy that confers lifelong partial protection (approximately 60% reduced risk) against heterosexually acquired HIV infection among males (1). In Mozambique, the prevalence of male circumcision was 51% when the voluntary medical male circumcision (VMMC) program began in 2009. The Mozambique Ministry of Health set a goal of 80% circumcision prevalence among males aged 10-49 years by 2019 (2). CDC analyzed data from five cross-sectional surveys of the Chókwè Health and Demographic Surveillance System (CHDSS) to evaluate progress toward the goal and guide ongoing needs for VMMC in Mozambique. During 2014-2019, circumcision prevalence among males aged 15-59 years increased 42%, from 50.1% to 73.5% (adjusted prevalence ratio [aPR] = 1.42). By 2019, circumcision prevalence among males aged 15-24 years was 90.2%, exceeding the national goal (2). However, circumcision prevalence among males in older age groups remained below 80%; prevalence was 62.7%, 54.5%, and 55.7% among males aged 25-34, 35-44, and 45-59 years, respectively. A multifaceted strategy addressing concerns about the safety of the procedure, cultural norms, and competing priorities that lead to lack of time could help overcome barriers to circumcision among males aged ≥25 years.

摘要

男性割礼是一种重要的预防策略,可在男性中提供终生部分保护(约降低 60%的异性性获得 HIV 感染风险)(1)。在 2009 年启动志愿男性割礼(VMMC)项目时,莫桑比克男性割礼的流行率为 51%。莫桑比克卫生部设定了到 2019 年 10-49 岁男性割礼流行率达到 80%的目标(2)。CDC 分析了来自五个科克韦卫生和人口监测系统(CHDSS)的横断面调查数据,以评估实现目标的进展情况,并为莫桑比克的 VMMC 提供指导。2014 年至 2019 年,15-59 岁男性的割礼流行率增加了 42%,从 50.1%增加到 73.5%(调整后的流行率比[aPR] = 1.42)。到 2019 年,15-24 岁男性的割礼流行率达到 90.2%,超过了国家目标(2)。然而,年龄较大男性群体的割礼流行率仍低于 80%;25-34 岁、35-44 岁和 45-59 岁的男性的割礼流行率分别为 62.7%、54.5%和 55.7%。解决对手术安全性、文化规范和竞争优先事项的担忧,以及缺乏时间等问题的多方面策略,可能有助于克服 25 岁及以上男性割礼的障碍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/451f/8248593/af5ad67e20fb/mm7026a2-F.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/451f/8248593/af5ad67e20fb/mm7026a2-F.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/451f/8248593/af5ad67e20fb/mm7026a2-F.jpg

相似文献

[1]
Prevalence of Voluntary Medical Male Circumcision for HIV Infection Prevention - Chókwè District, Mozambique, 2014-2019.

MMWR Morb Mortal Wkly Rep. 2021-7-2

[2]
Age targeting and scale-up of voluntary medical male circumcision in Mozambique.

PLoS One. 2019-2-22

[3]
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[4]
Scale-Up of Voluntary Medical Male Circumcision Services for HIV Prevention - 12 Countries in Southern and Eastern Africa, 2013-2016.

MMWR Morb Mortal Wkly Rep. 2017-12-1

[5]
Voluntary medical male circumcision - southern and eastern Africa, 2010-2012.

MMWR Morb Mortal Wkly Rep. 2013-11-29

[6]
Voluntary Medical Male Circumcision for HIV Prevention in Swaziland: Modeling the Impact of Age Targeting.

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[7]
The emerging health impact of voluntary medical male circumcision in Zimbabwe: An evaluation using three epidemiological models.

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[8]
Implementation of adolescent-friendly voluntary medical male circumcision using a school based recruitment program in rural KwaZulu-Natal, South Africa.

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[9]
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[10]
Evaluation of the health information system for monitoring and evaluating the voluntary medical male circumcision program in Mozambique, 2013-2019.

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引用本文的文献

[1]
Exploring joint decision-making and family dynamics to identify barriers and enablers for early adolescent medical circumcision (EAMC) uptake in Zambia for HIV prevention: An innovative methodology.

PLoS One. 2025-4-29

[2]
Estimates of the prevalence of male circumcision in sub-Saharan Africa from 2010-2023-A systematic review and meta-analysis.

PLoS One. 2024

[3]
Barriers and Facilitators to, and Experience of, Voluntary Medical Male Circumcision Among Men Who Have Sex with Men in China: A Mixed-Methods Study.

Arch Sex Behav. 2023-7

本文引用的文献

[1]
The effectiveness of demand creation interventions for voluntary male medical circumcision for HIV prevention in sub-Saharan Africa: a mixed methods systematic review.

J Int AIDS Soc. 2019-7

[2]
Agreement between self-reported and physically verified male circumcision status in Nyanza region, Kenya: Evidence from the TASCO study.

PLoS One. 2018-2-12

[3]
Scale-Up of Voluntary Medical Male Circumcision Services for HIV Prevention - 12 Countries in Southern and Eastern Africa, 2013-2016.

MMWR Morb Mortal Wkly Rep. 2017-12-1

[4]
HIV Incidence and Spatial Clustering in a Rural Area of Southern Mozambique.

PLoS One. 2015-7-6

[5]
Female Partner Acceptance as a Predictor of Men's Readiness to Undergo Voluntary Medical Male Circumcision in Zambia: The Spear and Shield Project.

AIDS Behav. 2016-11

[6]
Voluntary medical male circumcision: a cross-sectional study comparing circumcision self-report and physical examination findings in Lesotho.

PLoS One. 2011-11-29

[7]
Male circumcision for prevention of heterosexual acquisition of HIV in men.

Cochrane Database Syst Rev. 2009-4-15

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