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