Division of Global HIV and TB, Center for Global Health, Centers for Disease Control and Prevention, 1 Corporate Boulevard NE, Atlanta, GA, Mailstop US1-1, USA.
Jhpiego, Baltimore, MD, USA.
AIDS Behav. 2023 Jun;27(6):1836-1848. doi: 10.1007/s10461-022-03915-y. Epub 2022 Nov 11.
Voluntary medical male circumcision (VMMC) provides partial protection against female-to-male transmission of HIV. The Maximizing the Impact of Voluntary Medical Male Circumcision in Zambia (MAXZAM) project was a phased implementation of a demand generation strategy for VMMC through economic compensation. Previously published findings showed increased uptake of VMMC when compensation was provided. This paper is a follow-up evaluation of the MAXZAM project exploring additional factors associated with uptake of VMMC. Factors found associated include the outreach setting in which men were approached, number of information sources seen, heard, or read about VMMC, their self-reported HIV risk behaviors, their self-reported intention to go through the procedure, and their behavioral-psychographic profile. The findings highlight the importance of considering general (e.g., intensifying mass communications and targeting specific settings) and person-centered demand generation approaches (e.g., considering the client's psychographic profile and HIV risk level) to maximize effect on VMMC uptake.
自愿男性包皮环切术(VMMC)可提供针对 HIV 经女性向男性传播的部分保护。赞比亚最大化自愿男性包皮环切术影响项目(MAXZAM)是通过经济补偿实施分阶段的 VMMC 需求生成策略。先前发表的研究结果表明,提供补偿可增加 VMMC 的采用率。本文是对 MAXZAM 项目的后续评估,旨在探讨与 VMMC 采用相关的其他因素。发现的相关因素包括接触男性的外展环境、了解、听说或阅读 VMMC 的信息来源数量、他们自我报告的 HIV 风险行为、他们自我报告的进行该程序的意愿,以及他们的行为心理特征。研究结果强调了考虑一般(例如,加强大众传播和针对特定环境)和以人为中心的需求生成方法(例如,考虑客户的心理特征和 HIV 风险水平)的重要性,以最大限度地提高 VMMC 采用效果。