Mwiseneza Innocent, Umuhoza Aline, Rutayisire Reverien, Ndagijimana Albert
MY Rwanda Heart and Research Center, Kigali Rwanda.
School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Huye Campus, Rwanda.
Rwanda J Med Health Sci. 2024 Jul 31;7(2):359-371. doi: 10.4314/rjmhs.v7i2.21. eCollection 2024 Jul.
Surgical male circumcision is one of the oldest and most frequently performed surgical procedures in the world. It reduces the risk of heterosexually acquired HIV infection by around 60%. Knowledge and Attitudes toward male circumcision are still a concern in Rwanda as male circumcision is not traditionally widespread in the country. This study assessed the knowledge and attitudes of male clients attending RMH regarding circumcision.
A cross-sectional study design was used. Participants were 355 adult males and data was collected during 10 days. A structured questionnaire was used. Descriptive and analytical statistics were computed and OR, p values were presented in tables.
The participants were sufficiently knowledgeable at 79.4% (n=282) and had positive attitudes at 57.7% (n=205) towards medical male circumcision(MMC). Private sector employees, method used for MMC, positive attitude, and proof of manhood were associated with knowledge with COR=0.291, (CI=0.095-0.891), p-value 0.031; COR=1.872, (CI=1.076-3.258], p-value 0.026; COR=0.492, (CI=0.255-0.767), p-value 0.004; COR=2.336, (CI=1.329-4.107) p-value 0.003 respectively. Community encouragement and knowledge were associated with attitude COR=1.680, (CI=1.025-2.753), p-value 0.040; COR=0.413, (CI=0.245-0.696), p-value 0.001 respectively.
Knowledge of male circumcision was sufficient and attitudes were positive. Generally, participants were highly motivated and knowledgeable about MMS.
男性包皮环切术是世界上最古老且实施最为频繁的外科手术之一。它可将通过异性性行为感染艾滋病毒的风险降低约60%。在卢旺达，由于传统上该国男性包皮环切术并不普遍，因此对男性包皮环切术的认知和态度仍是一个令人担忧的问题。本研究评估了在卢旺达穆加戈医院就诊的男性患者对包皮环切术的认知和态度。
采用横断面研究设计。研究对象为355名成年男性，数据收集历时10天。使用结构化问卷。计算描述性和分析性统计数据，并将比值比（OR）和p值列于表格中。
79.4%（n = 282）的参与者对男性医学包皮环切术（MMC）有足够的了解，57.7%（n = 205）的参与者持积极态度。私营部门员工、MMC的使用方法、积极态度和男子气概的证明与认知相关，其校正比值比（COR）分别为0.291（置信区间[CI]=0.095 - 0.891），p值为0.031；COR = 1.872（CI = 1.076 - 3.258），p值为0.026；COR = 0.492（CI = 0.255 - 0.767），p值为0.004；COR = 2.336（CI = 1.329 - 4.107），p值为0.003。社区鼓励和认知与态度相关，COR分别为1.680（CI = 1.025 - 2.753），p值为0.040；COR = 0.413（CI = 0.245 - 0.696）, p值为0.001。
对男性包皮环切术的认知充足且态度积极。总体而言，参与者对男性医学包皮环切术积极性高且了解充分。
