Background
There
has been substantial demand for safe male circumcision (SMC) in Uganda in the
early programme scale-up phase. Research indicates that early adopters of new
interventions often differ from later adopters in relation to a range of
behaviours. However, there is limited knowledge about the risk profile of men
who were willing to be circumcised at the time of launching the SMC programme,
i.e., potential early adopters, compared to those who were reluctant. The aim
of this study was to address this gap to provide indications on whether it is
likely that potential early adopters of male circumcision were more in need of
this new prevention measure than others.
Methods
Data
were from the 2011 Uganda AIDS Indictor Survey (UAIS), with a nationally
representative sample of men 15 to 59 years. The analysis was based on
generalized linear models, obtaining prevalence risk ratios (PRR) with 95%
confidence intervals (CI) as measures of association between willingness to be
circumcised and multiple sexual partners, transactional sex, non-marital sex
and non-use of condoms at last non-marital sex.
Results
Of
the 5,776 men in the survey, 44% expressed willingness to be circumcised.
Willingness to be circumcised was higher among the younger, urban and educated
men. In the unadjusted analyses, all the sexual risk behaviours were associated
with willingness to be circumcised, while in the adjusted analysis, non-marital
sex (Adj PRR 1.27; CI: 1.16–1.40) and non-use of condoms at last such sex (Adj
PRR 1.18; CI: 1.07–1.29) were associated with higher willingness to be
circumcised.
Conclusion
Willingness to be circumcised was relatively high at the
launch of the SMC programme and was more common among uncircumcised men
reporting sexual risk behaviours. This indicates that the early adopters of SMC
were likely to be in particular need of such additional HIV protective
measures.
Below: Characteristics of uncircumcised men willing to be circumcised and those who were not willing, Uganda 2011
Full article at: http://goo.gl/jLqznK
By:
Simon P. S. Kibira, Ingvild Fossgard Sandøy
Centre for International Health, Department of Global Public
Health and Primary Care, University of Bergen, Bergen, Norway
Simon P. S. Kibira, Lynn Muhimbuura Atuyambe
Department of Community Health and Behavioural Sciences,
Makerere University School of Public Health, Kampala, Uganda
Fredrick Makumbi
Department of Epidemiology and Biostatistics, Makerere
University School of Public Health, Kampala, Uganda
Marguerite Daniel
Department of Health Promotion and Development, University
of Bergen, Bergen, Norway
More at: https://twitter.com/hiv_insight
No comments:
Post a Comment