Male circumcision (MC) has been shown to reduce the risk of
female to male transmission of HIV. The goal of this survey was to explore MC’s
acceptability and the factors associated with MC among college students in
medical universities in western China.
A cross-sectional study was carried out in three provinces
in western China (Guangxi, Chongqing and Xinjiang) to assess the acceptability
of MC as well as to discover factors associated with the acceptability among
college students in medical universities. A total of 1,790 uncircumcised male
students from three medical universities were enrolled in this study. In
addition, 150 students who had undergone MC were also enrolled in the survey,
and they participated in in-depth interviews.
Of all the uncircumcised participants (n = 1,790), 55.2% (n
= 988) were willing to accept MC. Among those who accepted MC, 67.3% thought
that MC could improve their sexual partners’ hygiene, 46.3% believed that HIV
and sexually transmitted diseases (STDs) could be partially prevented by MC.
The multivariable logistic regression indicates that MC’s acceptability was
associated with three factors: the redundant foreskin (OR = 10.171, 95% CI =
7.629–13.559), knowing the hazard of having a redundant foreskin (OR = 1.597,
95% CI = 1.097–2.323), and enhancing sexual pleasure (OR = 1.628, 95% CI =
1.312–2.021). The in-depth interviews for subjects who had undergone MC showed
that the major reason for having MC was the redundant foreskin (87.3%),
followed by the benefits and the fewer complications of having MC done. In addition,
most of these participants (65.3%) said that the MC could enhance sexual
satisfaction.
MC’s acceptance among college students in medical
universities is higher than it is among other populations in western China. An
implementation of an MC programme among this population is feasible in the
future.
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