"Now we are in a different time; various bad diseases have come." understanding men's acceptability of male circumcision for HIV prevention in a moderate prevalence setting

BMC Public Health

Research Article

John M Kaldor¹  Lisa Fitzgerald²  Herick Aeno³  James Neo³  Richard Naketrumb³  Martha Kupul³  Peter Siba³  Angela Kelly⁴  Andrew Vallely⁵ 

[1] Kirby Institute (formerly the National Centre in HIV Epidemiology and Clinical Research), University of New South Wales, Sydney, Australia;School of Population Health, University of Queensland, Brisbane, Australia;Sexual and Reproductive Health Unit, Papua New Guinea Institute of Medical Research, PO Box 60, EHP 441, Goroka, Papua New Guinea;Sexual and Reproductive Health Unit, Papua New Guinea Institute of Medical Research, PO Box 60, EHP 441, Goroka, Papua New Guinea;International HIV Research Group, School of Public Health and Community Medicine, University of New South Wales, Sydney, Australia;Sexual and Reproductive Health Unit, Papua New Guinea Institute of Medical Research, PO Box 60, EHP 441, Goroka, Papua New Guinea;Kirby Institute (formerly the National Centre in HIV Epidemiology and Clinical Research), University of New South Wales, Sydney, Australia;

关键词: Acceptability;    Male circumcision;    Papua New Guinea;    HIV prevention;   

DOI  :  10.1186/1471-2458-12-67

 received in 2011-10-11, accepted in 2012-01-22,  发布年份 2012

来源: Springer

【 摘 要 】

BackgroundAdult male surgical circumcision (MC) has been shown to reduce HIV acquisition in men and is recommended by the WHO for inclusion in comprehensive national HIV prevention programs in high prevalence settings. Only limited research to date has been conducted in countries experiencing moderate burden epidemics, where the acceptability, operational feasibility and potential epidemiological impact of MC remain unclear.MethodsA multi-method qualitative research study was conducted at four sites in Papua New Guinea (PNG), with 24 focus group discussions and 65 in-depth interviews carried out among 276 men.ResultsThe majority of men were in favour of MC being introduced for HIV prevention in PNG and considered improved genital hygiene, enhanced sexual pleasure and culturally appropriateness key factors in the acceptability of a future intervention. A minority of men were against the introduction of MC, primarily due to concerns regarding sexual risk compensation and that the intervention went against prevailing cultural and religious beliefs.ConclusionThis is one of the first community-based MC acceptability studies conducted in a moderate prevalence setting outside of Africa. Research findings from this study suggest that a future MC program for HIV prevention would be widely accepted by men in PNG.

【 授权许可】

Unknown   
© Kelly et al; licensee BioMed Central Ltd. 2012. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.