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<title xml:lang="en">Impact of male circumcision on HIV risk compensation through the impediment of condom use in Botswana</title>
<author>
<name sortKey="Ayiga, N" sort="Ayiga, N" uniqKey="Ayiga N" first="N" last="Ayiga">N. Ayiga</name>
<affiliation>
<nlm:aff id="A1">Population Training and Research Unit, North West University Mafikeng Campus, Private Bag x2046, Mmabatho 2735, South Africa</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Letamo, G" sort="Letamo, G" uniqKey="Letamo G" first="G" last="Letamo">G. Letamo</name>
<affiliation>
<nlm:aff id="A2">Department of Population Studies, University of Botswana, Private Bag 00705, Gaborone, Botswana</nlm:aff>
</affiliation>
</author>
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<idno type="wicri:source">PMC</idno>
<idno type="pmid">22649434</idno>
<idno type="pmc">3362967</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3362967</idno>
<idno type="RBID">PMC:3362967</idno>
<date when="2011">2011</date>
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<title xml:lang="en" level="a" type="main">Impact of male circumcision on HIV risk compensation through the impediment of condom use in Botswana</title>
<author>
<name sortKey="Ayiga, N" sort="Ayiga, N" uniqKey="Ayiga N" first="N" last="Ayiga">N. Ayiga</name>
<affiliation>
<nlm:aff id="A1">Population Training and Research Unit, North West University Mafikeng Campus, Private Bag x2046, Mmabatho 2735, South Africa</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Letamo, G" sort="Letamo, G" uniqKey="Letamo G" first="G" last="Letamo">G. Letamo</name>
<affiliation>
<nlm:aff id="A2">Department of Population Studies, University of Botswana, Private Bag 00705, Gaborone, Botswana</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">African Health Sciences</title>
<idno type="ISSN">1680-6905</idno>
<idno type="eISSN">1729-0503</idno>
<imprint>
<date when="2011">2011</date>
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<front>
<div type="abstract" xml:lang="en">
<sec>
<title>Background</title>
<p>Male circumcision has been recommended as a method of reducing the risk of transmitting HIV. However, widespread uptake of male circumcision may lead to HIV risk compensation by impeding condom use.</p>
</sec>
<sec>
<title>Objective</title>
<p>To investigate the impact of male circumcision on condom use.</p>
</sec>
<sec sec-type="methods">
<title>Methods</title>
<p>The study used cross-sectional data from the Botswana AIDS Impact Survey III on 1,257 men aged 15 years or older who were sexually active. Data were analyzed using Pearson's chi-square statistic and binary logistic regression.</p>
</sec>
<sec sec-type="results">
<title>Results</title>
<p>The study found that 15% of circumcised men did not use condoms compared to 12% of uncircumcised men, and circumcision was not significantly associated with condom use. Non-use of condoms was significantly affected by religious beliefs, low level of education, marriage, drunkenness, and misconceptions regarding antiretroviral therapy (ART).</p>
</sec>
<sec sec-type="conclusions">
<title>Conclusions</title>
<p>We conclude that male circumcision does not impede condom use. Condom use is impeded by low level of education, marriage, drunkenness, and misconceptions regarding ART. We recommend the emphasis of consistent condom use targeting people with low education, those in marriage, users of alcohol, and people receiving ART.</p>
</sec>
</div>
</front>
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<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Afr Health Sci</journal-id>
<journal-id journal-id-type="iso-abbrev">Afr Health Sci</journal-id>
<journal-title-group>
<journal-title>African Health Sciences</journal-title>
</journal-title-group>
<issn pub-type="ppub">1680-6905</issn>
<issn pub-type="epub">1729-0503</issn>
<publisher>
<publisher-name>Makerere Medical School</publisher-name>
<publisher-loc>Kampala, Uganda</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">22649434</article-id>
<article-id pub-id-type="pmc">3362967</article-id>
<article-id pub-id-type="publisher-id">jAFHS.v11.i4.pg550</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Articles</subject>
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</article-categories>
<title-group>
<article-title>Impact of male circumcision on HIV risk compensation through the impediment of condom use in Botswana</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Ayiga</surname>
<given-names>N</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
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<contrib contrib-type="author">
<name>
<surname>Letamo</surname>
<given-names>G</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
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<aff id="A1">
<label>1</label>
Population Training and Research Unit, North West University Mafikeng Campus, Private Bag x2046, Mmabatho 2735, South Africa</aff>
<aff id="A2">
<label>2</label>
Department of Population Studies, University of Botswana, Private Bag 00705, Gaborone, Botswana</aff>
<author-notes>
<corresp>
<bold>*Correspondence author:</bold>
Ayiga Natal Population Training and Research Unit North West University Mafikeng Campus Private Bag X2046 Mmabatho 2735, South Africa. Telephone number: (+27) 18 389 2611 Cell phone number: (+27) 73 654 3683 Email:
<email>Natal.Ayiga@nwu.ac.za</email>
;
<email>natalayiga@yahoo.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>12</month>
<year>2011</year>
</pub-date>
<volume>11</volume>
<issue>4</issue>
<fpage>550</fpage>
<lpage>559</lpage>
<permissions>
<copyright-statement>Copyright © Makerere Medical School, Uganda 2011</copyright-statement>
<copyright-year>2011</copyright-year>
</permissions>
<abstract abstract-type="executive-summary">
<sec>
<title>Background</title>
<p>Male circumcision has been recommended as a method of reducing the risk of transmitting HIV. However, widespread uptake of male circumcision may lead to HIV risk compensation by impeding condom use.</p>
</sec>
<sec>
<title>Objective</title>
<p>To investigate the impact of male circumcision on condom use.</p>
</sec>
<sec sec-type="methods">
<title>Methods</title>
<p>The study used cross-sectional data from the Botswana AIDS Impact Survey III on 1,257 men aged 15 years or older who were sexually active. Data were analyzed using Pearson's chi-square statistic and binary logistic regression.</p>
</sec>
<sec sec-type="results">
<title>Results</title>
<p>The study found that 15% of circumcised men did not use condoms compared to 12% of uncircumcised men, and circumcision was not significantly associated with condom use. Non-use of condoms was significantly affected by religious beliefs, low level of education, marriage, drunkenness, and misconceptions regarding antiretroviral therapy (ART).</p>
</sec>
<sec sec-type="conclusions">
<title>Conclusions</title>
<p>We conclude that male circumcision does not impede condom use. Condom use is impeded by low level of education, marriage, drunkenness, and misconceptions regarding ART. We recommend the emphasis of consistent condom use targeting people with low education, those in marriage, users of alcohol, and people receiving ART.</p>
</sec>
</abstract>
<kwd-group>
<kwd>male circumcision</kwd>
<kwd>condom use</kwd>
<kwd>Botswana</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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