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Women’s knowledge and perception of male circumcision before and after its roll-out in the South African township of Orange Farm from community-based cross-sectional surveys

Identifieur interne : 000039 ( Main/Exploration ); précédent : 000038; suivant : 000040

Women’s knowledge and perception of male circumcision before and after its roll-out in the South African township of Orange Farm from community-based cross-sectional surveys

Auteurs : Barbara Maraux [France] ; Pascale Lissouba [France] ; Reathe Rain-Taljaard [Afrique du Sud] ; Dirk Taljaard [Afrique du Sud] ; Julie Bouscaillou [France] ; David Lewis [Australie] ; Adrian Puren [Afrique du Sud] ; Bertran Auvert [France]

Source :

RBID : PMC:5365100

Descripteurs français

English descriptors

Abstract

The roll-out of medical male circumcision (MC) is progressing in Southern and Eastern Africa. Little is known about the effect of this roll-out on women. The objective of this study was to assess the knowledge and perceptions of women regarding MC in a setting before and after the roll-out. This study was conducted in the South African township of Orange Farm where MC prevalence among men increased from 17% to 53% in the period 2008–2010. Data from three community-based cross sectional surveys conducted in 2007, 2010 and 2012 among 1258, 1197 and 2583 adult women, respectively were studied. In 2012, among 2583 women, 73.7% reported a preference for circumcised partners, and 87.9% knew that circumcised men could become infected with HIV. A total of 95.8% preferred to have their male children circumcised. These three proportions increased significantly during the roll-out. In 2007, the corresponding values were 64.4%, 82.9% and 80.4%, respectively. Among 2581 women having had sexual intercourse with circumcised and uncircumcised men, a majority (55.8%, 1440/2581) agreed that it was easier for a circumcised man to use a condom, 20.5% (530/2581) disagreed; and 23.07 (611/2581) did not know. However, some women incorrectly stated that they were fully (32/2579; 1.2%; 95%CI: 0.9% to 1.7%) or partially (233/2579; 9.0%; 95%CI: 8.0% to 10.2%) protected when having unprotected sex with a circumcised HIV-positive partner. This study shows that the favorable perception of women and relatively correct knowledge regarding VMMC had increased during the roll-out of VMMC. When possible, women should participate in the promotion of VMMC although further effort should be made to improve their knowledge.


Url:
DOI: 10.1371/journal.pone.0173595
PubMed: 28339497
PubMed Central: 5365100


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<term>Adolescent</term>
<term>Adult</term>
<term>Circumcision, Male (psychology)</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>HIV Infections (prevention & control)</term>
<term>Health Knowledge, Attitudes, Practice</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Perception</term>
<term>Sexual Behavior</term>
<term>Sexual Partners</term>
<term>South Africa</term>
<term>Surveys and Questionnaires</term>
<term>Unsafe Sex</term>
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<term>Young Adult</term>
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<term>Adolescent</term>
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<term>Adulte d'âge moyen</term>
<term>Circoncision masculine (psychologie)</term>
<term>Comportement sexuel</term>
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<term>Connaissances, attitudes et pratiques en santé</term>
<term>Enquêtes et questionnaires</term>
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<term>Perception</term>
<term>République d'Afrique du Sud</term>
<term>Études transversales</term>
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<term>Circoncision masculine</term>
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<term>Circumcision, Male</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Adolescent</term>
<term>Adult</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Health Knowledge, Attitudes, Practice</term>
<term>Humans</term>
<term>Male</term>
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<term>Comportement sexuel à risque</term>
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<front>
<div type="abstract" xml:lang="en">
<p>The roll-out of medical male circumcision (MC) is progressing in Southern and Eastern Africa. Little is known about the effect of this roll-out on women. The objective of this study was to assess the knowledge and perceptions of women regarding MC in a setting before and after the roll-out. This study was conducted in the South African township of Orange Farm where MC prevalence among men increased from 17% to 53% in the period 2008–2010. Data from three community-based cross sectional surveys conducted in 2007, 2010 and 2012 among 1258, 1197 and 2583 adult women, respectively were studied. In 2012, among 2583 women, 73.7% reported a preference for circumcised partners, and 87.9% knew that circumcised men could become infected with HIV. A total of 95.8% preferred to have their male children circumcised. These three proportions increased significantly during the roll-out. In 2007, the corresponding values were 64.4%, 82.9% and 80.4%, respectively. Among 2581 women having had sexual intercourse with circumcised and uncircumcised men, a majority (55.8%, 1440/2581) agreed that it was easier for a circumcised man to use a condom, 20.5% (530/2581) disagreed; and 23.07 (611/2581) did not know. However, some women incorrectly stated that they were fully (32/2579; 1.2%; 95%CI: 0.9% to 1.7%) or partially (233/2579; 9.0%; 95%CI: 8.0% to 10.2%) protected when having unprotected sex with a circumcised HIV-positive partner. This study shows that the favorable perception of women and relatively correct knowledge regarding VMMC had increased during the roll-out of VMMC. When possible, women should participate in the promotion of VMMC although further effort should be made to improve their knowledge.</p>
</div>
</front>
<back>
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<author>
<name sortKey="Auvert, B" uniqKey="Auvert B">B Auvert</name>
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<author>
<name sortKey="Taljaard, D" uniqKey="Taljaard D">D Taljaard</name>
</author>
<author>
<name sortKey="Lagarde, E" uniqKey="Lagarde E">E Lagarde</name>
</author>
<author>
<name sortKey="Sobngwi Tambekou, J" uniqKey="Sobngwi Tambekou J">J Sobngwi-Tambekou</name>
</author>
<author>
<name sortKey="Sitta, R" uniqKey="Sitta R">R Sitta</name>
</author>
<author>
<name sortKey="Puren, A" uniqKey="Puren A">A Puren</name>
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<li>Île-de-France</li>
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<li>Johannesbourg</li>
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<li>Sydney</li>
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</record>

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