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 : 000F11 ( PubMed/Curation ); précédent : 000F10; suivant : 000F12Women'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 :
- PloS one [ 1932-6203 ] ; 2017.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Circoncision masculine (psychologie), Comportement sexuel, Comportement sexuel à risque, Connaissances, attitudes et pratiques en santé, Enquêtes et questionnaires, Femelle, Femmes, Humains, Infections à VIH (), Jeune adulte, Mâle, Partenaire sexuel, Perception, République d'Afrique du Sud, Études transversales.
- MESH :
- psychologie : Circoncision masculine.
- Adolescent, Adulte, Adulte d'âge moyen, Comportement sexuel, Comportement sexuel à risque, Connaissances, attitudes et pratiques en santé, Enquêtes et questionnaires, Femelle, Femmes, Humains, Infections à VIH, Jeune adulte, Mâle, Partenaire sexuel, Perception, République d'Afrique du Sud, Études transversales.
English descriptors
- KwdEn :
- Adolescent, Adult, Circumcision, Male (psychology), Cross-Sectional Studies, Female, HIV Infections (prevention & control), Health Knowledge, Attitudes, Practice, Humans, Male, Middle Aged, Perception, Sexual Behavior, Sexual Partners, South Africa, Surveys and Questionnaires, Unsafe Sex, Women, Young Adult.
- MESH :
- prevention & control : HIV Infections.
- psychology : Circumcision, Male.
- Adolescent, Adult, Cross-Sectional Studies, Female, Health Knowledge, Attitudes, Practice, Humans, Male, Middle Aged, Perception, Sexual Behavior, Sexual Partners, South Africa, Surveys and Questionnaires, Unsafe Sex, Women, Young Adult.
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.
DOI: 10.1371/journal.pone.0173595
PubMed: 28339497
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Paris</wicri:regionArea></affiliation></author><author><name sortKey="Rain Taljaard, Reathe" sort="Rain Taljaard, Reathe" uniqKey="Rain Taljaard R" first="Reathe" last="Rain-Taljaard">Reathe Rain-Taljaard</name><affiliation wicri:level="1"><nlm:affiliation>Progressus Research and Development, Johannesburg, South Africa.</nlm:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Progressus Research and Development, Johannesburg</wicri:regionArea></affiliation></author><author><name sortKey="Taljaard, Dirk" sort="Taljaard, Dirk" uniqKey="Taljaard D" first="Dirk" last="Taljaard">Dirk Taljaard</name><affiliation wicri:level="1"><nlm:affiliation>CHAPS, Parktown, Johannesburg, South Africa.</nlm:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>CHAPS, Parktown, Johannesburg</wicri:regionArea></affiliation></author><author><name sortKey="Bouscaillou, Julie" sort="Bouscaillou, Julie" uniqKey="Bouscaillou J" first="Julie" 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(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><term>Women</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Circoncision masculine (psychologie)</term><term>Comportement sexuel</term><term>Comportement sexuel à risque</term><term>Connaissances, attitudes et pratiques en santé</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Femmes</term><term>Humains</term><term>Infections à VIH ()</term><term>Jeune adulte</term><term>Mâle</term><term>Partenaire sexuel</term><term>Perception</term><term>République d'Afrique du Sud</term><term>Études transversales</term></keywords><keywords scheme="MESH" 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santé</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Femmes</term><term>Humains</term><term>Infections à VIH</term><term>Jeune adulte</term><term>Mâle</term><term>Partenaire sexuel</term><term>Perception</term><term>République d'Afrique du Sud</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28339497</PMID><DateCreated><Year>2017</Year><Month>03</Month><Day>24</Day></DateCreated><DateCompleted><Year>2017</Year><Month>08</Month><Day>25</Day></DateCompleted><DateRevised><Year>2017</Year><Month>08</Month><Day>25</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Electronic">1932-6203</ISSN><JournalIssue CitedMedium="Internet"><Volume>12</Volume><Issue>3</Issue><PubDate><Year>2017</Year></PubDate></JournalIssue><Title>PloS one</Title><ISOAbbreviation>PLoS ONE</ISOAbbreviation></Journal><ArticleTitle>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.</ArticleTitle><Pagination><MedlinePgn>e0173595</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1371/journal.pone.0173595</ELocationID><Abstract><AbstractText>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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Maraux</LastName><ForeName>Barbara</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>INSERM U1018, Villejuif, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lissouba</LastName><ForeName>Pascale</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Médecins sans Frontières, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rain-Taljaard</LastName><ForeName>Reathe</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Progressus Research and Development, Johannesburg, South Africa.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Taljaard</LastName><ForeName>Dirk</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>CHAPS, Parktown, Johannesburg, South Africa.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bouscaillou</LastName><ForeName>Julie</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Médecins du Monde, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lewis</LastName><ForeName>David</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Western Sydney Sexual Health Centre, Parramatta, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Marie Bashir Institute for Infectious Diseases and Biosecurity and Sydney Medical School-Westmead, University of Sydney, Sydney, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Puren</LastName><ForeName>Adrian</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Centre for HIV and STIs, National Institute for Communicable Diseases, National Health Laboratory Service, Johannesburg, South Africa.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>University of the Witwatersrand, Faculty of Health Sciences, Johannesburg, South Africa.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Auvert</LastName><ForeName>Bertran</ForeName><Initials>B</Initials><Identifier Source="ORCID">http://orcid.org/0000-0001-7849-8062</Identifier><AffiliationInfo><Affiliation>INSERM U1018, Villejuif, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>AP-HP, Hôpital Ambroise Paré, Boulogne, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>University of Versailles-Saint Quentin, Versailles, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>03</Month><Day>24</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>PLoS One</MedlineTA><NlmUniqueID>101285081</NlmUniqueID><ISSNLinking>1932-6203</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>PLoS Med. 2013;10(9):e1001509</RefSource><PMID Version="1">24019763</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>BMC Infect Dis. 2011 Sep 26;11:253</RefSource><PMID Version="1">21943076</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>AIDS Behav. 2007 May;11(3):341-55</RefSource><PMID Version="1">17053855</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>BJU Int. 2009 Dec;104(11):1698-701</RefSource><PMID Version="1">19522862</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>PLoS Med. 2010 Jul 20;7(7):e1000309</RefSource><PMID Version="1">20652013</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Lancet. 2007 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RefType="Cites"><RefSource>Sex Health. 2013 May;10(2):112-8</RefSource><PMID Version="1">23448912</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>PLoS One. 2010 Dec 16;5(12):e15552</RefSource><PMID Version="1">21179493</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Acquir Immune Defic Syndr. 2012 Aug 15;60 Suppl 3:S88-95</RefSource><PMID Version="1">22797745</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>PLoS One. 2012;7(9):e44825</RefSource><PMID Version="1">23028634</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002944" MajorTopicYN="N">Circumcision, Male</DescriptorName><QualifierName UI="Q000523" 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|texte= 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.
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