Determinants of morbidity associated with infant male circumcision: community-level population-based study in rural Ghana.
Identifieur interne : 000181 ( PubMed/Curation ); précédent : 000180; suivant : 000182Determinants of morbidity associated with infant male circumcision: community-level population-based study in rural Ghana.
Auteurs : Thomas Gyan [Australie] ; Kimberley Mcauley [Australie] ; Natalie A. Strobel [Australie] ; Caitlin Shannon [États-Unis] ; Sam Newton [Ghana] ; Charlotte Tawiah-Agyemang [Ghana] ; Seeba Amenga-Etego [Ghana] ; Seth Owusu-Agyei [Ghana] ; Betty Kirkwood [Royaume-Uni] ; Karen M. Edmond [Australie]Source :
- Tropical medicine & international health : TM & IH [ 1365-3156 ] ; 2017.
Descripteurs français
- KwdFr :
- Adulte, Caractéristiques de l'habitat, Circoncision masculine (effets indésirables), Complications postopératoires (étiologie), Désinfection des mains, Facteurs de risque, Ghana, Humains, Hygiène, Infections à VIH (), Instruments chirurgicaux, Jeune adulte, Modèles logistiques, Morbidité, Mâle, Nourrisson, Nouveau-né, Odds ratio, Personnel de santé, Population rurale, Pénis (), Études transversales.
- MESH :
- effets indésirables : Circoncision masculine.
- étiologie : Complications postopératoires.
- Adulte, Caractéristiques de l'habitat, Désinfection des mains, Facteurs de risque, Ghana, Humains, Hygiène, Infections à VIH, Instruments chirurgicaux, Jeune adulte, Modèles logistiques, Morbidité, Mâle, Nourrisson, Nouveau-né, Odds ratio, Personnel de santé, Population rurale, Pénis, Études transversales.
English descriptors
- KwdEn :
- Adult, Circumcision, Male (adverse effects), Cross-Sectional Studies, Ghana, HIV Infections (prevention & control), Hand Disinfection, Health Personnel, Humans, Hygiene, Infant, Infant, Newborn, Logistic Models, Male, Morbidity, Odds Ratio, Penis (surgery), Postoperative Complications (etiology), Residence Characteristics, Risk Factors, Rural Population, Surgical Instruments, Young Adult.
- MESH :
- adverse effects : Circumcision, Male.
- etiology : Postoperative Complications.
- prevention & control : HIV Infections.
- surgery : Penis.
- Adult, Cross-Sectional Studies, Ghana, Hand Disinfection, Health Personnel, Humans, Hygiene, Infant, Infant, Newborn, Logistic Models, Male, Morbidity, Odds Ratio, Residence Characteristics, Risk Factors, Rural Population, Surgical Instruments, Young Adult.
Abstract
Male circumcision services have expanded throughout Africa as part of a long-term HIV prevention strategy. We assessed the effect of type of service provider (formal and informal) and hygiene practices on circumcision-related morbidities in rural Ghana.
DOI: 10.1111/tmi.12829
PubMed: 27990718
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Strobel</name><affiliation wicri:level="1"><nlm:affiliation>School of Paediatrics and Child Health, University of Western Australia, Perth, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>School of Paediatrics and Child Health, University of Western Australia, Perth</wicri:regionArea></affiliation></author><author><name sortKey="Shannon, Caitlin" sort="Shannon, Caitlin" uniqKey="Shannon C" first="Caitlin" last="Shannon">Caitlin Shannon</name><affiliation wicri:level="1"><nlm:affiliation>Engender Health, New York, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Engender Health, New York</wicri:regionArea></affiliation></author><author><name sortKey="Newton, Sam" sort="Newton, Sam" uniqKey="Newton S" first="Sam" last="Newton">Sam Newton</name><affiliation wicri:level="1"><nlm:affiliation>School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.</nlm:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi</wicri:regionArea></affiliation></author><author><name sortKey="Tawiah Agyemang, Charlotte" sort="Tawiah Agyemang, Charlotte" uniqKey="Tawiah Agyemang C" first="Charlotte" last="Tawiah-Agyemang">Charlotte Tawiah-Agyemang</name><affiliation wicri:level="1"><nlm:affiliation>Kintampo Health Research Centre, Ghana Health Service, Kintampo, Ghana.</nlm:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>Kintampo Health Research Centre, Ghana Health Service, Kintampo</wicri:regionArea></affiliation></author><author><name sortKey="Amenga Etego, Seeba" sort="Amenga Etego, Seeba" uniqKey="Amenga Etego S" first="Seeba" last="Amenga-Etego">Seeba Amenga-Etego</name><affiliation wicri:level="1"><nlm:affiliation>Kintampo Health Research Centre, Ghana Health Service, Kintampo, Ghana.</nlm:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>Kintampo Health Research Centre, Ghana Health Service, Kintampo</wicri:regionArea></affiliation></author><author><name sortKey="Owusu Agyei, Seth" sort="Owusu Agyei, Seth" uniqKey="Owusu Agyei S" first="Seth" last="Owusu-Agyei">Seth Owusu-Agyei</name><affiliation wicri:level="1"><nlm:affiliation>Kintampo Health Research Centre, Ghana Health Service, Kintampo, Ghana.</nlm:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>Kintampo Health Research Centre, Ghana Health Service, Kintampo</wicri:regionArea></affiliation></author><author><name sortKey="Kirkwood, Betty" sort="Kirkwood, Betty" uniqKey="Kirkwood B" first="Betty" last="Kirkwood">Betty Kirkwood</name><affiliation wicri:level="1"><nlm:affiliation>Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London</wicri:regionArea></affiliation></author><author><name sortKey="Edmond, Karen M" sort="Edmond, Karen M" uniqKey="Edmond K" first="Karen M" last="Edmond">Karen M. Edmond</name><affiliation wicri:level="1"><nlm:affiliation>School of Paediatrics and Child Health, University of Western Australia, Perth, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>School of Paediatrics and Child Health, University of Western Australia, Perth</wicri:regionArea></affiliation></author></analytic><series><title level="j">Tropical medicine & international health : TM & IH</title><idno type="eISSN">1365-3156</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Circumcision, Male (adverse effects)</term><term>Cross-Sectional Studies</term><term>Ghana</term><term>HIV Infections (prevention & control)</term><term>Hand Disinfection</term><term>Health Personnel</term><term>Humans</term><term>Hygiene</term><term>Infant</term><term>Infant, Newborn</term><term>Logistic Models</term><term>Male</term><term>Morbidity</term><term>Odds Ratio</term><term>Penis (surgery)</term><term>Postoperative Complications (etiology)</term><term>Residence Characteristics</term><term>Risk Factors</term><term>Rural Population</term><term>Surgical Instruments</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Caractéristiques de l'habitat</term><term>Circoncision masculine (effets indésirables)</term><term>Complications postopératoires (étiologie)</term><term>Désinfection des mains</term><term>Facteurs de risque</term><term>Ghana</term><term>Humains</term><term>Hygiène</term><term>Infections à VIH ()</term><term>Instruments chirurgicaux</term><term>Jeune adulte</term><term>Modèles logistiques</term><term>Morbidité</term><term>Mâle</term><term>Nourrisson</term><term>Nouveau-né</term><term>Odds ratio</term><term>Personnel de santé</term><term>Population rurale</term><term>Pénis ()</term><term>Études transversales</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Circumcision, Male</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Circoncision masculine</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Penis</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Complications postopératoires</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Cross-Sectional Studies</term><term>Ghana</term><term>Hand Disinfection</term><term>Health Personnel</term><term>Humans</term><term>Hygiene</term><term>Infant</term><term>Infant, Newborn</term><term>Logistic Models</term><term>Male</term><term>Morbidity</term><term>Odds Ratio</term><term>Residence Characteristics</term><term>Risk Factors</term><term>Rural Population</term><term>Surgical Instruments</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Caractéristiques de l'habitat</term><term>Désinfection des mains</term><term>Facteurs de risque</term><term>Ghana</term><term>Humains</term><term>Hygiène</term><term>Infections à VIH</term><term>Instruments chirurgicaux</term><term>Jeune adulte</term><term>Modèles logistiques</term><term>Morbidité</term><term>Mâle</term><term>Nourrisson</term><term>Nouveau-né</term><term>Odds ratio</term><term>Personnel de santé</term><term>Population rurale</term><term>Pénis</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Male circumcision services have expanded throughout Africa as part of a long-term HIV prevention strategy. We assessed the effect of type of service provider (formal and informal) and hygiene practices on circumcision-related morbidities in rural Ghana.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27990718</PMID><DateCreated><Year>2016</Year><Month>12</Month><Day>19</Day></DateCreated><DateCompleted><Year>2017</Year><Month>07</Month><Day>05</Day></DateCompleted><DateRevised><Year>2017</Year><Month>07</Month><Day>05</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1365-3156</ISSN><JournalIssue CitedMedium="Internet"><Volume>22</Volume><Issue>3</Issue><PubDate><Year>2017</Year><Month>Mar</Month></PubDate></JournalIssue><Title>Tropical medicine & international health : TM & IH</Title><ISOAbbreviation>Trop. Med. Int. Health</ISOAbbreviation></Journal><ArticleTitle>Determinants of morbidity associated with infant male circumcision: community-level population-based study in rural Ghana.</ArticleTitle><Pagination><MedlinePgn>312-322</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/tmi.12829</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Male circumcision services have expanded throughout Africa as part of a long-term HIV prevention strategy. We assessed the effect of type of service provider (formal and informal) and hygiene practices on circumcision-related morbidities in rural Ghana.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Population-based, cross-sectional study conducted between May and December 2012 involving 2850 circumcised infant males aged under 12 weeks. Multivariable logistic regression models were adjusted for maternal age, maternal education, income, birthweight and site of circumcision.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 2850 (90.7%) infant males were circumcised. Overall, the risk of experiencing a morbidity (defined as complications occurring during or after the circumcision procedure as reported by the primary caregiver) was 8.1% (230). Risk was not significantly increased if the circumcision was performed by informal providers (121, 7.2%) vs. formal health service providers (109, 9.8%) [adjusted odds ratio (aOR) 1.11, 95% CI 0.80-1.47, P = 0.456]. Poor hygiene practices were associated with significantly increased risk of morbidity: no handwashing [148 (11.7%)] (aOR 1.78, 95% CI 1.27-2.52, P = 0.001); not cleaning circumcision instruments [174 (10.6%)] (aOR 1.80, 95% CI 1.27-2.54, P = 0.001); and uncleaned penile area [190 (10.0%)] (aOR 1.84, 95% CI 1.25-2.70, P = 0.002).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The risk of morbidity after infant male circumcision in rural Ghana is high, chiefly due to poor hygiene practices. Governmental and non-governmental organisations need to improve training of circumcision providers in hygiene practices in sub-Saharan Africa.</AbstractText><CopyrightInformation>© 2016 John Wiley & Sons Ltd.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Gyan</LastName><ForeName>Thomas</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>School of Paediatrics and Child Health, University of Western Australia, Perth, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Kintampo Health Research Centre, Ghana Health Service, Kintampo, Ghana.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>McAuley</LastName><ForeName>Kimberley</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>School of Paediatrics and Child Health, University of Western Australia, Perth, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Strobel</LastName><ForeName>Natalie A</ForeName><Initials>NA</Initials><AffiliationInfo><Affiliation>School of Paediatrics and Child Health, University of Western Australia, Perth, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shannon</LastName><ForeName>Caitlin</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Engender Health, New York, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Newton</LastName><ForeName>Sam</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tawiah-Agyemang</LastName><ForeName>Charlotte</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Kintampo Health Research Centre, Ghana Health Service, Kintampo, Ghana.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Amenga-Etego</LastName><ForeName>Seeba</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Kintampo Health Research Centre, Ghana Health Service, Kintampo, Ghana.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Owusu-Agyei</LastName><ForeName>Seth</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Kintampo Health Research Centre, Ghana Health Service, Kintampo, Ghana.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kirkwood</LastName><ForeName>Betty</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Edmond</LastName><ForeName>Karen M</ForeName><Initials>KM</Initials><AffiliationInfo><Affiliation>School of Paediatrics and Child Health, University of Western Australia, Perth, Australia.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>01</Month><Day>12</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Trop Med Int Health</MedlineTA><NlmUniqueID>9610576</NlmUniqueID><ISSNLinking>1360-2276</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002944" MajorTopicYN="N">Circumcision, Male</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005869" MajorTopicYN="N">Ghana</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015658" MajorTopicYN="N">HIV Infections</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006235" MajorTopicYN="N">Hand Disinfection</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006282" MajorTopicYN="Y">Health Personnel</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006920" MajorTopicYN="Y">Hygiene</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007223" MajorTopicYN="N">Infant</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007231" MajorTopicYN="N">Infant, Newborn</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016015" MajorTopicYN="N">Logistic Models</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009017" MajorTopicYN="Y">Morbidity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016017" MajorTopicYN="N">Odds Ratio</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010413" MajorTopicYN="N">Penis</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012111" MajorTopicYN="N">Residence Characteristics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012424" MajorTopicYN="N">Rural Population</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013525" MajorTopicYN="N">Surgical Instruments</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Ghana</Keyword><Keyword MajorTopicYN="N">circumcision</Keyword><Keyword MajorTopicYN="N">community level</Keyword><Keyword MajorTopicYN="N">determinants</Keyword><Keyword MajorTopicYN="N">infant</Keyword><Keyword MajorTopicYN="N">male</Keyword><Keyword MajorTopicYN="N">morbidity</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>12</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>7</Month><Day>6</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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| HfdSelect -Kh $EXPLOR_AREA/Data/PubMed/Curation/biblio.hfd \
| NlmPubMed2Wicri -a SidaGhanaV1
| This area was generated with Dilib version V0.6.31. |  |