Multilevel influences on acceptance of medical male circumcision in Rakai District, Uganda.
Identifieur interne : 000508 ( Main/Exploration ); précédent : 000507; suivant : 000509Multilevel influences on acceptance of medical male circumcision in Rakai District, Uganda.
Auteurs : Pamela S. Lilleston [États-Unis] ; Arik V. Marcell [États-Unis] ; Neema Nakyanjo [Ouganda] ; Lori Leonard [États-Unis] ; Maria J. Wawer [États-Unis]Source :
- AIDS care [ 1360-0451 ] ; 2017.
Abstract
Despite access to safe medical male circumcision (MMC) and proven effectiveness of the procedure in reducing acquisition of HIV and other sexually transmitted infections, uptake remains suboptimal in many settings in sub-Saharan Africa, including Rakai District, Uganda. This study explored multilevel barriers and facilitators to MMC in focus group discussions (FGDs) (n = 35 groups) in Rakai. Focus groups were conducted from May through July 2012 with adolescent and adult males, with a range of HIV risk and reproductive health service use profiles, and with adolescent and adult females. Data were analyzed using Atlas.ti and an inductive approach. Participants' discussions produced several key themes representing multilevel influences that may facilitate or create barriers to uptake of MMC. These include availability of MMC services, economic costs, masculine ideals, religion, and social influence. Understanding how males and females view MMC is a crucial step towards increasing uptake of the procedure and reducing disease transmission.
DOI: 10.1080/09540121.2016.1274014
PubMed: 28278564
Affiliations:
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Lilleston</name><affiliation wicri:level="2"><nlm:affiliation>a Department of Health, Behavior, and Society , Johns Hopkins Bloomberg School of Public Health , Baltimore , MD , USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>a Department of Health, Behavior, and Society , Johns Hopkins Bloomberg School of Public Health , Baltimore , MD </wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Marcell, Arik V" sort="Marcell, Arik V" uniqKey="Marcell A" first="Arik V" last="Marcell">Arik V. 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Wawer</name><affiliation wicri:level="2"><nlm:affiliation>d Department of Epidemiology , Johns Hopkins Bloomberg School of Public Health , Baltimore , MD , USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>d Department of Epidemiology , Johns Hopkins Bloomberg School of Public Health , Baltimore , MD </wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author></analytic><series><title level="j">AIDS care</title><idno type="eISSN">1360-0451</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Despite access to safe medical male circumcision (MMC) and proven effectiveness of the procedure in reducing acquisition of HIV and other sexually transmitted infections, uptake remains suboptimal in many settings in sub-Saharan Africa, including Rakai District, Uganda. This study explored multilevel barriers and facilitators to MMC in focus group discussions (FGDs) (n = 35 groups) in Rakai. Focus groups were conducted from May through July 2012 with adolescent and adult males, with a range of HIV risk and reproductive health service use profiles, and with adolescent and adult females. Data were analyzed using Atlas.ti and an inductive approach. Participants' discussions produced several key themes representing multilevel influences that may facilitate or create barriers to uptake of MMC. These include availability of MMC services, economic costs, masculine ideals, religion, and social influence. 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Wawer</name></country><country name="Ouganda"><noRegion><name sortKey="Nakyanjo, Neema" sort="Nakyanjo, Neema" uniqKey="Nakyanjo N" first="Neema" last="Nakyanjo">Neema Nakyanjo</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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