Factors associated with married women’s support of male circumcision for HIV prevention in Uganda: a population based cross–sectional study
Identifieur interne : 003928 ( Ncbi/Merge ); précédent : 003927; suivant : 003929Factors associated with married women’s support of male circumcision for HIV prevention in Uganda: a population based cross–sectional study
Auteurs : Komi Mati [États-Unis] ; Korede K. Adegoke [États-Unis] ; Hamisu M. Salihu [États-Unis]Source :
- BMC Public Health [ 1471-2458 ] ; 2016.
Abstract
Despite the protective effect of male circumcision (MC) against HIV in men, the acceptance of voluntary MC in priority countries for MC scale–up such as Uganda remains limited. This study examined the role of women’s sociodemographic characteristics, knowledge of HIV and sexual bargaining power as determinants of women’s support of male circumcision (MC).
Data from the Uganda AIDS Indicator Survey, 2011 were analyzed (
Overall, 67.0 % (
The findings in this study will potentially inform intervention strategies to enhance uptake of male circumcision as a strategy to reduce HIV transmission in Uganda.
Url:
DOI: 10.1186/s12889-016-3385-2
PubMed: 27484177
PubMed Central: 4971618
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Factors associated with married women’s support of male circumcision for HIV prevention in Uganda: a population based cross–sectional study</title><author><name sortKey="Mati, Komi" sort="Mati, Komi" uniqKey="Mati K" first="Komi" last="Mati">Komi Mati</name><affiliation wicri:level="2"><nlm:aff id="Aff1">Department of Epidemiology and Biostatistics, University of South Florida, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Department of Epidemiology and Biostatistics, University of South Florida, 13201 Bruce B. Downs Blvd. MDC 56, Tampa</wicri:cityArea></affiliation></author><author><name sortKey="Adegoke, Korede K" sort="Adegoke, Korede K" uniqKey="Adegoke K" first="Korede K." last="Adegoke">Korede K. Adegoke</name><affiliation wicri:level="2"><nlm:aff id="Aff1">Department of Epidemiology and Biostatistics, University of South Florida, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Department of Epidemiology and Biostatistics, University of South Florida, 13201 Bruce B. Downs Blvd. MDC 56, Tampa</wicri:cityArea></affiliation></author><author><name sortKey="Salihu, Hamisu M" sort="Salihu, Hamisu M" uniqKey="Salihu H" first="Hamisu M." last="Salihu">Hamisu M. Salihu</name><affiliation wicri:level="2"><nlm:aff id="Aff2">Department of Family and Community Health, Baylor College of Medicine, Houston, TX USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Department of Family and Community Health, Baylor College of Medicine, Houston</wicri:cityArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27484177</idno><idno type="pmc">4971618</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4971618</idno><idno type="RBID">PMC:4971618</idno><idno type="doi">10.1186/s12889-016-3385-2</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000769</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000769</idno><idno type="wicri:Area/Pmc/Curation">000768</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000768</idno><idno type="wicri:Area/Pmc/Checkpoint">000723</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000723</idno><idno type="wicri:Area/Ncbi/Merge">003928</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Factors associated with married women’s support of male circumcision for HIV prevention in Uganda: a population based cross–sectional study</title><author><name sortKey="Mati, Komi" sort="Mati, Komi" uniqKey="Mati K" first="Komi" last="Mati">Komi Mati</name><affiliation wicri:level="2"><nlm:aff id="Aff1">Department of Epidemiology and Biostatistics, University of South Florida, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Department of Epidemiology and Biostatistics, University of South Florida, 13201 Bruce B. Downs Blvd. MDC 56, Tampa</wicri:cityArea></affiliation></author><author><name sortKey="Adegoke, Korede K" sort="Adegoke, Korede K" uniqKey="Adegoke K" first="Korede K." last="Adegoke">Korede K. Adegoke</name><affiliation wicri:level="2"><nlm:aff id="Aff1">Department of Epidemiology and Biostatistics, University of South Florida, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Department of Epidemiology and Biostatistics, University of South Florida, 13201 Bruce B. Downs Blvd. MDC 56, Tampa</wicri:cityArea></affiliation></author><author><name sortKey="Salihu, Hamisu M" sort="Salihu, Hamisu M" uniqKey="Salihu H" first="Hamisu M." last="Salihu">Hamisu M. Salihu</name><affiliation wicri:level="2"><nlm:aff id="Aff2">Department of Family and Community Health, Baylor College of Medicine, Houston, TX USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Department of Family and Community Health, Baylor College of Medicine, Houston</wicri:cityArea></affiliation></author></analytic><series><title level="j">BMC Public Health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Despite the protective effect of male circumcision (MC) against HIV in men, the acceptance of voluntary MC in priority countries for MC scale–up such as Uganda remains limited. This study examined the role of women’s sociodemographic characteristics, knowledge of HIV and sexual bargaining power as determinants of women’s support of male circumcision (MC).</p></sec><sec><title>Methods</title><p>Data from the Uganda AIDS Indicator Survey, 2011 were analyzed (<italic>n</italic> = 4,874). Bivariate and multivariate logistic regression analyses with random intercept were conducted to identify factors that influence women’s support of MC.</p></sec><sec><title>Results</title><p>Overall, 67.0 % (<italic>n</italic> = 3,276) of the women in our sample were in support of MC but only 28.0 % had circumcised partners. Women who had the knowledge that circumcision reduces HIV risk were about 6 times as likely to support MC than women who lacked that knowledge [AOR (adjusted odds ratio) = 5.85, 95 % CI (confidence interval) = 4.83–7.10]. The two indicators of women’s sexual bargaining power (i.e., ability to negotiate condom use and ability to refuse sex) were also positively associated with support of MC. Several sociodemographic factors particularly wealth index were also positively associated with women’s support of MC.</p></sec><sec><title>Conclusions</title><p>The findings in this study will potentially inform intervention strategies to enhance uptake of male circumcision as a strategy to reduce HIV transmission in Uganda.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Reed, Jb" uniqKey="Reed J">JB Reed</name></author><author><name sortKey="Njeuhmeli, E" uniqKey="Njeuhmeli E">E Njeuhmeli</name></author><author><name sortKey="Thomas, Ag" uniqKey="Thomas A">AG Thomas</name></author><author><name sortKey="Bacon, Mc" uniqKey="Bacon M">MC Bacon</name></author><author><name sortKey="Bailey, R" uniqKey="Bailey R">R Bailey</name></author><author><name sortKey="Cherutich, P" uniqKey="Cherutich P">P Cherutich</name></author><author><name sortKey="Curran, K" uniqKey="Curran K">K Curran</name></author><author><name sortKey="Dickson, 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<front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Public Health</journal-id><journal-id journal-id-type="iso-abbrev">BMC Public Health</journal-id><journal-title-group><journal-title>BMC Public Health</journal-title></journal-title-group><issn pub-type="epub">1471-2458</issn><publisher><publisher-name>BioMed Central</publisher-name><publisher-loc>London</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">27484177</article-id><article-id pub-id-type="pmc">4971618</article-id><article-id pub-id-type="publisher-id">3385</article-id><article-id pub-id-type="doi">10.1186/s12889-016-3385-2</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>Factors associated with married women’s support of male circumcision for HIV prevention in Uganda: a population based cross–sectional study</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0002-9713-3701</contrib-id><name><surname>Mati</surname><given-names>Komi</given-names></name><address><email>matik@health.usf.edu</email></address><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Adegoke</surname><given-names>Korede K.</given-names></name><address><email>kadegoke@health.usf.edu</email></address><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Salihu</surname><given-names>Hamisu M.</given-names></name><address><email>hamisu.salihu@bcm.edu</email></address><xref ref-type="aff" rid="Aff2">2</xref></contrib><aff id="Aff1"><label>1</label>Department of Epidemiology and Biostatistics, University of South Florida, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL USA</aff><aff id="Aff2"><label>2</label>Department of Family and Community Health, Baylor College of Medicine, Houston, TX USA</aff></contrib-group><pub-date pub-type="epub"><day>2</day><month>8</month><year>2016</year></pub-date><pub-date pub-type="pmc-release"><day>2</day><month>8</month><year>2016</year></pub-date><pub-date pub-type="collection"><year>2016</year></pub-date><volume>16</volume><elocation-id>696</elocation-id><history><date date-type="received"><day>11</day><month>3</month><year>2016</year></date><date date-type="accepted"><day>27</day><month>7</month><year>2016</year></date></history><permissions><copyright-statement>© The Author(s). 2016</copyright-statement><license license-type="OpenAccess"><license-p><bold>Open Access</bold>This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>) applies to the data made available in this article, unless otherwise stated.</license-p></license></permissions><abstract id="Abs1"><sec><title>Background</title><p>Despite the protective effect of male circumcision (MC) against HIV in men, the acceptance of voluntary MC in priority countries for MC scale–up such as Uganda remains limited. This study examined the role of women’s sociodemographic characteristics, knowledge of HIV and sexual bargaining power as determinants of women’s support of male circumcision (MC).</p></sec><sec><title>Methods</title><p>Data from the Uganda AIDS Indicator Survey, 2011 were analyzed (<italic>n</italic> = 4,874). Bivariate and multivariate logistic regression analyses with random intercept were conducted to identify factors that influence women’s support of MC.</p></sec><sec><title>Results</title><p>Overall, 67.0 % (<italic>n</italic> = 3,276) of the women in our sample were in support of MC but only 28.0 % had circumcised partners. Women who had the knowledge that circumcision reduces HIV risk were about 6 times as likely to support MC than women who lacked that knowledge [AOR (adjusted odds ratio) = 5.85, 95 % CI (confidence interval) = 4.83–7.10]. The two indicators of women’s sexual bargaining power (i.e., ability to negotiate condom use and ability to refuse sex) were also positively associated with support of MC. Several sociodemographic factors particularly wealth index were also positively associated with women’s support of MC.</p></sec><sec><title>Conclusions</title><p>The findings in this study will potentially inform intervention strategies to enhance uptake of male circumcision as a strategy to reduce HIV transmission in Uganda.</p></sec></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>Medical male circumcision</kwd><kwd>HIV</kwd><kwd>Women</kwd><kwd>Sexual bargaining power</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© The Author(s) 2016</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc><affiliations><list><country><li>États-Unis</li></country><region><li>Floride</li><li>Texas</li></region></list><tree><country name="États-Unis"><region name="Floride"><name sortKey="Mati, Komi" sort="Mati, Komi" uniqKey="Mati K" first="Komi" last="Mati">Komi Mati</name></region><name sortKey="Adegoke, Korede K" sort="Adegoke, Korede K" uniqKey="Adegoke K" first="Korede K." last="Adegoke">Korede K. Adegoke</name><name sortKey="Salihu, Hamisu M" sort="Salihu, Hamisu M" uniqKey="Salihu H" first="Hamisu M." last="Salihu">Hamisu M. Salihu</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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