男性割礼的普及率和男性割礼的误解规范:乌干达农村地区基于人口的横截面研究
Jessica M Perkins1,2, Bernard Kakuhikire3, Charles Baguma3
1Department of Human and Organizational Development, Peabody College, Vanderbilt University, Nashville, Tennessee, USA.
Journal of global health
|December 19, 2023
概括
在乌干达,许多男性低估了自愿医疗男性割礼的普遍性. 那些感知较低的人不太可能被割礼,这表明规范校正可能会促进吸收.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 行为科学 行为科学
背景情况:
- 自愿医疗男性割礼 (VMMC) 是为了预防东部和南部非洲的HIV/STI而推广的.
- 乌干达的VMMC患病率有所增加,但仍低于目标.
- 人们对VMMC患病率的看法及其与吸收的联系还未得到充分研究.
研究的目的:
- 评估乌干达农村地区对VMMC患病率的看法.
- 为了将感知规范与实际的割礼率进行比较.
- 为了确定感知规范和男性VMMC吸收之间的关联.
主要方法:
- 乌干达西南部八个村庄的横截面研究 (2020-2022年).
- 引起对成年男性割礼患病率的看法 (>50%,10%<50%,<10%,或不知道).
- 使用多变量波桑回归来分析感知规范和个人吸收之间的关联.
主要成果:
- 调查了1566名参与者;27%的男性报告被割礼.
- 四分之一的人口低估了他们村庄的VMMC患病率.
- 低估VMMC患病率的男性被割礼的可能性较低 (aRR=0.51,95% CI=0.37-0.83).
结论:
- 乌干达农村地区有很大一部分男性误解了VMMC的流行程度.
- 低估VMMC患病率与较低的个人吸收有关.
- 解决误解规范的干预措施可能会增强VMMC在HIV/STI预防中的应用.
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