在Soweto的艾滋病毒疫苗试验参与者中,男性割礼的看法:定性研究
Mbalenhle Sibiya1, Fatima Laher1, Mamakiri Mulaudzi1
1Perinatal HIV Research Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
概括
参与艾滋病毒疫苗试验的年轻南非人了解男性割礼的好处,但决策受到文化,男性性和伴侣的影响. 这影响了艾滋病毒预防程序的采用.
科学领域:
- 公共卫生 公共卫生
- 社会科学 社会科学 社会科学
- 传染病流行病学 传染病流行病学
背景情况:
- 在南非,男性割礼被公认为具有健康益处和文化重要性.
- 了解男性割礼的看法至关重要,特别是在人类免疫缺陷病毒 (HIV) 疫苗试验的参与者中.
研究的目的:
- 探索参与南非预防性艾滋病毒疫苗疗效试验的年轻成年人对男性割礼的看法.
- 在这个人群中确定影响割礼决策的因素.
主要方法:
- 这是一项定性研究,涉及28名参与者 (年龄在18-35岁) 在Soweto的HIV疫苗试验网络 (HVTN) 702试验.
- 进行了四次焦点小组讨论 (FGD),按年龄,性别和性取向分层,并按主题分析.
主要成果:
- 参与者表现出对男性割礼在部分减少艾滋病毒和性传播感染 (STI) 的作用的准确知识.
- 由于缺乏透明度和不良事件,人们对文化割礼做法产生了不信任.
- 错误的看法将割礼与增强男子气概联系在一起,决策受到父母,家庭和女性伴侣的影响.
结论:
- 参与艾滋病毒疫苗试验的年轻南非人对男性割礼的艾滋病毒预防益处有准确的了解.
- 接受割礼的决定是复杂的,受到文化规范,性,男子气概的理想和女性的重要作用的影响.
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