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在卢旺达,男性割礼的年龄趋势及其决定因素
Theogene Kubahoniyesu1,2, Riziki Kagabo3, Emmanuel Ngendahimana3
1African Centre of Excellence in Data Science, University of Rwanda, Kigali, Rwanda. theogenek9@gmail.com.
AIDS research and therapy
|January 9, 2026
概括
卢旺达自愿医疗男性割礼 (VMMC) 的普及率大幅增加,特别是在年轻男性中. 教育和媒体曝光加快VMMC,而老年和农村居住与延迟程序有关,影响艾滋病毒预防工作.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 预防艾滋病毒 预防艾滋病毒
背景情况:
- 自愿医疗男性割礼 (VMMC) 是一种经过验证的HIV预防方法.
- 早期割礼 (婴儿期或在性行为开始前) 可以最大限度地提高保护效益.
- 卢旺达已经扩展了VMMC服务,但了解时间决定因素对于优化采用至关重要.
研究的目的:
- 分析卢旺达自愿医疗男性割礼 (VMMC) 的时间趋势.
- 确定影响男性接受割礼的年龄的因素.
- 为提高VMMC吸收和预防艾滋病毒的战略提供信息.
主要方法:
- 使用卢旺达人口和健康调查 (2010,2015,2020) 的回顾性横截面研究.
- 分析了15-59岁的15965名男性.
- 卡普兰-梅尔曲线,日志等级测试和考克斯回归模型,用于调查设计.
主要成果:
- 男性割礼的发生率从13.3% (2010) 增加到52.4% (2020).
- 高等教育和频繁看电视与早期的割礼有关.
- 较年长的年龄组和农村居民显示,割礼的普及延迟了.
结论:
- 卢旺达的VMMC吸收显著增加,特别是在年轻男性中.
- 卫生教育,媒体宣传和针对农村/老年人群的有针对性的干预措施可以改善早期采用.
- 优化VMMC时间是加强国家艾滋病毒预防计划的关键.
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