Knowledge and Attitudes About Male Circumcision for HIV-1 Prevention among Heterosexual HIV-1 Serodiscordant Partnerships in Kampala, Uganda
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Male circumcision for HIV-1 prevention will require high uptake among at-risk populations. 318 HIV-1 serodiscordant couples in Kampala, Uganda [155 (48.7%) with HIV-1 uninfected male partners] were interviewed about male circumcision for HIV-1 prevention. 77.1% of men and 89.6% of women were aware that circumcision reduces men’s risk for HIV-1 acquisition. Almost all understood the partial protective efficacy of circumcision for HIV-1 acquisition and lack of reduced HIV-1 transmission from circumcising HIV-1 infected men. Among couples with uncircumcised HIV-1 negative men (n = 92), 53.3% of men and 88.1% of female partners expressed interest in male circumcision. Previous discussion within the couple about circumcision for HIV-1 prevention was significantly associated with interest in the procedure. HIV-1 serodiscordant couples in Uganda demonstrated a high level of understanding of the partial protective effect of male circumcision for HIV-1 prevention, but only half of HIV-1 uninfected uncircumcised men expressed interest in the procedure.
- Auvert B, Taljaard D, Lagarde E, Sobngwi-Tambekou Jl, Sitta Rm, Puren A. Randomized, controlled intervention trial of male circumcision for reduction of HIV infection risk: the ANRS 1265 trial. PLoS Med. 2005;2(11):e298. CrossRef
- Bailey RC, Moses S, Parker CB, et al. Male circumcision for HIV prevention in young men in Kisumu, Kenya: a randomised controlled trial. Lancet. 2007;369(9562):643–56. CrossRef
- Gray RH, Kigozi G, Serwadda D, et al. Male circumcision for HIV prevention in men in Rakai, Uganda: a randomised trial. Lancet. 2007;369(9562):657–66. CrossRef
- WHO/UNAIDS. Recommendations from expert consultation on male circumcision for HIV prevention. http://www.who.int/mediacentre/news/releases/2007/pr10/en/index.html. Accessed 11 Sep 2009.
- Weiss HA, Halperin D, Bailey RC, Hayes RJ, Schmid G, Hankins CA. Male circumcision for HIV prevention: from evidence to action? AIDS. 2008;22(5):567–74. CrossRef
- UNAIDS/WHO/SACEMA Expert Group on Modelling the Impact and Cost of Male Circumcision for HIV Prevention. Male circumcision for HIV prevention in high HIV prevalence settings: what can mathematical modelling contribute to informed decision making? PLoS Med. 2009;6(9):e1000109.
- Dunkle KL, Stephenson R, Karita E, et al. New heterosexually transmitted HIV infections in married or cohabiting couples in urban Zambia and Rwanda: an analysis of survey and clinical data. Lancet. 2008;371(9631):2183–91. CrossRef
- Hugonnet S, Mosha F, Todd J, et al. Incidence of HIV infection in stable sexual partnerships: a retrospective cohort study of 1802 couples in Mwanza Region, Tanzania. J Acquir Immune Defic Syndr. 2002;30(1):73–80. CrossRef
- Wawer MJ, Makumbi F, Kigozi G, et al. Circumcision in HIV-infected men and its effect on HIV transmission to female partners in Rakai, Uganda: a randomised controlled trial. Lancet. 2009;374(9685):229–37. CrossRef
- Celum C, Wald A, Lingappa JR, et al. Acyclovir and transmission of HIV-1 from persons infected with HIV-1 and HSV-2. N Engl J Med. 2010;362(5):427–39. CrossRef
- Lingappa JR, Lambdin B, Bukusi EA, et al. Regional differences in prevalence of HIV-1 discordance in Africa and enrollment of HIV-1 discordant couples into an HIV-1 prevention trial. PLoS One. 2008;3(1):e1411. CrossRef
- MOH. Uganda HIV/AIDS sero-behavioural survey, 2004–2005. http://www.aidsuganda.org/texbits/the%20uganda%20hiv-aids%20status%20report%202005.final%20version.pdf. Accessed 20 Mar 2008.
- Westercamp N, Bailey RC. Acceptability of male circumcision for prevention of HIV/AIDS in sub-Saharan Africa: a review. AIDS Behav. 2007;11(3):341–55. CrossRef
- Petersen MR, Deddens JA. A comparison of two methods for estimating prevalence ratios. BMC Med Res Methodol. 2008;8:9. CrossRef
- WHO (2009) Country experiences in the scale-up of male circumcision in the Eastern and Southern Africa Region: two years and counting. http://www.malecircumcision.org/publications/documents/Country_experiences_in_scale-up_in_Eastern_and_Southern_Africa_06.09.09.pdf. Accessed 11 Nov 2009.
- Janz NK, Becker MH. The Health Belief Model: a decade later. Health Educ Q. 1984;11(1):1–47.
- Muula AS. Male circumcision to prevent HIV transmission and acquisition: what else do we need to know? AIDS Behav. 2007;11(3):357–63. CrossRef
- Sawires SR, Dworkin SL, Fiamma As, Peacock D, Szekeres G, Coates TJ. Male circumcision and HIV/AIDS: challenges and opportunities. Lancet. 2007;369(9562):708–13. CrossRef
- Knowledge and Attitudes About Male Circumcision for HIV-1 Prevention among Heterosexual HIV-1 Serodiscordant Partnerships in Kampala, Uganda
AIDS and Behavior
Volume 14, Issue 5 , pp 1190-1197
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Male circumcision
- HIV-1 prevention
- Knowledge and attitudes
- HIV-1 discordant couples
- Industry Sectors
- Author Affiliations
- 1. Infectious Diseases Institute, College of Health Sciences, Makerere University, P.O. Box 22418, Kampala, Uganda
- 2. Department of Epidemiology and Biostatistics, School of Medicine, Case Western Reserve University, Cleveland, USA
- 3. Departments of Global Health, Medicine, and Epidemiology, University of Washington, Seattle, USA
- 4. School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda
- 5. Department of Epidemiology and Biostatistics, College of Public Health, University of Georgia, Athens, USA