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.
KeywordsMale circumcision HIV-1 prevention Knowledge and attitudes HIV-1 discordant couples Uganda
- 4.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.
- 6.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.Google Scholar
- 12.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.
- 15.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.
- 16.Janz NK, Becker MH. The Health Belief Model: a decade later. Health Educ Q. 1984;11(1):1–47.Google Scholar