Acceptability of male circumcision for HIV prevention among men who have sex with men in China: a short report

Yuan, Tanwei; Gao, Yanxiao; Wang, Zhenyu; Huang, Ruonan; Wang, Junfeng; Li, Peiyang; Meng, Xianxin; Zhang, Kechun; Wang, Guanghui; Zhou, Yepeng; Luo, Danyang; Cai, Yong; Fan, Saijun; Ouyang, Lu; Zhao, Jin; Yu, Maohe; Qian, Han-Zhu; Wu, Guohui; Zou, Huachun

doi:10.1080/09540121.2021.1917759

Cited by 3 publications

(2 citation statements)

References 15 publications

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“…In our study, we found that although MSM participants demonstrated knowledge of the HIV prevention effect of male circumcision, there was a misperception that circumcision should follow sex role aggregation: only males who mainly practice penetrative anal sex should be circumcised. A similar finding was reported in China, [24] where circumcision uptake is low amongst MSM, [25] and males who mainly practice receptive anal sex perceive themselves as having low risk for HIV acquisition and regard circumcision as unnecessary.…”

supporting

confidence: 82%

Perceptions about male circumcision among HIV vaccine efficacy trial participants in Soweto, South Africa: a qualitative study

Sibiya

Laher

Mulaudzi

et al. 2023

Preprint

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Male circumcision has both health benefits and significance to some cultures. We sought to understand perceptions about male circumcision as part of the HIV prevention toolkit among participants enrolled in a preventive HIV vaccine efficacy trial in South Africa. We conducted a qualitative study with 28 people aged 18-35 years old who self-reported that they were not living with HIV, provided informed consent, and who were participating in the HVTN 702 vaccine efficacy trial in Soweto. Using a semi-structured guide, we facilitated four focus group discussions (FGDs) stratified by age, gender, and sexual orientation. FGDs were audio-recorded, transcribed verbatim, translated into English, and thematically analysed. Four main themes emerged. (1) Everyone had accurate knowledge about what male circumcision is, and some participants stated that it partially reduces acquisition of HIV and sexually transmitted infections. (2) There was an emerging distrust of cultural circumcision because of perceived lack of transparency and adverse events. (3) There was a perception that circumcision boosted masculinity. (4) The choice to circumcise was influenced by parents, family, and female partners. In conclusion, the study found that young South African HIV vaccine trial participants accurately understand the HIV prevention benefits of male circumcision, but uptake decisions are embedded within a context that is informed by culture, sexuality and masculinity norms and values.

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supporting

confidence: 82%

Perceptions about male circumcision among HIV vaccine efficacy trial participants in Soweto, South Africa: a qualitative study

Sibiya

Laher

Mulaudzi

et al. 2023

Preprint

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show abstract

“…In the identified literature, many studies cited the TFA, however, their application of the framework was inconsistent. For example, some studies did not use the definition of acceptability by Sekhon et al (2017); rather, they developed their own definitions such as: patient consent to proceed with a surgical procedure (Sood et al, 2020); willingness to consider surgery (Yuan et al, 2022); and the absence of complications ( Jha et al, 2021). Some reports did not provide a definition or report how acceptability was measured (Bazzurini et al, 2022;James et al, 2021).…”

Section: Self-efficacymentioning

confidence: 99%

Application of the theoretical framework of acceptability in a surgical setting: Theoretical and methodological insights

Paynter

McDonald

Story

et al. 2023

British J Health Psychol

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PurposeMethods for assessing acceptability of healthcare interventions have been inconsistent until the development of the theoretical framework of acceptability (TFA). Despite its rapid adoption in healthcare research, the TFA has rarely been used to assess acceptability of surgical interventions. We sought to explore the sufficiency of the TFA in this context and provide methodological guidance to support systematic use of this framework in research.MethodAcceptability was assessed in a consecutive sample of 15 patients at least 3 months post‐joint replacement surgery via theory‐informed semi‐structured interviews. A detailed description of the application of the TFA is reported. This includes: development of the interview guide (including questions to assess theoretical sufficiency), analysis of interview data and interpretation of findings.ResultsInterview data were substantially codable into the TFA constructs but required the addition of a construct, labelled ‘perceived safety and risk’, and relabelling and redefining an existing construct (new label: ‘opportunity costs and gains’). Methodological recommendations for theory‐informed interview studies include producing interview support material to enhance precision of the intervention description, conducting background conversations with a range of stakeholders in the healthcare setting, and conducting first inductive and then deductive thematic analysis.ConclusionThe sufficiency of the TFA could be enhanced for use when assessing interventions with an identifiable risk profile, such as surgery, by the inclusion of an additional construct to capture perceptions of risk and safety. We offer these methodological recommendations to guide researchers and facilitate consistency in the application of the TFA in theory‐informed interview studies.

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The prevalence and factors of willingness to accept circumcision among MSM in Maanshan City, China

Zhang,

Li,

Tang

et al. 2024

AIDS Care

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Acceptability of male circumcision for HIV prevention among men who have sex with men in China: a short report

Cited by 3 publications

References 15 publications

Perceptions about male circumcision among HIV vaccine efficacy trial participants in Soweto, South Africa: a qualitative study

Perceptions about male circumcision among HIV vaccine efficacy trial participants in Soweto, South Africa: a qualitative study

Application of the theoretical framework of acceptability in a surgical setting: Theoretical and methodological insights

The prevalence and factors of willingness to accept circumcision among MSM in Maanshan City, China

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