Acceptance of Male Circumcision Among Male Rural-to-Urban Migrants in Western China

Jiang, Junjun; Huang, Jiegang; Yang, Xiaobo; Li, Ye; Wei, Bo; Deng, Wei; Wei, Suosu; Qin, Bo; Upur, Halmurat; Zhong, Chaohui; Wang, Qianqiu; Wang, Qian; Ruan, Yuhua; Wei, Fuxiang; Xu, Na; Xie, Peiyan; Liang, Hao

doi:10.1089/aid.2013.0156

Cited by 8 publications

(7 citation statements)

References 26 publications

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“…The study is the first one to investigate MC’s acceptability and related factors among medical college students in China. Our investigation showed a higher overall MC acceptance rate (55.2%) among this population, compared to other populations in China, such as 44.6% among the general population [ 25 ], 45.2% among the drug abusing population[ 26 ], 37.3% among the male rural-to-urban migrants [ 27 ], and 40.6% among young people of Yi nationality in Sichuan province[ 28 ]. However, the rate was still lower than the reported rates in other countries, such as 65% in sub-Saharan Africa [ 21 ] and 87.7% among the population of men who have sex with men (MSM) in the USA [ 22 ].…”

Section: Discussionmentioning

confidence: 78%

Acceptability of Male Circumcision among College Students in Medical Universities in Western China: A Cross-Sectional Study

Jiang

Yang

et al. 2015

PLoS ONE

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BackgroundMale circumcision (MC) has been shown to reduce the risk of female to male transmission of HIV. The goal of this survey was to explore MC’s acceptability and the factors associated with MC among college students in medical universities in western China.MethodsA cross-sectional study was carried out in three provinces in western China (Guangxi, Chongqing and Xinjiang) to assess the acceptability of MC as well as to discover factors associated with the acceptability among college students in medical universities. A total of 1,790 uncircumcised male students from three medical universities were enrolled in this study. In addition, 150 students who had undergone MC were also enrolled in the survey, and they participated in in-depth interviews.ResultsOf all the uncircumcised participants (n = 1,790), 55.2% (n = 988) were willing to accept MC. Among those who accepted MC, 67.3% thought that MC could improve their sexual partners’ hygiene, 46.3% believed that HIV and sexually transmitted diseases (STDs) could be partially prevented by MC. The multivariable logistic regression indicates that MC’s acceptability was associated with three factors: the redundant foreskin (OR = 10.171, 95% CI = 7.629–13.559), knowing the hazard of having a redundant foreskin (OR = 1.597, 95% CI = 1.097–2.323), and enhancing sexual pleasure (OR = 1.628, 95% CI = 1.312–2.021). The in-depth interviews for subjects who had undergone MC showed that the major reason for having MC was the redundant foreskin (87.3%), followed by the benefits and the fewer complications of having MC done. In addition, most of these participants (65.3%) said that the MC could enhance sexual satisfaction.ConclusionsMC’s acceptance among college students in medical universities is higher than it is among other populations in western China. An implementation of an MC programme among this population is feasible in the future.

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Section: Discussionmentioning

confidence: 78%

Acceptability of Male Circumcision among College Students in Medical Universities in Western China: A Cross-Sectional Study

Jiang

Yang

et al. 2015

PLoS ONE

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“…First, the participants were recruited not by probability sampling, nor by respondent-driven sampling methods [ 58 ]. However, studies using a similar study design are common [ 20 – 22 ]. Second, we did not collect information from participants who refused to participate in the study.…”

Section: Discussionmentioning

confidence: 99%

“…Five reported prevalence of acceptability of VMMC, ranging from 37.3% to 63.8%. Associated factors of acceptability of VMMC included education level [ 20 ], HIV/STD prevention service utilization [ 23 ], overly long foreskin [ 20 , 22 ], having had sex with NRP or FSW [ 20 , 23 , 24 ], and having a male circumcised friend [ 20 , 21 ]. Cognitive facilitating factors included beliefs that VMMC could improve genital hygiene [ 23 ], reduce risk of HIV/STD infection [ 22 , 23 ], improve sexual pleasure, increase female partners’ sexual pleasure [ 23 – 25 ], and lower perceived chance of HIV infection in the future [ 23 , 24 ].…”

Section: Introductionmentioning

confidence: 99%

Acceptability of Voluntary Medical Male Circumcision (VMMC) among Male Sexually Transmitted Diseases Patients (MSTDP) in China

et al. 2016

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Voluntary Medical Male circumcision (VMMC) is an evidence-based, yet under-utilized biomedical HIV intervention in China. No study has investigated acceptability of VMMC among male sexually transmitted diseases patients (MSTDP) who are at high risk of HIV transmission. A cross-sectional survey interviewed 350 HIV negative heterosexual MSTDP in Shenzhen, China; 12.0% (n = 42) of them were circumcised at the time of survey. When the uncircumcised participants (n = 308) were informed that VMMC could reduce the risk of HIV infection via heterosexual intercourse by 50%, the prevalence of acceptability of VMMC in the next six months was 46.1%. Adjusted for significant background variables, significant factors of acceptability of VMMC included: 1) emotional variables: the Emotional Representation Subscale (adjusted odds ratios, AOR = 1.13, 95%CI: 1.06–1.18), 2) cognitive variables derived from Health Belief Model (HBM): perceived some chance of having sex with HIV positive women in the next 12 months (AOR = 2.48, 95%CI: 1.15–5.33) (perceived susceptibility), perceived severity of STD infection (AOR = 1.06, 95%CI: 1.02–1.10), perceived benefit of VMMC in risk reduction (AOR = 1.29, 95%CI: 1.16–1.42) and sexual performance (AOR = 1.45, 95%CI: 1.26–1.71), perceived barriers against taking up VMMC (AOR = 0.88, 95%CI: 0.81–0.95), and perceived cue to action (AOR = 1.41, 95%CI: 1.23–1.61) and self-efficacy (AOR = 1.38, 95%CI: 1.26–1.35) related to taking up VMMC. The association between perceived severity of STD infection and acceptability was fully mediated by emotional representation of STD infection. The relatively low prevalence of circumcision and high acceptability suggested that the situation was favorable for implementing VMMC as a means of HIV intervention among MSTDP in China. HBM is a potential suitable framework to guide the design of future VMMC promotion. Future implementation programs should be conducted in STD clinic settings, taking the important findings of this study into account.

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“…In this study, among MUS participants, the overall acceptance rate of MC was 70.9%, which is much higher than that (55.2%) in the same region and population in 2015 [26]. This MC acceptance rate is also higher than those reported among black Africans in South Africa (45.7%), the Rakai population in Uganda (27%), young black MSM in the US (50%), and male ruralto-urban migrants in western China (37.3%) [29][30][31][32][33]. Our study shows that people who were not registered residents of Guangxi, had a medicine background, and had an MC surgery were more likely to accept MC.…”

Section: Discussionmentioning

confidence: 72%

A Survey on HIV/AIDS‐Related Knowledge, Attitudes, Risk Behaviors, and Characteristics of Men Who Have Sex with Men among University Students in Guangxi, China

Lai

Pan

Yu-lun

et al. 2020

BioMed Research International

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In recent years, the prevalence of human immunodeficiency virus (HIV) infection among Chinese university students has increased significantly, and HIV transmission among men who have sex with men (MSM) comprises more than half of the new cases. There is still a lack of research investigating the incidence of male-to-male sex, the attitudes towards MSM, and the awareness of HIV/AIDS among university students in Guangxi, one of the HIV high-risk areas in China. Therefore, we performed a cross-sectional investigation among 578 male students, recruited by stratified sampling, in universities in Nanning, Guangxi, between January 2016 and March 2017. Researcher-administered anonymous questionnaires were completed. Self-recognition as MSM was found in 8.48% of the subjects. Compared with non-MSM, university student MSM included more people over the age of 20 (OR=4.95), had less migration from other districts of Guangxi (OR=0.26), and the majority were nonmedical students (OR=8.99). In total, 63.25% of the male student participants reported a lack of acceptance of MSM, while 35.47% acknowledged barriers between themselves and acquaintances who were MSM. Overall, 67.30% of the subjects correctly answered questions related to AIDS knowledge. The proportion of MSM subjects who answered the AIDS-related questions completely correctly was significantly lower than that of non-MSM subjects (42.86% vs. 69. 57%, respectively, OR: 0.33), but the self-recognition risk of MSM was significantly higher than that of non-MSM (OR=2.59). Risky behaviors associated with HIV infections, including smoking, alcohol consumption, drug abuse, and inconsistent condom use, were significantly higher among the MSM participants. The percentages of student’s willingness to accept MC and PrEP were 70.93% and 77.51%, respectively. These results raise the alarm that university student MSM in Guangxi, China, require urgent public attention and more effective health education, including the education on MC and PrEP.

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Acceptance of Male Circumcision Among Male Rural-to-Urban Migrants in Western China

Cited by 8 publications

References 26 publications

Acceptability of Male Circumcision among College Students in Medical Universities in Western China: A Cross-Sectional Study

Acceptability of Male Circumcision among College Students in Medical Universities in Western China: A Cross-Sectional Study

Acceptability of Voluntary Medical Male Circumcision (VMMC) among Male Sexually Transmitted Diseases Patients (MSTDP) in China

A Survey on HIV/AIDS‐Related Knowledge, Attitudes, Risk Behaviors, and Characteristics of Men Who Have Sex with Men among University Students in Guangxi, China

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