Factors Associated with the Acceptability of Male Circumcision among Men in Jamaica

Walcott, Melonie; Jolly, Pauline E.; Ehiri, John E.; Funkhouser, Ellen; Kempf, Mirjam Colette; Hickman, Deborah; Aung, Maung; Zhang, Kui

doi:10.1371/journal.pone.0075074

Cited by 12 publications

(12 citation statements)

References 35 publications

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“…Most significantly, just over half of them were aware of the fact that VMMC can decrease the risk of HIV infection. This is consistent with studies conducted in Jamaica and Uganda, which indicated a higher proportion of awareness of male circumcision (Wilcken et al, 2010;Walcott et al, 2013). Some differences were noted on the level of awareness about the VMMC's protective effect on HIV amongst the respondents where we found that in our study it was higher as compared to other studies conducted in other regions such as East/Central Africa e.g.…”

Section: Discussionsupporting

confidence: 91%

“…This will be crucial in promoting the acceptance of VMMC. It was by no surprise that even in studies conducted in Jamaica, Malawi and Uganda participants believed that male circumcision enhances sexual satisfaction (Walcott et al, 2013;Ngalande et al, 2006;Wilken et al, 2010). The acceptability of safe male circumcision among the uncircumcised respondents in our study was found to be 43.8% which was much lower than the median acceptability rate in the sub-Saharan African countries which was 65% (Westercamp and Bailey, 2007).…”

Section: Discussionmentioning

confidence: 99%

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Knowledge, attitude and acceptance of voluntary male medical circumcision among male students attending Botswana University

Mndzebel¹,

Tegegn²

2015

J. Public Health Epidemiol.

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In recent years safe voluntary male medical circumcision (VMMC) has been recommended by the World Health Organization (WHO) as one of the preventive strategies for human immunodeficiency virus (HIV)-infection for those countries with high HIV prevalence and low medical male circumcision rates. This study aimed to assess the level of knowledge, attitude, and acceptance of safe VMMC among male university students attending Botswana University. A survey instrument was used to collect descriptive data in this study. Out of the total number of faculties within the university (8), we purposively selected our sample from the faculty of science due to its predominant male student population of 1,045. A total of 437 students were recruited from the various departments within the faculty. A semi-structured questionnaire was used for data collection. Study results indicate that 95.4% of the participants had heard about VMMC and 64.8% of those who had heard about VMMC were uncircumcised. About 31.4% knew about the complications of VMMC. Participants having undergone VMMC were twice as likely to be aware that VMMC reduces the risk of penile cancer and that it improves penile hygiene. Participants who knew that VMMC reduces the risk of other STIs were found to be four times more likely to accept VMMC as a preventive method for HIV infection. Participants having been medically circumcised were four times more likely to disagree with the statement that VMMC decreases sexual satisfaction and ten times more likely to disagree with the statement that the tip of the penis has to be covered by the foreskin. Study findings suggest that in terms of knowledge and attitude, the most significant factor associated with men's acceptability of VMMC was their awareness that it reduces the risk of other STIs. It is therefore concluded that even though there exist a high-level of awareness and favourable attitude towards VMMC among the young male population; such awareness does not seem to influence individuals to become medically circumcized.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Knowledge, attitude and acceptance of voluntary male medical circumcision among male students attending Botswana University

Mndzebel¹,

Tegegn²

2015

J. Public Health Epidemiol.

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“…Details about the study setting have been described elsewhere. 32 Briefly, the WRHA consists of four parishes (St. James, Trelawny, Hanover and Westmoreland) with an estimated population of~474 944. Of the 14 parishes in Jamaica, the HIV prevalence of the parishes in the WRHA are among the highest.…”

Section: Study Design and Settingsmentioning

confidence: 99%

Gender norms and sexual behaviours among men in western Jamaica

et al. 2014

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Abstract. Objectives: Gender norms, especially among men, can reduce the effectiveness of HIV prevention programs. We sought to assess the association between attitudes towards gender norms and risky sexual behaviours, and identify sociodemographic factors that predict gender-inequitable and masculinity norms among men in western Jamaica. Methods: A cross-sectional, survey of 549 men aged 19-54 years was conducted. Attitudes towards gender norms were measured using the Gender Equitable Men and Macho scales. Logistic regression and general linear models were used to assess associations between gender norms and multiple sexual partners, and to identify the associated sociodemographic factors. Adjusted odds ratios (AORs) and 95% confidence intervals (CIs) are presented. Results: Fifty-four percent of the participants (mean age = 32.4 years) reported multiple sex partners and 22% reported unprotected sex with non-regular partner in the past 12 months. Men with moderate (AOR = 2.2; 95% CI = 1.4-3.3) and high (AOR = 4.2; 95% CI = 2.0-8.5) support for inequitable gender norms, and moderate (AOR = 1.7; 95% CI = 1.1-2.7) and high (AOR = 2.5; 95% CI = 1.5-4.3) support for masculinity norms were more likely to report multiple sex partners. Similarly, men with moderate (AOR = 2.4; 95% CI = 1.3-4.3) and high (AOR = 2.5; 95% CI = 1.2-5.2) support for inequitable gender norms were more likely to report unprotected sex with a nonregular partner. Conclusion: A high proportion of Jamaican men engage in risky sexual behaviours. These results highlight the need for behaviour change interventions addressing gender norms targeting Jamaican men.

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“…Similarly, hygiene, the most cited primary reason for having a VMMC in this study, was significantly associated with the willingness to be circumcised in our prior surveys [ 9 , 11 ]. Other studies have shown high acceptability of the procedure in Caribbean [ 12 ], Chinese [ 13 ], and Indian men [ 14 ], but to our knowledge, this is the first attempt to offer VMMC services outside of Africa. Although our previous acceptability study found that Haitian men would be more willing than Dominicans to become circumcised, we did not recruit a significant number of Haitian nationals.…”

Section: Discussionmentioning

confidence: 96%

A Clinical Trial to Introduce Voluntary Medical Male Circumcision for HIV Prevention in Areas of High Prevalence in the Dominican Republic

Brito

Lerebours²,

Volquez

et al. 2015

PLoS ONE

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BackgroundVoluntary Medical Male Circumcision (VMMC) is an effective strategy to reduce the risk of HIV infection. Studies conducted in the Dominican Republic (DR) suggest that acceptability of VMMC among men may be as high as 67%. The goal of this clinical trial was to assess the acceptability, uptake and safety for VMMC services in two areas of high HIV prevalence in the country.MethodsThis was a single-arm, non-randomized, pragmatic clinical trial. Study personnel received background information about the risks and benefits of VMMC and practical training on the surgical technique. A native speaking research assistant administered a questionnaire of demographics, sexual practices and knowledge about VMMC. One week after the surgery, participants returned for wound inspection and to answer questions about their post-surgical experience.Results539 men consented for the study. Fifty seven were excluded from participation for medical or anatomical reasons and 28 decided not to have the procedure after providing consent. A total of 454 men were circumcised using the Forceps Guided Method Under Local Anesthesia. The rate of adverse events (AE) was 4.4% (20% moderate, 80% mild). There were no serious AEs and all complications resolved promptly with treatment. Eighty eight percent of clients reported being “very satisfied” and 12% were “somewhat satisfied” with the outcome at the one-week postoperative visit.ConclusionsRecruitment and uptake were satisfactory. Client satisfaction with VMMC was high and the rate of AEs was low. Roll out of VMMC in targeted areas of the DR is feasible and should be considered.Trial RegistrationClinicalTrials.gov NCT02337179

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Factors Associated with the Acceptability of Male Circumcision among Men in Jamaica

Cited by 12 publications

References 35 publications

Knowledge, attitude and acceptance of voluntary male medical circumcision among male students attending Botswana University

Knowledge, attitude and acceptance of voluntary male medical circumcision among male students attending Botswana University

Gender norms and sexual behaviours among men in western Jamaica

A Clinical Trial to Introduce Voluntary Medical Male Circumcision for HIV Prevention in Areas of High Prevalence in the Dominican Republic

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