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首页> 外文期刊>South African medical journal = >Low acceptability of medical male circumcision as an HIV/AIDS prevention intervention within a South African community that practises traditional circumcision
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Low acceptability of medical male circumcision as an HIV/AIDS prevention intervention within a South African community that practises traditional circumcision

机译：男性包皮环切术在实践传统包皮环切术的南非社区中作为艾滋病毒/艾滋病预防干预措施的接受度较低

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BACKGROUND: Traditional circumcision is practised among some indigenous tribes in South Africa (SA) such as the Xhosa. Recent experimental evidence has demonstrated the benefits of male circumcision for the prevention of HIV infection in heterosexual men. The acceptability of circumcision as a biomedical intervention mirroring an ingrained cultural practice, as well as the age and extent of the procedure, are poorly understood. METHODS: Men aged 15 - 42 years were recruited in a peri-urban settlement near Cape Town. Participants completed an interviewer-administered questionnaire assessing self-reported circumcision status, context and reasons for previous or planned circumcision, and willingness to undergo medical circumcision for themselves or their sons. Results were confirmed by clinical examination. The most recent HIV test result was compared with circumcision status. RESULTS: Of the 199 men enrolled, 148 (74%) reported being traditionally circumcised; of the 51 not circumcised, 50 were planning the traditional procedure. Among men self-reporting circumcision, 40 (27%) had some or all of the foreskin remaining. The median age at traditional circumcision was 21 years (interquartile range 19 - 22 years). While knowledge of the preventive benefit of circumcision was reported by 128 men (66%), most were unwilling to undergo medical circumcision or allow their sons to do so, because of religion/culture, notions of manhood, and social disapproval. CONCLUSION: Almost all men in this study had undergone or were planning to undergo traditional circumcision and were largely opposed to the medically performed procedure. In the majority, traditional circumcision had occurred after the mean age of sexual debut and almost a quarter were found to have only partial foreskin removal. To ensure optimal HIV prevention benefits, strategies to facilitate complete foreskin removal prior to sexual debut within traditional circumcision practices require further attention.
机译：背景：传统的包皮环切术在南非的一些土著部落（如科萨）中实行。最近的实验证据表明，男性包皮环切术对预防异性恋男人的HIV感染有好处。人们对包皮环切术作为一种根植根深蒂固的文化习俗的生物医学干预措施的接受程度以及手术的年龄和程度了解甚少。方法：在开普敦附近的郊区居住地招募15至42岁的男性。参加者完成了由访调员管理的问卷，以评估自我报告的包皮环切术的状况，背景或先前或计划进行的包皮环切的原因，以及是否愿意为自己或儿子进行包皮环切术。通过临床检查确认结果。将最新的HIV检测结果与包皮环切状态进行了比较。结果：在登记的199名男性中，有148名（74％）据报道是传统行割礼的。在未行割礼的51名患者中，有50名正在计划传统手术。在男性自我报告的包皮环切术中，有40例（27％）剩余部分或全部包皮。传统包皮环切术的中位年龄为21岁（四分位间距为19-22岁）。虽然有128名男性（66％）报告了关于包皮环切术的预防益处的知识，但由于宗教/文化，成年观念和社会不赞成，大多数人不愿接受包皮环切术或让他们的儿子这样做。结论：本研究中几乎所有男性均已接受或计划进行传统的包皮环切术，并在很大程度上反对医疗程序。在大多数情况下，传统的包皮环切术是在首次性生活的平均年龄之后发生的，几乎有四分之一的人被发现仅部分切除了包皮。为了确保获得最佳的HIV预防效果，在传统的包皮环切术中，在性行为初次出现之前促进完全包皮去除的策略需要进一步关注。

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