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首页> 外文期刊>AIDS care. >Multilevel influences on acceptance of medical male circumcision in Rakai District, Uganda
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Multilevel influences on acceptance of medical male circumcision in Rakai District, Uganda

机译：乌干达Rakai区医用男性割礼接受的多级影响

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摘要

Despite access to safe medical male circumcision (MMC) and proven effectiveness of the procedure in reducing acquisition of HIV and other sexually transmitted infections, uptake remains suboptimal in many settings in sub-Saharan Africa, including Rakai District, Uganda. This study explored multilevel barriers and facilitators to MMC in focus group discussions (FGDs) (n=35 groups) in Rakai. Focus groups were conducted from May through July 2012 with adolescent and adult males, with a range of HIV risk and reproductive health service use profiles, and with adolescent and adult females. Data were analyzed using Atlas.ti and an inductive approach. Participants' discussions produced several key themes representing multilevel influences that may facilitate or create barriers to uptake of MMC. These include availability of MMC services, economic costs, masculine ideals, religion, and social influence. Understanding how males and females view MMC is a crucial step towards increasing uptake of the procedure and reducing disease transmission.
机译：尽管获得安全医疗雄性割礼（MMC）并经过验证的程序，但在减少艾滋病病毒和其他性传播感染的情况下，在包括Rakai区乌干达包括Rakai区的许多环境中，摄取仍然是次优。本研究探索了雷泰集团讨论（FGDS）（FGDS）（N = 35组）的MMC中的多级障碍和促进者。焦点小组于2012年7月与青少年和成年男性开发，艾滋病毒风险和生殖健康服务使用型材，以及青少年和成年女性。使用atlas.ti和归纳方法进行分析数据。参与者的讨论产生了几个关键主题，该关键主题代表多级影响，可能促进或创造对MMC吸收的障碍。这些包括MMC服务，经济成本，男性理想，宗教和社会影响力的可用性。了解雄性和女性如何观看MMC是促进促进程序的影响和减少疾病传播的关键步骤。

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