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Male circumcision for HIV prevention: female risk compensatory behaviour in South Africa

机译:艾滋病毒预防的男性割礼:南非的女性风险补偿行为

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摘要

South Africa promotes male circumcision (MC) as an HIV prevention method and implemented a national plan to scale-up MC in the country from 2012 to 2016. Literature has suggested that female risk compensatory behaviours (RCBs) are occurring in countries where these programmes have been implemented. Behaviours such as decreased condom use, concurrent sexual partners and sexual activity during the circumcision wound-healing period have the potential to jeopardise the campaigns' objectives. Literature has shown that directly providing women with MC information results in correct knowledge however, previous studies have not directly sought women's views and ideas on engagement with the information. This study aims to identify and explore female RCBs in relation to MC campaigns in South Africa, and to identify interventions that would result in greater female involvement in the campaigns. Snowball sampling was used to conduct twelve qualitative vignette-facilitated semi-structured interviews with women residing in a municipal housing estate in Durban, Kwa-Zulu Natal, South Africa. Interviews were audio-recorded, verbatim transcribed and analysed using framework analysis. MC knowledge and understanding varied, with some participants mistaking MC as direct HIV protection for females. Despite a lack in knowledge, the majority of women did not report signs of RCBs. Even with a lack of evidence of RCBs, misinterpretation of the MC protective effect has the potential to lead to RCBs; a concept acknowledged in the literature. Several women expressed that MC campaigns are directed to males only and expressed a keenness to be more involved. Suggested interventions include couple counselling and female information sessions in community clinics. Exploring women's attitude towards involvement in MC campaigns fills in a research knowledge gap that is important to international health, as women have a vital role to play in reducing the transmission of HIV.
机译:南非促进男性割礼(MC)作为艾滋病毒预防方法,并从2012年至2016年实施了国家计划在该国扩大MC.文学表明,在这些计划的国家发生了女性风险补偿行为(RCBS)已实施。避孕套使用的行为,避孕套使用,并发的性伴侣和性活动在割礼期间,有可能危害运动的目标。文学表明,直接为妇女提供MC信息导致正确的知识,然而,以前的研究没有直接寻求与这些信息进行婚姻的观点和想法。本研究旨在识别和探索南非MC竞选活动的女性RCB,并确定会导致竞选活动更大的女性参与的干预措施。雪球抽样用于进行十二个定性Vignette促进的半结构化访,妇女居住在南非Kwa-Zulu Natal的德班市的市政房地产。采访是音频录制的,逐字转录和使用框架分析分析。 MC知识和理解各种各样的变化,一些参与者将MC误认为是女性的直接艾滋病毒保护。尽管知识缺乏,但大多数女性都没有报告RCBS的迹象。即使缺乏RCB的证据,MC保护效果的误解也有可能导致RCBS;在文献中承认的概念。几个女性表示,MC竞选只针对男性,并表达了更加愿意的敏锐。建议的干预包括社区诊所的夫​​妇咨询和女性信息会议。探索妇女参与MC竞选的态度填补了对国际健康重要的研究知识缺口,因为女性在减少艾滋病毒的传播方面发挥重要作用。

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