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Women's role in male circumcision promotion in Rakai, Uganda

Medical male circumcision (MMC) has expanded in sub-Saharan Africa, yet uptake remains sub-optimal. We sought to understand women's perceptions of and influence on MMC in Rakai, Uganda. We conducted in-depth interviews with 27 women in fishing and trading communities, including women married to circ... Full description

Journal Title: AIDS care 2019, Vol.31 (4), p.443-450
Main Author: Nakyanjo, Neema
Other Authors: Piccinini, Danielle , Kisakye, Alice , Yeh, Ping Teresa , Ddaaki, William , Kigozi, Godfrey , Gray, Ronald H. , Kennedy, Caitlin E.
Format: Electronic Article Electronic Article
Language: English
Subjects:
HIV
Men
Sex
STD
Quelle: Alma/SFX Local Collection
Publisher: England: Taylor & Francis
ID: ISSN: 0954-0121
Link: https://www.ncbi.nlm.nih.gov/pubmed/30010413
Zum Text:
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title: Women's role in male circumcision promotion in Rakai, Uganda
format: Article
creator:
  • Nakyanjo, Neema
  • Piccinini, Danielle
  • Kisakye, Alice
  • Yeh, Ping Teresa
  • Ddaaki, William
  • Kigozi, Godfrey
  • Gray, Ronald H.
  • Kennedy, Caitlin E.
subjects:
  • Adolescent
  • Adult
  • AIDS/HIV
  • Article
  • Circumcision
  • Circumcision, Male - ethnology
  • Circumcision, Male - psychology
  • Community involvement
  • Community participation
  • Data analysis
  • Fear & phobias
  • Female
  • Female roles
  • Fishing
  • Gender Identity
  • Healing
  • Health risks
  • HIV
  • HIV Infections - prevention & control
  • HIV Infections - psychology
  • Human immunodeficiency virus
  • Humans
  • Hygiene
  • Infections
  • Interviews as Topic
  • Job insecurity
  • Male
  • Male circumcision
  • Marriage
  • Married women
  • Men
  • Penis
  • Pleasure
  • Prostitutes
  • Prostitution
  • Qualitative Research
  • qualitative study
  • Risk behavior
  • Risk taking
  • Sex
  • Sexual behavior
  • Sexual Partners - psychology
  • Sexually transmitted diseases
  • Sexually Transmitted Diseases - prevention & control
  • Single women
  • STD
  • Teams
  • Trading
  • Uganda
  • Uptake
  • Women
  • Women - psychology
  • women's attitudes
  • Workers
  • Wound healing
  • Young Adult
ispartof: AIDS care, 2019, Vol.31 (4), p.443-450
description: Medical male circumcision (MMC) has expanded in sub-Saharan Africa, yet uptake remains sub-optimal. We sought to understand women's perceptions of and influence on MMC in Rakai, Uganda. We conducted in-depth interviews with 27 women in fishing and trading communities, including women married to circumcised and uncircumcised men, single women, and sex workers. Data analysis followed a team-based framework approach. All female participants preferred circumcised men because of perceived reduced HIV and sexually transmitted infection (STI) risk, improved penile hygiene, and increased sexual pleasure. Perceived negative aspects included abstinence during wound healing, potentially increased male sexual risk behaviors, fear of being blamed for HIV acquisition, and economic insecurity due to time off work. Participants felt women could persuade their partners to be circumcised, accompany them to the clinic, refuse sex with uncircumcised men, and participate in community MMC activities. Findings support women's important role in MMC acceptance.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0954-0121
fulltext: fulltext
issn:
  • 0954-0121
  • 1360-0451
url: Link


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descriptionMedical male circumcision (MMC) has expanded in sub-Saharan Africa, yet uptake remains sub-optimal. We sought to understand women's perceptions of and influence on MMC in Rakai, Uganda. We conducted in-depth interviews with 27 women in fishing and trading communities, including women married to circumcised and uncircumcised men, single women, and sex workers. Data analysis followed a team-based framework approach. All female participants preferred circumcised men because of perceived reduced HIV and sexually transmitted infection (STI) risk, improved penile hygiene, and increased sexual pleasure. Perceived negative aspects included abstinence during wound healing, potentially increased male sexual risk behaviors, fear of being blamed for HIV acquisition, and economic insecurity due to time off work. Participants felt women could persuade their partners to be circumcised, accompany them to the clinic, refuse sex with uncircumcised men, and participate in community MMC activities. Findings support women's important role in MMC acceptance.
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subjectAdolescent ; Adult ; AIDS/HIV ; Article ; Circumcision ; Circumcision, Male - ethnology ; Circumcision, Male - psychology ; Community involvement ; Community participation ; Data analysis ; Fear & phobias ; Female ; Female roles ; Fishing ; Gender Identity ; Healing ; Health risks ; HIV ; HIV Infections - prevention & control ; HIV Infections - psychology ; Human immunodeficiency virus ; Humans ; Hygiene ; Infections ; Interviews as Topic ; Job insecurity ; Male ; Male circumcision ; Marriage ; Married women ; Men ; Penis ; Pleasure ; Prostitutes ; Prostitution ; Qualitative Research ; qualitative study ; Risk behavior ; Risk taking ; Sex ; Sexual behavior ; Sexual Partners - psychology ; Sexually transmitted diseases ; Sexually Transmitted Diseases - prevention & control ; Single women ; STD ; Teams ; Trading ; Uganda ; Uptake ; Women ; Women - psychology ; women's attitudes ; Workers ; Wound healing ; Young Adult
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descriptionMedical male circumcision (MMC) has expanded in sub-Saharan Africa, yet uptake remains sub-optimal. We sought to understand women's perceptions of and influence on MMC in Rakai, Uganda. We conducted in-depth interviews with 27 women in fishing and trading communities, including women married to circumcised and uncircumcised men, single women, and sex workers. Data analysis followed a team-based framework approach. All female participants preferred circumcised men because of perceived reduced HIV and sexually transmitted infection (STI) risk, improved penile hygiene, and increased sexual pleasure. Perceived negative aspects included abstinence during wound healing, potentially increased male sexual risk behaviors, fear of being blamed for HIV acquisition, and economic insecurity due to time off work. Participants felt women could persuade their partners to be circumcised, accompany them to the clinic, refuse sex with uncircumcised men, and participate in community MMC activities. Findings support women's important role in MMC acceptance.
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18HIV Infections - prevention & control
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abstractMedical male circumcision (MMC) has expanded in sub-Saharan Africa, yet uptake remains sub-optimal. We sought to understand women's perceptions of and influence on MMC in Rakai, Uganda. We conducted in-depth interviews with 27 women in fishing and trading communities, including women married to circumcised and uncircumcised men, single women, and sex workers. Data analysis followed a team-based framework approach. All female participants preferred circumcised men because of perceived reduced HIV and sexually transmitted infection (STI) risk, improved penile hygiene, and increased sexual pleasure. Perceived negative aspects included abstinence during wound healing, potentially increased male sexual risk behaviors, fear of being blamed for HIV acquisition, and economic insecurity due to time off work. Participants felt women could persuade their partners to be circumcised, accompany them to the clinic, refuse sex with uncircumcised men, and participate in community MMC activities. Findings support women's important role in MMC acceptance.
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pmid30010413
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