Skip to main content
Top
Published in: AIDS and Behavior 2/2012

01-02-2012 | Original Paper

Acceptability of Male Circumcision Among Adolescent Boys and their Parents, Botswana

Authors: Oluwemimo Jayeoba, Scott Dryden-Peterson, Lillian Okui, Laura Smeaton, Jane Magetse, Lillian Makori, Venice Modikwa, Mpho Mogodi, Rebeca Plank, Shahin Lockman

Published in: AIDS and Behavior | Issue 2/2012

Login to get access

Abstract

Little is known of the acceptability of male circumcision (MC) to adolescent boys, a key target group for HIV prevention. We conducted a cluster design survey among adolescent boys and their parents/guardians in two villages in Botswana. Of 1300 households visited, 398 boys were eligible; 269 boys and 210 parents/guardians participated. MC was described correctly by 80% of boys, and 76% identified that MC reduces the risk of male HIV acquisition. After a brief informational session, 75% of boys stated that they would definitely want to be circumcised and 96% of parents/guardians would want their boy circumcised. Boys most frequently reported pain (49%) and possible health problems (19%) as concerns undergoing MC; concerns about peer or partner acceptance, sexual function, or cultural appropriateness were uncommon. Adolescent MC is likely to be highly acceptable in Botswana if done safely, for free and with adequate pain control in a hospital setting.
Literature
1.
go back to reference UNAIDS. AIDS epidemic update: November 2009. Geneva: UNAIDS; 2009. UNAIDS. AIDS epidemic update: November 2009. Geneva: UNAIDS; 2009.
3.
go back to reference Bongaarts J, Reining P, Way P, Conant F. The relationship between male circumcision and HIV infection in African populations. AIDS. 1989;3(6):373–7.PubMedCrossRef Bongaarts J, Reining P, Way P, Conant F. The relationship between male circumcision and HIV infection in African populations. AIDS. 1989;3(6):373–7.PubMedCrossRef
4.
go back to reference Moses S, Bradley JE, Nagelkerke NJ, Ronald AR, Ndinya-Achola JO, Plummer FA. Geographical patterns of male circumcision practices in Africa: association with HIV seroprevalence. Int J Epidemiol. 1990;19(3):693–7.PubMedCrossRef Moses S, Bradley JE, Nagelkerke NJ, Ronald AR, Ndinya-Achola JO, Plummer FA. Geographical patterns of male circumcision practices in Africa: association with HIV seroprevalence. Int J Epidemiol. 1990;19(3):693–7.PubMedCrossRef
5.
go back to reference Halperin DT, Bailey RC. Male circumcision and HIV infection: 10 years and counting. Lancet. 1999;354(9192):1813–5.PubMedCrossRef Halperin DT, Bailey RC. Male circumcision and HIV infection: 10 years and counting. Lancet. 1999;354(9192):1813–5.PubMedCrossRef
6.
go back to reference Drain PK, Smith JS, Hughes JP, Halperin DT, Holmes KK. Correlates of national HIV seroprevalence: an ecologic analysis of 122 developing countries. J Acquir Immune Defic Syndr. 2004;35(4):407–20.PubMedCrossRef Drain PK, Smith JS, Hughes JP, Halperin DT, Holmes KK. Correlates of national HIV seroprevalence: an ecologic analysis of 122 developing countries. J Acquir Immune Defic Syndr. 2004;35(4):407–20.PubMedCrossRef
7.
go back to reference NACA. Botswana AIDS impact survey III: popular report. Gaborone, Botswana: Botswana National AIDS Coordinating Agency; 2008. NACA. Botswana AIDS impact survey III: popular report. Gaborone, Botswana: Botswana National AIDS Coordinating Agency; 2008.
8.
go back to reference Auvert B, Taljaard D, Lagarde E, Sobngwi-Tambekou J, Sitta R, Puren A. Randomized, controlled intervention trial of male circumcision for reduction of HIV infection risk: the ANRS 1265 Trial. PLoS Med. 2005;2(11):e298.PubMedCrossRef Auvert B, Taljaard D, Lagarde E, Sobngwi-Tambekou J, Sitta R, Puren A. Randomized, controlled intervention trial of male circumcision for reduction of HIV infection risk: the ANRS 1265 Trial. PLoS Med. 2005;2(11):e298.PubMedCrossRef
9.
go back to reference Gray RH, Kigozi G, Serwadda D, Makumbi F, Watya S, Nalugoda F, et al. Male circumcision for HIV prevention in men in Rakai, Uganda: a randomised trial. Lancet. 2007;369(9562):657–66.PubMedCrossRef Gray RH, Kigozi G, Serwadda D, Makumbi F, Watya S, Nalugoda F, et al. Male circumcision for HIV prevention in men in Rakai, Uganda: a randomised trial. Lancet. 2007;369(9562):657–66.PubMedCrossRef
10.
go back to reference Bailey RC, Moses S, Parker CB, Agot K, Maclean I, Krieger JN, et al. Male circumcision for HIV prevention in young men in Kisumu, Kenya: a randomised controlled trial. Lancet. 2007;369(9562):643–56.PubMedCrossRef Bailey RC, Moses S, Parker CB, Agot K, Maclean I, Krieger JN, et al. Male circumcision for HIV prevention in young men in Kisumu, Kenya: a randomised controlled trial. Lancet. 2007;369(9562):643–56.PubMedCrossRef
11.
go back to reference WHO/UNAIDS. New data on male circumcision and HIV prevention: policy and programme implications: conclusions and recommendations. WHO/UNAIDS Technical Consultation on Male Circumciscion and HIV Prevention: Reseach Implications for Policy and Programming, Montreux, 6–8 March 2007. WHO/UNAIDS. New data on male circumcision and HIV prevention: policy and programme implications: conclusions and recommendations. WHO/UNAIDS Technical Consultation on Male Circumciscion and HIV Prevention: Reseach Implications for Policy and Programming, Montreux, 6–8 March 2007.
12.
go back to reference Ministry of Health. Botswana safe male circumcision add-on strategy for HIV prevention. Gaborone: DRAFT; 2008. Ministry of Health. Botswana safe male circumcision add-on strategy for HIV prevention. Gaborone: DRAFT; 2008.
13.
go back to reference Westercamp N, Bailey RC. Acceptability of male circumcision for prevention of HIV/AIDS in sub-Saharan Africa: a review. AIDS Behav. 2007;11(3):341–55.PubMedCrossRef Westercamp N, Bailey RC. Acceptability of male circumcision for prevention of HIV/AIDS in sub-Saharan Africa: a review. AIDS Behav. 2007;11(3):341–55.PubMedCrossRef
14.
go back to reference Kebaabetswe P, Lockman S, Mogwe S, Mandevu R, Thior I, Essex M, et al. Male circumcision: an acceptable strategy for HIV prevention in Botswana. Sex Transm Infect. 2003;79(3):214–9.PubMedCrossRef Kebaabetswe P, Lockman S, Mogwe S, Mandevu R, Thior I, Essex M, et al. Male circumcision: an acceptable strategy for HIV prevention in Botswana. Sex Transm Infect. 2003;79(3):214–9.PubMedCrossRef
15.
go back to reference Brito MO, Caso LM, Balbuena H, Bailey RC. Acceptability of male circumcision for the prevention of HIV/AIDS in the Dominican Republic. PLoS One. 2009;4(11):e7687.PubMedCrossRef Brito MO, Caso LM, Balbuena H, Bailey RC. Acceptability of male circumcision for the prevention of HIV/AIDS in the Dominican Republic. PLoS One. 2009;4(11):e7687.PubMedCrossRef
16.
go back to reference Plank RM, Makhema J, Kebaabetswe P, Hussein F, Lesetedi C, Halperin D, et al. Acceptability of infant male circumcision as part of hiv prevention and male reproductive health efforts in Gaborone, Botswana, and surrounding areas. AIDS Behav. 2010;14(5):1198–202.PubMedCrossRef Plank RM, Makhema J, Kebaabetswe P, Hussein F, Lesetedi C, Halperin D, et al. Acceptability of infant male circumcision as part of hiv prevention and male reproductive health efforts in Gaborone, Botswana, and surrounding areas. AIDS Behav. 2010;14(5):1198–202.PubMedCrossRef
18.
go back to reference White RG, Glynn JR, Orroth KK, Freeman EE, Bakker R, Weiss HA, et al. Male circumcision for HIV prevention in sub-Saharan Africa: who, what and when? AIDS. 2008;22(14):1841–50.PubMedCrossRef White RG, Glynn JR, Orroth KK, Freeman EE, Bakker R, Weiss HA, et al. Male circumcision for HIV prevention in sub-Saharan Africa: who, what and when? AIDS. 2008;22(14):1841–50.PubMedCrossRef
19.
go back to reference Hankins C, Hargrove J, Williams B, Abu-Raddad L, Auvert B, Bollinger L, et al. Male circumcision for HIV prevention in high HIV prevalence settings: what can mathematical modelling contribute to informed decision making? PLoS Med. 2009;6(9):e1000109.CrossRef Hankins C, Hargrove J, Williams B, Abu-Raddad L, Auvert B, Bollinger L, et al. Male circumcision for HIV prevention in high HIV prevalence settings: what can mathematical modelling contribute to informed decision making? PLoS Med. 2009;6(9):e1000109.CrossRef
20.
go back to reference Binagwaho A, Pegurri E, Muita J, Bertozzi S. Male circumcision at different ages in Rwanda: a cost-effectiveness study. PLoS Med. 2010;7(1):e1000211.PubMedCrossRef Binagwaho A, Pegurri E, Muita J, Bertozzi S. Male circumcision at different ages in Rwanda: a cost-effectiveness study. PLoS Med. 2010;7(1):e1000211.PubMedCrossRef
21.
go back to reference Bennett S, Woods T, Liyanage WM, Smith DL. A simplified general method for cluster-sample surveys of health in developing countries. World Health Stat Q. 1991;44(3):98–106.PubMed Bennett S, Woods T, Liyanage WM, Smith DL. A simplified general method for cluster-sample surveys of health in developing countries. World Health Stat Q. 1991;44(3):98–106.PubMed
22.
23.
go back to reference Vanden Eng JL, Wolkon A, Frolov AS, Terlouw DJ, Eliades MJ, Morgah K, et al. Use of handheld computers with global positioning systems for probability sampling and data entry in household surveys. Am J Trop Med Hyg. 2007;77(2):393–9. Vanden Eng JL, Wolkon A, Frolov AS, Terlouw DJ, Eliades MJ, Morgah K, et al. Use of handheld computers with global positioning systems for probability sampling and data entry in household surveys. Am J Trop Med Hyg. 2007;77(2):393–9.
25.
go back to reference Rain-Taljaard RC, Lagarde E, Taljaard DJ, Campbell C, MacPhail C, Williams B, et al. Potential for an intervention based on male circumcision in a South African town with high levels of HIV infection. AIDS Care. 2003;15(3):315–27.PubMedCrossRef Rain-Taljaard RC, Lagarde E, Taljaard DJ, Campbell C, MacPhail C, Williams B, et al. Potential for an intervention based on male circumcision in a South African town with high levels of HIV infection. AIDS Care. 2003;15(3):315–27.PubMedCrossRef
26.
go back to reference Mattson CL, Bailey RC, Muga R, Poulussen R, Onyango T. Acceptability of male circumcision and predictors of circumcision preference among men and women in Nyanza Province, Kenya. AIDS Care. 2005;17(2):182–94.PubMedCrossRef Mattson CL, Bailey RC, Muga R, Poulussen R, Onyango T. Acceptability of male circumcision and predictors of circumcision preference among men and women in Nyanza Province, Kenya. AIDS Care. 2005;17(2):182–94.PubMedCrossRef
27.
go back to reference Lagarde E, Dirk T, Puren A, Reathe RT, Bertran A. Acceptability of male circumcision as a tool for preventing HIV infection in a highly infected community in South Africa. AIDS. 2003;17(1):89–95.PubMedCrossRef Lagarde E, Dirk T, Puren A, Reathe RT, Bertran A. Acceptability of male circumcision as a tool for preventing HIV infection in a highly infected community in South Africa. AIDS. 2003;17(1):89–95.PubMedCrossRef
28.
go back to reference Scott BE, Weiss HA, Viljoen JI. The acceptability of male circumcision as an HIV intervention among a rural Zulu population, Kwazulu-Natal, South Africa. AIDS Care. 2005;17(3):304–13.PubMedCrossRef Scott BE, Weiss HA, Viljoen JI. The acceptability of male circumcision as an HIV intervention among a rural Zulu population, Kwazulu-Natal, South Africa. AIDS Care. 2005;17(3):304–13.PubMedCrossRef
29.
go back to reference Bailey RC, Neema S, Othieno R. Sexual behaviors and other HIV risk factors in circumcised and uncircumcised men in Uganda. J Acquir Immune Defic Syndr. 1999;22(3):294–301.PubMedCrossRef Bailey RC, Neema S, Othieno R. Sexual behaviors and other HIV risk factors in circumcised and uncircumcised men in Uganda. J Acquir Immune Defic Syndr. 1999;22(3):294–301.PubMedCrossRef
30.
go back to reference Halperin DT, Fritz K, McFarland W, Woelk G. Acceptability of adult male circumcision for sexually transmitted disease and HIV prevention in Zimbabwe. Sex Transm Dis. 2005;32(4):238–9.PubMedCrossRef Halperin DT, Fritz K, McFarland W, Woelk G. Acceptability of adult male circumcision for sexually transmitted disease and HIV prevention in Zimbabwe. Sex Transm Dis. 2005;32(4):238–9.PubMedCrossRef
31.
go back to reference Bailey RC, Plummer FA, Moses S. Male circumcision and HIV prevention: current knowledge and future research directions. Lancet Infect Dis. 2001;1(4):223–31.PubMedCrossRef Bailey RC, Plummer FA, Moses S. Male circumcision and HIV prevention: current knowledge and future research directions. Lancet Infect Dis. 2001;1(4):223–31.PubMedCrossRef
32.
go back to reference Bailey RC, Muga R, Poulussen R, Abicht H. The acceptability of male circumcision to reduce HIV infections in Nyanza Province, Kenya. AIDS Care. 2002;14(1):27–40.PubMedCrossRef Bailey RC, Muga R, Poulussen R, Abicht H. The acceptability of male circumcision to reduce HIV infections in Nyanza Province, Kenya. AIDS Care. 2002;14(1):27–40.PubMedCrossRef
Metadata
Title
Acceptability of Male Circumcision Among Adolescent Boys and their Parents, Botswana
Authors
Oluwemimo Jayeoba
Scott Dryden-Peterson
Lillian Okui
Laura Smeaton
Jane Magetse
Lillian Makori
Venice Modikwa
Mpho Mogodi
Rebeca Plank
Shahin Lockman
Publication date
01-02-2012
Publisher
Springer US
Published in
AIDS and Behavior / Issue 2/2012
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-011-9929-7

Other articles of this Issue 2/2012

AIDS and Behavior 2/2012 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine