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BMC Public Health
Published in: BMC Public Health 1/2012

Open Access 01-12-2012 | Research article

"Now we are in a different time; various bad diseases have come." understanding men's acceptability of male circumcision for HIV prevention in a moderate prevalence setting

Authors: Angela Kelly, Martha Kupul, Lisa Fitzgerald, Herick Aeno, James Neo, Richard Naketrumb, Peter Siba, John M Kaldor, Andrew Vallely, of the Male Circumcision Acceptability and Impact Study (MCAIS) team

Published in: BMC Public Health | Issue 1/2012

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Abstract

Background

Adult male surgical circumcision (MC) has been shown to reduce HIV acquisition in men and is recommended by the WHO for inclusion in comprehensive national HIV prevention programs in high prevalence settings. Only limited research to date has been conducted in countries experiencing moderate burden epidemics, where the acceptability, operational feasibility and potential epidemiological impact of MC remain unclear.

Methods

A multi-method qualitative research study was conducted at four sites in Papua New Guinea (PNG), with 24 focus group discussions and 65 in-depth interviews carried out among 276 men.

Results

The majority of men were in favour of MC being introduced for HIV prevention in PNG and considered improved genital hygiene, enhanced sexual pleasure and culturally appropriateness key factors in the acceptability of a future intervention. A minority of men were against the introduction of MC, primarily due to concerns regarding sexual risk compensation and that the intervention went against prevailing cultural and religious beliefs.

Conclusion

This is one of the first community-based MC acceptability studies conducted in a moderate prevalence setting outside of Africa. Research findings from this study suggest that a future MC program for HIV prevention would be widely accepted by men in PNG.
Appendix
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Metadata
Title
"Now we are in a different time; various bad diseases have come." understanding men's acceptability of male circumcision for HIV prevention in a moderate prevalence setting
Authors
Angela Kelly
Martha Kupul
Lisa Fitzgerald
Herick Aeno
James Neo
Richard Naketrumb
Peter Siba
John M Kaldor
Andrew Vallely
of the Male Circumcision Acceptability and Impact Study (MCAIS) team
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2012
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-12-67

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