Women's Knowledge and Perception of Male Circumcision Before and After Its Roll-Out in the South African Township of Orange Farm from Community-Based Cross-Sectional Surveys

Hdl Handle:
http://hdl.handle.net/10144/618872
Title:
Women's Knowledge and Perception of Male Circumcision Before and After Its Roll-Out in the South African Township of Orange Farm from Community-Based Cross-Sectional Surveys
Authors:
Maraux, B; Lissouba, P; Rain-Taljaard, R; Taljaard, D; Bouscaillou, J; Lewis, D; Puren, A; Auvert, B
Journal:
PloS One
Abstract:
The roll-out of medical male circumcision (MC) is progressing in Southern and Eastern Africa. Little is known about the effect of this roll-out on women. The objective of this study was to assess the knowledge and perceptions of women regarding MC in a setting before and after the roll-out. This study was conducted in the South African township of Orange Farm where MC prevalence among men increased from 17% to 53% in the period 2008-2010. Data from three community-based cross sectional surveys conducted in 2007, 2010 and 2012 among 1258, 1197 and 2583 adult women, respectively were studied. In 2012, among 2583 women, 73.7% reported a preference for circumcised partners, and 87.9% knew that circumcised men could become infected with HIV. A total of 95.8% preferred to have their male children circumcised. These three proportions increased significantly during the roll-out. In 2007, the corresponding values were 64.4%, 82.9% and 80.4%, respectively. Among 2581 women having had sexual intercourse with circumcised and uncircumcised men, a majority (55.8%, 1440/2581) agreed that it was easier for a circumcised man to use a condom, 20.5% (530/2581) disagreed; and 23.07 (611/2581) did not know. However, some women incorrectly stated that they were fully (32/2579; 1.2%; 95%CI: 0.9% to 1.7%) or partially (233/2579; 9.0%; 95%CI: 8.0% to 10.2%) protected when having unprotected sex with a circumcised HIV-positive partner. This study shows that the favorable perception of women and relatively correct knowledge regarding VMMC had increased during the roll-out of VMMC. When possible, women should participate in the promotion of VMMC although further effort should be made to improve their knowledge.
Publisher:
Public Library of Science
Issue Date:
24-Mar-2017
URI:
http://hdl.handle.net/10144/618872
DOI:
10.1371/journal.pone.0173595
PubMed ID:
28339497
Submitted date:
2017-03-29
Language:
en
ISSN:
1932-6203
Appears in Collections:
HIV/AIDS

Full metadata record

DC FieldValue Language
dc.contributor.authorMaraux, Ben
dc.contributor.authorLissouba, Pen
dc.contributor.authorRain-Taljaard, Ren
dc.contributor.authorTaljaard, Den
dc.contributor.authorBouscaillou, Jen
dc.contributor.authorLewis, Den
dc.contributor.authorPuren, Aen
dc.contributor.authorAuvert, Ben
dc.date.accessioned2017-03-30T13:25:55Z-
dc.date.available2017-03-30T13:25:55Z-
dc.date.issued2017-03-24-
dc.date.submitted2017-03-29-
dc.identifier.citationWomen's Knowledge and Perception of Male Circumcision Before and After Its Roll-Out in the South African Township of Orange Farm from Community-Based Cross-Sectional Surveys. 2017, 12 (3):e0173595 PLoS ONEen
dc.identifier.issn1932-6203-
dc.identifier.pmid28339497-
dc.identifier.doi10.1371/journal.pone.0173595-
dc.identifier.urihttp://hdl.handle.net/10144/618872-
dc.description.abstractThe roll-out of medical male circumcision (MC) is progressing in Southern and Eastern Africa. Little is known about the effect of this roll-out on women. The objective of this study was to assess the knowledge and perceptions of women regarding MC in a setting before and after the roll-out. This study was conducted in the South African township of Orange Farm where MC prevalence among men increased from 17% to 53% in the period 2008-2010. Data from three community-based cross sectional surveys conducted in 2007, 2010 and 2012 among 1258, 1197 and 2583 adult women, respectively were studied. In 2012, among 2583 women, 73.7% reported a preference for circumcised partners, and 87.9% knew that circumcised men could become infected with HIV. A total of 95.8% preferred to have their male children circumcised. These three proportions increased significantly during the roll-out. In 2007, the corresponding values were 64.4%, 82.9% and 80.4%, respectively. Among 2581 women having had sexual intercourse with circumcised and uncircumcised men, a majority (55.8%, 1440/2581) agreed that it was easier for a circumcised man to use a condom, 20.5% (530/2581) disagreed; and 23.07 (611/2581) did not know. However, some women incorrectly stated that they were fully (32/2579; 1.2%; 95%CI: 0.9% to 1.7%) or partially (233/2579; 9.0%; 95%CI: 8.0% to 10.2%) protected when having unprotected sex with a circumcised HIV-positive partner. This study shows that the favorable perception of women and relatively correct knowledge regarding VMMC had increased during the roll-out of VMMC. When possible, women should participate in the promotion of VMMC although further effort should be made to improve their knowledge.en
dc.language.isoenen
dc.publisherPublic Library of Scienceen
dc.rightsPublished by Public Library of Science, [url]http://www.plosone.org/[/url] Archived on this site by Open Access permission.en
dc.titleWomen's Knowledge and Perception of Male Circumcision Before and After Its Roll-Out in the South African Township of Orange Farm from Community-Based Cross-Sectional Surveysen
dc.identifier.journalPloS Oneen

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