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    Apr 14, 2021
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    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

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    Maraux B et al - 2017 - Womens ...
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    Authors
    Maraux, B
    Lissouba, P
    Rain-Taljaard, R
    Taljaard, D
    Bouscaillou, J
    Lewis, D
    Puren, A
    Auvert, B
    Issue Date
    2017-03-24
    Submitted date
    2017-03-29
    
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    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
    URI
    http://hdl.handle.net/10144/618872
    DOI
    10.1371/journal.pone.0173595
    PubMed ID
    28339497
    Language
    en
    ISSN
    1932-6203
    ae974a485f413a2113503eed53cd6c53
    10.1371/journal.pone.0173595
    Scopus Count
    Collections
    HIV/AIDS

    entitlement

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