HIV risk perception and behavior among medically and traditionally circumcised males in South Africa

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dc.contributor.authorZungu, N P
dc.contributor.authorSimbayi, L C
dc.contributor.authorMabaso, M
dc.contributor.authorEvans, M
dc.contributor.authorZuma, K
dc.contributor.authorNcitakalo, N
dc.contributor.authorSifunda, S
dc.date.accessioned2021-10-08T06:54:48Z
dc.date.available2021-10-08T06:54:48Z
dc.date.issued2016
dc.description.abstractAbstract Background In South Africa, voluntary medical male circumcision (VMMC) has recently been implemented as a strategy for reducing the risk of heterosexual HIV acquisition among men. However, there is some concern that VMMC may lead to low risk perception and more risky sexual behavior. This study investigated HIV risk perception and risk behaviors among men who have undergone either VMMC or traditional male circumcision (TMC) compared to those that had not been circumcised. Methods Data collected from the 2012 South African national population-based household survey for males aged 15 years and older were analyzed using bivariate and multivariate multinomial logistic regression, and relative risk ratios (RRRs) with 95 % confidence interval (CI) were used to assess factors associated with each type of circumcision relative no circumcision. Results Of the 11,086 males that indicated that they were circumcised or not, 19.5 % (95 % CI: 17.9–21.4) were medically circumcised, 27.2 % (95 % CI: 24.7–29.8) were traditionally circumcised and 53.3 % (95 % CI: 50.9–55.6) were not circumcised. In the final multivariate models, relative to uncircumcised males, males who reported VMMC were significantly more likely to have had more than two sexual partners (RRR = 1.67, p = 0.009), and males who reported TMC were significantly less likely to be low risk alcohol users (RRR = 0.72, p < 0.001). Conclusion There is a need to strengthen and improve the quality of the counselling component of VMMC with the focus on education about the real and present risk for HIV infection associated with multiple sexual partners and alcohol abuse following circumcision.
dc.identifier.apacitationZungu, N. P., Simbayi, L. C., Mabaso, M., Evans, M., Zuma, K., Ncitakalo, N., & Sifunda, S. (2016). HIV risk perception and behavior among medically and traditionally circumcised males in South Africa. <i>BMC Public Health</i>, 16(1), 174 - 177. http://hdl.handle.net/11427/34345en_ZA
dc.identifier.chicagocitationZungu, N P, L C Simbayi, M Mabaso, M Evans, K Zuma, N Ncitakalo, and S Sifunda "HIV risk perception and behavior among medically and traditionally circumcised males in South Africa." <i>BMC Public Health</i> 16, 1. (2016): 174 - 177. http://hdl.handle.net/11427/34345en_ZA
dc.identifier.citationZungu, N.P., Simbayi, L.C., Mabaso, M., Evans, M., Zuma, K., Ncitakalo, N. & Sifunda, S. 2016. HIV risk perception and behavior among medically and traditionally circumcised males in South Africa. <i>BMC Public Health.</i> 16(1):174 - 177. http://hdl.handle.net/11427/34345en_ZA
dc.identifier.issn1471-2458
dc.identifier.ris TY - Journal Article AU - Zungu, N P AU - Simbayi, L C AU - Mabaso, M AU - Evans, M AU - Zuma, K AU - Ncitakalo, N AU - Sifunda, S AB - Abstract Background In South Africa, voluntary medical male circumcision (VMMC) has recently been implemented as a strategy for reducing the risk of heterosexual HIV acquisition among men. However, there is some concern that VMMC may lead to low risk perception and more risky sexual behavior. This study investigated HIV risk perception and risk behaviors among men who have undergone either VMMC or traditional male circumcision (TMC) compared to those that had not been circumcised. Methods Data collected from the 2012 South African national population-based household survey for males aged 15 years and older were analyzed using bivariate and multivariate multinomial logistic regression, and relative risk ratios (RRRs) with 95 % confidence interval (CI) were used to assess factors associated with each type of circumcision relative no circumcision. Results Of the 11,086 males that indicated that they were circumcised or not, 19.5 % (95 % CI: 17.9–21.4) were medically circumcised, 27.2 % (95 % CI: 24.7–29.8) were traditionally circumcised and 53.3 % (95 % CI: 50.9–55.6) were not circumcised. In the final multivariate models, relative to uncircumcised males, males who reported VMMC were significantly more likely to have had more than two sexual partners (RRR = 1.67, p = 0.009), and males who reported TMC were significantly less likely to be low risk alcohol users (RRR = 0.72, p < 0.001). Conclusion There is a need to strengthen and improve the quality of the counselling component of VMMC with the focus on education about the real and present risk for HIV infection associated with multiple sexual partners and alcohol abuse following circumcision. DA - 2016 DB - OpenUCT DP - University of Cape Town IS - 1 J1 - BMC Public Health LK - https://open.uct.ac.za PY - 2016 SM - 1471-2458 T1 - HIV risk perception and behavior among medically and traditionally circumcised males in South Africa TI - HIV risk perception and behavior among medically and traditionally circumcised males in South Africa UR - http://hdl.handle.net/11427/34345 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/34345
dc.identifier.vancouvercitationZungu NP, Simbayi LC, Mabaso M, Evans M, Zuma K, Ncitakalo N, et al. HIV risk perception and behavior among medically and traditionally circumcised males in South Africa. BMC Public Health. 2016;16(1):174 - 177. http://hdl.handle.net/11427/34345.en_ZA
dc.language.isoeng
dc.publisher.departmentDepartment of Psychiatry and Mental Health
dc.publisher.facultyFaculty of Health Sciences
dc.sourceBMC Public Health
dc.source.journalissue1
dc.source.journalvolume16
dc.source.pagination174 - 177
dc.source.urihttps://dx.doi.org/10.1186/s12889-016-3024-y
dc.subject.otherHIV
dc.subject.otherMale circumcision
dc.subject.otherRisk behavior
dc.subject.otherRisk perception
dc.subject.otherAdolescent
dc.subject.otherAdult
dc.subject.otherAged
dc.subject.otherAlcohol Drinking
dc.subject.otherAlcoholism
dc.subject.otherCircumcision, Male
dc.subject.otherCulture
dc.subject.otherHIV
dc.subject.otherHIV Infections
dc.subject.otherHealth Knowledge, Attitudes, Practice
dc.subject.otherHeterosexuality
dc.subject.otherHumans
dc.subject.otherLogistic Models
dc.subject.otherMale
dc.subject.otherMiddle Aged
dc.subject.otherPerception
dc.subject.otherRisk Factors
dc.subject.otherRisk-Taking
dc.titleHIV risk perception and behavior among medically and traditionally circumcised males in South Africa
dc.typeJournal Article
uct.type.publicationResearch
uct.type.resourceJournal Article
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