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Open AccessJournal ArticleDOI

Acceptability, Knowledge, Beliefs, and Partners as Determinants of Zambian Men’s Readiness to Undergo Medical Male Circumcision

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TLDR
Men who had discussed MMC with their partners, those who endorsed MMC for HIV risk reduction, and those viewing MMC as culturally acceptable reported increased readiness to undergo MMC.
Abstract
There is limited information about the influence of partners on medical male circumcision (MMC) uptake This study aimed to evaluate attitudes, knowledge, and preferences about MMC among men and their partners, and their relative impact on male readiness to undergo the MMC procedure Male participants (n = 354) and their partners (n = 273) were recruited from community health centers in Lusaka, Zambia Men reported their readiness to undergo MMC, and both men and women were assessed regarding their attitudes and knowledge regarding MMC Men who had discussed MMC with their partners, those who endorsed MMC for HIV risk reduction, and those viewing MMC as culturally acceptable reported increased readiness to undergo MMC Additionally, endorsement of MMC by female partners was associated with increased men’s readiness Results support promotion of cultural acceptability of MMC, and efforts to increase MMC uptake may benefit from incorporating partners in the decision making process

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Journal ArticleDOI

Male circumcision for protection against HIV infection in sub-Saharan Africa: the evidence in favour justifies the implementation now in progress.

TL;DR: This article responds to a recent ‘controversy study’ directed at three randomised controlled trials (RCTs) of male circumcision (MC) for HIV prevention by pointing out the flaws in de Camargo et al.
Journal ArticleDOI

Female Partner Acceptance as a Predictor of Men's Readiness to Undergo Voluntary Medical Male Circumcision in Zambia: The Spear and Shield Project.

TL;DR: It was demonstrated that, at 12 months post-intervention, a 5.9 % increase in the likelihood of undergoing VMMC among men in the experimental condition could be attributed to increased women’s acceptance.
Journal ArticleDOI

Sexual Satisfaction, Performance, and Partner Response Following Voluntary Medical Male Circumcision in Zambia: The Spear and Shield Project.

TL;DR: Both men and their partners can generally expect equal or improved sexual satisfaction and penile hygiene following VMMC.
Journal ArticleDOI

Innovative Demand Creation for Voluntary Medical Male Circumcision Targeting a High Impact Male Population: A Pilot Study Engaging Pregnant Women at Antenatal Clinics in Kampala, Uganda.

TL;DR: The study demonstrated the feasibility of pregnant women engaging their spouses to discuss VMMC, and evaluated the impact of a pilot behavior change intervention on VMMC through a quasi-experimental approach.
References
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Health behavior and health education : theory, research, and practice

TL;DR: There are evidence-based clinical practice guidelines for most major behavioral health risks, including tobacco use, unhealthy diet, sedentary lifestyle, risky drinking, and diabetes management and there are parallel research-based guidelines for the health care system changes and policies needed to assure their delivery and use.
Journal ArticleDOI

Randomized, controlled intervention trial of male circumcision for reduction of HIV infection risk: the ANRS 1265 Trial.

TL;DR: Male circumcision provides a degree of protection against acquiring HIV infection, equivalent to what a vaccine of high efficacy would have achieved in sub-Saharan Africa.
Journal ArticleDOI

Stages of change and decisional balance for 12 problem behaviors

TL;DR: Clear commonalities were observed across the 12 areas, including both the internal structure of the measures and the pattern of changes in decisional balance across stages.
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