TY - JOUR
T1 - Low Uptake of Voluntary Medical Male Circumcision Among High Risk Men in Malawi
AU - Carrasco, Maria Augusta
AU - Nguyen, Trang Quynh
AU - Kaufman, Michelle R.
N1 - Funding Information:
Acknowledgements We would like to thank the following people for their support on this project: Jane Brown, Peter Roberts, Glory Mkandawire, Beth Deutsch, Timothy Mah, Jennifer Boyle, and the health facilities where data were collected. This research was supported by the United States Agency for International Development (USAID) under award number 674-A-00-09-00024-00 to the Johns Hopkins Center for Communication Programs. M.A. Carrasco was partially supported by the National Institute of Allergy and Infectious Disease (T32 AI050056-12). The views in this publication do not necessarily reflect the views of USAID or the United States Government.
Publisher Copyright:
© 2016, Springer Science+Business Media New York (outside the USA).
PY - 2018/2/1
Y1 - 2018/2/1
N2 - Malawi is one of 14 priority countries for voluntary medical male circumcision (VMMC) initiatives with the lowest VMMC uptake. Using data from a study of 269 men accessing VMMC in southern Malawi and latent class analysis, men were classified based on four risk factors: ever tested for HIV, condom use at last sex, having casual/concurrent sexual partners, and using alcohol before sex. Two distinct classes were identified: 8% of men were classified as high risk, while 92% were classified as low/medium risk. Poisson regression modeling indicated that men who had lower education (risk ratio [RR] 1.07, p < 0.05) and were ages 19–26 (RR 1.07, p < 0.05) were more likely to be in the high risk group. The low numbers of men in the high risk category seeking services suggests the need to implement targeted strategies to increase VMMC uptake among such high risk men.
AB - Malawi is one of 14 priority countries for voluntary medical male circumcision (VMMC) initiatives with the lowest VMMC uptake. Using data from a study of 269 men accessing VMMC in southern Malawi and latent class analysis, men were classified based on four risk factors: ever tested for HIV, condom use at last sex, having casual/concurrent sexual partners, and using alcohol before sex. Two distinct classes were identified: 8% of men were classified as high risk, while 92% were classified as low/medium risk. Poisson regression modeling indicated that men who had lower education (risk ratio [RR] 1.07, p < 0.05) and were ages 19–26 (RR 1.07, p < 0.05) were more likely to be in the high risk group. The low numbers of men in the high risk category seeking services suggests the need to implement targeted strategies to increase VMMC uptake among such high risk men.
KW - Biomedical intervention
KW - HIV prevention
KW - Malawi
KW - Sub-Saharan Africa
KW - Voluntary medical male circumcision
UR - https://www.scopus.com/pages/publications/85003945046
UR - https://www.scopus.com/pages/publications/85003945046#tab=citedBy
U2 - 10.1007/s10461-016-1633-1
DO - 10.1007/s10461-016-1633-1
M3 - Article
C2 - 27943000
AN - SCOPUS:85003945046
SN - 1090-7165
VL - 22
SP - 447
EP - 453
JO - AIDS and behavior
JF - AIDS and behavior
IS - 2
ER -