TY - JOUR
T1 - Women’s role in male circumcision promotion in Rakai, Uganda
AU - Nakyanjo, Neema
AU - Piccinini, Danielle
AU - Kisakye, Alice
AU - Yeh, Ping Teresa
AU - Ddaaki, William
AU - Kigozi, Godfrey
AU - Gray, Ronald H.
AU - Kennedy, Caitlin E.
N1 - Funding Information:
This work was supported by National Institutes of Health [grant number U01AI100031].
Publisher Copyright:
© 2018, © 2018 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2019/4/3
Y1 - 2019/4/3
N2 - Medical male circumcision (MMC) has expanded in sub-Saharan Africa, yet uptake remains sub-optimal. We sought to understand women’s perceptions of and influence on MMC in Rakai, Uganda. We conducted in-depth interviews with 27 women in fishing and trading communities, including women married to circumcised and uncircumcised men, single women, and sex workers. Data analysis followed a team-based framework approach. All female participants preferred circumcised men because of perceived reduced HIV and sexually transmitted infection (STI) risk, improved penile hygiene, and increased sexual pleasure. Perceived negative aspects included abstinence during wound healing, potentially increased male sexual risk behaviors, fear of being blamed for HIV acquisition, and economic insecurity due to time off work. Participants felt women could persuade their partners to be circumcised, accompany them to the clinic, refuse sex with uncircumcised men, and participate in community MMC activities. Findings support women’s important role in MMC acceptance.
AB - Medical male circumcision (MMC) has expanded in sub-Saharan Africa, yet uptake remains sub-optimal. We sought to understand women’s perceptions of and influence on MMC in Rakai, Uganda. We conducted in-depth interviews with 27 women in fishing and trading communities, including women married to circumcised and uncircumcised men, single women, and sex workers. Data analysis followed a team-based framework approach. All female participants preferred circumcised men because of perceived reduced HIV and sexually transmitted infection (STI) risk, improved penile hygiene, and increased sexual pleasure. Perceived negative aspects included abstinence during wound healing, potentially increased male sexual risk behaviors, fear of being blamed for HIV acquisition, and economic insecurity due to time off work. Participants felt women could persuade their partners to be circumcised, accompany them to the clinic, refuse sex with uncircumcised men, and participate in community MMC activities. Findings support women’s important role in MMC acceptance.
KW - Male circumcision
KW - qualitative study
KW - women’s attitudes
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U2 - 10.1080/09540121.2018.1500009
DO - 10.1080/09540121.2018.1500009
M3 - Article
C2 - 30010413
AN - SCOPUS:85049927279
SN - 0954-0121
VL - 31
SP - 443
EP - 450
JO - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
JF - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
IS - 4
ER -