Show simple item record

dc.contributor.authorKibira, Simon Peter
dc.contributor.authorSandoy, Ingvild
dc.contributor.authorDaniel, Marguerite
dc.contributor.authorAtuyambe, Lynn
dc.contributor.authorMakumbi, Fredrick
dc.date.accessioned2017-01-30T10:24:50Z
dc.date.available2017-01-30T10:24:50Z
dc.date.issued2016-01
dc.identifier.citationKibira, S.P., Sandoy, I.F., Daniel, M., Atuyambe, L.M., Makumbi, F.E. (2016). A comparison of sexual risk behaviours and HIV seroprevalence among circumcised and uncircumcised men before and after implementation of the safe male circumcision programme in Uganda. BMC Public Health, 16(1):7en_US
dc.identifier.issn1471-2458
dc.identifier.urihttp://hdl.handle.net/10570/5519
dc.description.abstractBackground: Although male circumcision reduces the heterosexual HIV transmission risk, its effect may be attenuated if circumcised men increase sexual risk behaviours (SRB) due to perceived low risk. In Uganda information about the protective effects of circumcision has been publicly disseminated since 2007. If increased awareness of the protection increases SRB among circumcised men, it is likely that differences in prevalence of SRB among circumcised versus uncircumcised men will change over time. This study aimed at comparing SRBs and HIV sero-status of circumcised and uncircumcised men before and after the launch of the safe male circumcision programme. Methods: Data from the 2004 and 2011 Uganda AIDS Indicator Surveys (UAIS) were used. The analyses were based on generalized linear models, obtaining prevalence ratios (PR) as measures of association between circumcision status and multiple sexual partners, transactional sex, sex with non-marital partners, condom use at last non-marital sex, and HIV infection. In addition we conducted multivariate analyses adjusted for sociodemographic characteristics, and the multivariate models for HIV status were also adjusted for SRB. Results: Twenty six percent of men were circumcised in 2004 and 28% in 2011. Prevalence of SRB was higher among circumcised men in both surveys. In the unadjusted analysis, circumcision was associated with having multiple sexual partners and non-marital partners. Condom use was not associated with circumcision in 2004, but in 2011 circumcised men were less likely to report condom use with the last non-marital partner. The associations between the other sexual risk behaviours and circumcision status were stable across the two surveys.” In both surveys, circumcised men were less likely to be HIV positive (Adj PR 0.55; CI: 0.41-0.73 in 2004 and Adj PR 0.64; CI: 0.49-0.83 in 2011). Conclusions: There was higher prevalence of SRBs among circumcised men in both surveys, but the only significant change from 2004 to 2011 was a lower prevalence of condom use among the circumcised. Nevertheless, HIV prevalence was lower among circumcised men. Targeted messages for circumcised men and their sexual partners to continue using condoms even after circumcision should be enhanced to avoid risk compensation.en_US
dc.language.isoenen_US
dc.publisherBioMed Centralen_US
dc.subjectMale circumcisionen_US
dc.subjectCondom useen_US
dc.subjectSexual risk behavioursen_US
dc.subjectHIV/AIDSen_US
dc.subjectMultiple partnersen_US
dc.subjectNon-marital sexen_US
dc.subjectUgandaen_US
dc.titleA comparison of sexual risk behaviours and HIV seroprevalence among circumcised and uncircumcised men before and after implementation of the safe male circumcision programme in Ugandaen_US
dc.typeJournal articleen_US


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record