Hostname: page-component-78c5997874-lj6df Total loading time: 0 Render date: 2024-11-20T03:45:30.458Z Has data issue: false hasContentIssue false
  • English
  • Français

PREDICTORS OF MALE CIRCUMCISION AMONG MEN AGED 15–35 YEARS IN HARARE, ZIMBABWE

Published online by Cambridge University Press:  09 May 2017

Kudzaishe Mangombe  and
Ishumael Kalule-Sabiti
Kudzaishe Mangombe*
Affiliation:
School of Research & Postgraduate Studies, Faculty of Human and Social Sciences, North-West University (Mafikeng Campus), Mafikeng, South Africa
Ishumael Kalule-Sabiti
Affiliation:
School of Research & Postgraduate Studies, Faculty of Human and Social Sciences, North-West University (Mafikeng Campus), Mafikeng, South Africa
*
1Corresponding author: [email protected]
Get access Rights & Permissions [Opens in a new window]

Summary

Medical male circumcision has been recommended by the World Health Organization as part of a comprehensive approach to HIV prevention. Zimbabwe is one of the fourteen sub-Saharan countries that embarked on the Medical Male Circumcision (MMC) programme. However, the country has not yet met male circumcision targets. This paper examines the predictors of male circumcision in Zimbabwe. A cross-sectional survey was conducted on 784 men aged 15–35 years in Harare, Zimbabwe. Negative log-log logistic regression analysis was used to determine the predictors of male circumcision. The main predictors of circumcision were age, employment status, ever tested for HIV, approval of HIV testing prior to circumcision, knowledge about male circumcision and attitudes towards male circumcision. By and large, participants had good knowledge about male circumcision and viewed HIV prevention with a reasonably positive attitude. The identification of these predictors can be used to scale up the demand for male circumcision in Zimbabwe.

Type
Research Article
Information
Journal of Biosocial Science , Volume 50 , Issue 2 , March 2018 , pp. 193 - 211
Copyright
Copyright © Cambridge University Press, 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Auvert, B., Taljaard, D., Lagarde, E., Sobngwi-Tambekou, J., Sitta, R. & Puren, A. (2005) Randomized, controlled intervention trial of male circumcision for reduction of HIV infection risk: the ANRS 1265 trial. PLoS Medicine 2(11), e298.CrossRefGoogle ScholarPubMed
Bailey, R., Moses, S., Parker, C. B., Agot, K., Maclean, I., Krieger, J. N. & Ndinya-Achola, J. O. (2007) Male circumcision for HIV prevention in young men in Kisumu, Kenya: a randomised controlled trial. Lancet 369(9562), 643–656.CrossRefGoogle Scholar
Bailey, R., Muga, R., Poulussen, R. & Abicht, H. (2002) The acceptability of male circumcision to reduce HIV infections in Nyanza Province, Kenya. AIDS Care 14(1), 27–40.CrossRefGoogle ScholarPubMed
Beaman, L. & Dillon, A. (2012) Do household definitions matter in survey design? Results from a randomized survey experiment in Mali. Journal of Development Economics 98(1), 124–135.CrossRefGoogle Scholar
Bektaş, H. & Kulakaç, Ö. (2007) Knowledge and attitudes of nursing students toward patients living with HIV/AIDS (PLHIV): a Turkish perspective. AIDS Care 19(7), 888–894.CrossRefGoogle ScholarPubMed
Bonner, K. (2001) Male circumcision as an HIV control strategy: not a ‘natural condom’. Reproductive Health Matters 9(18), 143–155.CrossRefGoogle Scholar
Dionne, K. Y. & Poulin, M. (2013) Ethnic identity, region and attitudes towards male circumcision in a high HIV-prevalence country. Global Public Health 8(5), 607–618.CrossRefGoogle Scholar
Doyle, D. (2005) Ritual male circumcision: a brief history. Journal of the Royal College of Physicians of Edinburgh 35(3), 279–285.Google ScholarPubMed
Gasasira, R. A., Sarker, M., Tsague, L., Nsanzimana, S., Gwiza, A., Mbabazi, J. & Mugwaneza, P. (2012) Determinants of circumcision and willingness to be circumcised by Rwandan men, 2010. BMC Public Health 12(1), 134.CrossRefGoogle ScholarPubMed
Gray, R., Kigozi, G., Serwadda, D., Makumbi, F., Watya, S., Nalugoda, F. & Wawer, M. J. (2007) Male circumcision for HIV prevention in men in Rakai, Uganda: a randomised trial. Lancet 369(9562), 657–666.CrossRefGoogle ScholarPubMed
Gray, R., Serwadda, D., Tobian, A. A. R., Chen, M. Z., Makumbi, F., Suntoke, T. & Wawer, M. J. (2009) Effects of genital ulcer disease and herpes simplex virus type 2 on the efficacy of male circumcision for HIV prevention: analyses from the Rakai trials. PLoS Medicine 6(11), e1000187.CrossRefGoogle ScholarPubMed
Herman-Roloff, A., Otieno, N., Agot, K., Ndinya-Achola, J. & Bailey, R. C. (2011) Acceptability of medical male circumcision among uncircumcised men in Kenya one year after the launch of the national male circumcision program. PLoS One 6(5).CrossRefGoogle ScholarPubMed
Hoffman, L. A. (1996) Covenant of Blood: Circumcision and Gender in Rabbinic Judaism. University of Chicago Press.Google Scholar
Khumalo-Sakutukwa, G., Lane, T., van-Rooyen, H., Chingono, A., Humphries, H., Timbe, A. & Morin, S. F. (2013) Understanding and addressing socio-cultural barriers to medical male circumcision in traditionally non-circumcising rural communities in sub-Saharan Africa. Culture, Health & Sexuality 15(9), 1085–1100.CrossRefGoogle ScholarPubMed
Kish, L. (1995) Survey Sampling. John Wiley, New York.Google Scholar
McCullagh, P. (1980) Regression models for ordinal data. Journal of the Royal Statistical Society: Series B 42(2), 109–142.Google Scholar
Mavhu, W., Buzdugan, R., Langhaug, L. F., Hatzold, K., Benedikt, C., Sherman, J. & Cowan, F. M. (2011) Prevalence and factors associated with knowledge of and willingness for male circumcision in rural Zimbabwe. Tropical Medicine & International Health 16(5), 589–597.CrossRefGoogle ScholarPubMed
MOHCW (2009) Zimbabwe Policy Guidelines on Safe and Voluntary Male Circumcision. Ministry of Health and Child Welfare, Zimbabwe.Google Scholar
Obure, A. F., Nyambedha, E., Oindo, B. & Kodero, H. M. (2009) Psychosocial factors influencing promotion of male circumcision for HIV prevention in a non-circumcising community in rural western Kenya. Qualitative Report 14(4), 665–687.Google Scholar
Rain-Taljaard, R. C., Lagarde, E., Taljaard, D. J., Campbell, C., MacPhail, C., Williams, B. & Auvert, B. (2003) Potential for an intervention based on male circumcision in a South African town with high levels of HIV infection. AIDS Care 15(3), 315–327.CrossRefGoogle Scholar
Saungweme, T., Matsvai, S. & Sakuhuni, R. (2014) Econometric analysis of unemployment, output and growth of the informal sector in Zimbabwe (1985–2013). International Journal of Economics and Research v5i2, 1–9.Google Scholar
Sibanda, F. (2013) Beyond identity scars: reflections on the vitality of Shangani male circumcision in the context of HIV and AIDS in Zimbabwe. Journal of Emerging Trends in Educational Research and Policy Studies 4(1), 1.Google Scholar
Szabo, R. & Short, R. V. (2000) How does male circumcision protect against HIV infection? British Medical Journal 320(7249), 1592–1594.CrossRefGoogle ScholarPubMed
Tobian, A. A. R., Serwadda, D., Quinn, T. C., Kigozi, G., Gravitt, P. E., Laeyendecker, O. & Gray, R. H. (2009) Male circumcision for the prevention of HSV-2 and HPV infections and syphilis. New England Journal of Medicine 360(13), 1298–1309.CrossRefGoogle ScholarPubMed
Tram, K. H. & Bertrand, J. T. (2014) Correlates of male circumcision in eastern and southern African countries: establishing a baseline prior to VMMC scale-up. PLoS One 9(6), e100775.CrossRefGoogle ScholarPubMed
United Nations World Food Programme (2015) Smart Investment to End HIV AIDS in Zimbabwe based on Hotspot Analysis. Ministry of Health and Child Welfare, Zimbabwe.Google Scholar
Wabwire-Mangen, F., Odiit, M., Kirungi, W., Kisitu, D. K. & Wanyama, J. O. (2009) Uganda – HIV Modes of Transmission and Prevention Response Analysis. World Bank, No. 76418, pp. 1–58. URL: http://documents.banquemondiale.org/curated/fr/2009/03/17547257/uganda-hiv-modes-transmission-prevention-response-analysis (accessed 8th May 2015).Google Scholar
Westercamp, N. & Bailey, R. (2007) Acceptability of male circumcision for prevention of HIV/AIDS in sub-Saharan Africa: a review. AIDS and Behavior 11(3), 341–355.CrossRefGoogle ScholarPubMed
WHO & UNAIDS (2007) WHO Male Circumcision: Global Trends and Determinants of Prevalence, Safety and Acceptability. URL: http://www.who.int/hiv/pub/malecircumcision/globaltrends/en/ (accessed 28th October 2014).Google Scholar
Wilcken, A., Keil, T. & Dick, B. (2010) Traditional male circumcision in eastern and southern Africa: a systematic review of prevalence and complications. Bulletin of the World Health Organization 88(12), 907–914.CrossRefGoogle ScholarPubMed
ZIMSTAT & ICF International (2012) Zimbabwe Demographic and Health Survey. Zimbabwe National Statistics Agency and ICF International Inc., Calverton, MD.Google Scholar
ZIMSTAT & International (2016) Zimbabwe Demographic and Health Survey. Zimbabwe National Statistics Agency and ICF International Inc., Calverton, MD.Google Scholar