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Knowledge and perceptions of male immigrants from Eastern and Southern Africa residing in Leeds (UK) towards male circumcision, as an HIV preventive strategy

Artikel i vetenskaplig tidskrift
Författare Catherine Atuhaire
Kabanda Taseera
Chris Spoor
Rosaline Yumumkah Cumber
Samuel Nambile Cumber
Publicerad i Southern African Journal of HIV Medicine
ISSN 2078-6751
Publiceringsår 2019
Publicerad vid Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa, enheten för hälsometri
Språk en
Ämnesord Male circumcision; Knowledge; Perceptions; HIV prevention.
Ämneskategorier Annan medicin och hälsovetenskap, Medicinska grundvetenskaper, Hälsovetenskaper

Sammanfattning

Background: The World Health Organization has accepted and recommended medical male circumcision (MMC) as a HIV prevention strategy. Despite the advantages of MMC, the rate of uptake of this practice among immigrants and the general population in the United Kingdom (UK) is still low, yet the procedure is provided in public and private health facilities. The role of negative perception and the percentage contribution to low circumcision rates remains unknown. Because immigrants are a group vulnerable to HIV in the UK, this study sought to understand their knowledge and perceptions. Methodology: We enrolled (N = 10) 10 participants for a qualitative study, and all participants were purposively selected using snowball recruitment methods. Data were collected during individual in-depth interviews using semi-structured interview guides. Responses were audio recorded, transcribed and analysed using thematic analysis. Appropriate themes were generated from the data collected. Results: We found that the majority looked at male circumcision (MC) as a practice to fulfil their cultural and religious obligations rather than HIV prevention. Few participants showed belief and certainty that it was an effective strategy of HIV prevention, indicating limited knowledge. The participants also expressed perceived dangers of MC, which acted as a barrier to accept the procedure. These included fear of pain, complications from the procedure and possible infections when carried out through traditional methods. Conclusion: Male circumcision is mainly practised to fulfil cultural and religious norms but not as an HIV prevention strategy. More research is needed to study the availability, affordability and acceptability of MMC among immigrants in the UK.

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