Acceptability of male circumcision among adolescent boys and their parents, Botswana
- PMID: 21437725
- PMCID: PMC3951752
- DOI: 10.1007/s10461-011-9929-7
Acceptability of male circumcision among adolescent boys and their parents, Botswana
Abstract
Little is known of the acceptability of male circumcision (MC) to adolescent boys, a key target group for HIV prevention. We conducted a cluster design survey among adolescent boys and their parents/guardians in two villages in Botswana. Of 1300 households visited, 398 boys were eligible; 269 boys and 210 parents/guardians participated. MC was described correctly by 80% of boys, and 76% identified that MC reduces the risk of male HIV acquisition. After a brief informational session, 75% of boys stated that they would definitely want to be circumcised and 96% of parents/guardians would want their boy circumcised. Boys most frequently reported pain (49%) and possible health problems (19%) as concerns undergoing MC; concerns about peer or partner acceptance, sexual function, or cultural appropriateness were uncommon. Adolescent MC is likely to be highly acceptable in Botswana if done safely, for free and with adequate pain control in a hospital setting.
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References
-
- UNAIDS. AIDS epidemic update: November 2009. Geneva: UNAIDS; 2009.
-
- USAID. HIV/AIDS Health Profile: Southern Africa Region. 2008 [cited 2010]; Available from: http://www.usaid.gov/our_work/global_health/aids/Countries/africa/southe....
-
- Bongaarts J, Reining P, Way P, Conant F. The relationship between male circumcision and HIV infection in African populations. Aids. 1989 Jun;3(6):373–7. - PubMed
-
- Moses S, Bradley JE, Nagelkerke NJ, Ronald AR, Ndinya-Achola JO, Plummer FA. Geographical patterns of male circumcision practices in Africa: association with HIV seroprevalence. Int J Epidemiol. 1990 Sep;19(3):693–7. - PubMed
-
- Halperin DT, Bailey RC. Male circumcision and HIV infection: 10 years and counting. Lancet. 1999 Nov 20;354(9192):1813–5. - PubMed
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