Understanding and addressing socio-cultural barriers to medical male circumcision in traditionally non-circumcising rural communities in sub-Saharan Africa
| Autor: | Andrew Timbe, Gertrude Khumalo-Sakutukwa, Admire Chirowodza, Alfred Chingono, Katherine Fritz, Hilton Humphries, Stephen F. Morin, Heidi van-Rooyen, Tim Lane |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Rural Population Zimbabwe Male Cultural Studies Pediatric AIDS cultural identity Health (social science) Cultural identity barriers Population Culture Clinical Trials and Supportive Activities Ethnic group Context (language use) Human sexuality HIV Infections Article Social group South Africa Sociology Circumcision Clinical Research male circumcision Medicine Humans education Socioeconomics Masculinity Pediatric education.field_of_study business.industry Public Health Environmental and Occupational Health HIV Gender studies Focus Groups Middle Aged Patient Acceptance of Health Care Focus group sexuality Circumcision Male Public Health and Health Services HIV/AIDS Female Public Health Rural area business Infection Sexuality |
| Zdroj: | Culture, health & sexuality, vol 15, iss 9 |
| Popis: | Given the success of recent clinical trials establishing the safety and efficacy of adult medical male circumcision in Africa, attention has now shifted to barriers and facilitators to programmatic implementation in traditionally non-circumcising communities. In this study, we attempted to develop a fuller understanding of the role of cultural issues in the acceptance of adult circumcision. We conducted four focus group discussions with 28 participants in Mutoko in Zimbabwe, and 33 participants in Vulindlela, in KwaZulu-Natal, South Africa, as well as 19 key informant interviews in both settings. We found the concept of male circumcision to be an alien practice, particularly as expressed in the context of local languages. Cultural barriers included local concepts of ethnicity, social groups, masculinity, and sexuality. On the other hand, we found that concerns about the impact of HIV on communities resulted in willingness to consider adult male circumcision as an option if it would result in lowering the local burden of the epidemic. Adult medical male circumcision promotional messages that create a synergy between understandings of both traditional and medical circumcision will be more successful in these communities. |
| Databáze: | OpenAIRE |
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