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Medical News

Factors Associated With Uptake of Infant Male Circumcision for HIV Prevention in Western Kenya

June 21, 2012

Three randomized trials have shown male circumcision decreases female-to-male HIV incidence by 60 percent. The study authors note that this research in sub-Saharan Africa has centered on adolescents and adults. Modeling suggests the cost-effectiveness of infant male circumcision in high to moderate seroprevalent regions. The authors examined parental decision-making and differences in characteristics of parents in western Kenya accepting or declining IMC services.

In 2010, the case-control study was conducted at five government hospitals in Nyanza province. Mothers and fathers accepting IMC comprised the cases, while controls were parents who declined such services. A 41-question survey was administered.

The study enrolled 627 mothers and 493 fathers. Multivariable logistic regression modeling showed factors associated with mothers accepting IMC were: father circumcised (odds ratio=2.30, P<.001) and agreement with father about IMC decision (OR=4.38, P<.001). Among fathers, factors associated with accepting IMC were: being circumcised (OR=1.77; P=.016) and agreement with mother about IMC (OR=11.0, P<.001). In most instances (66 percent), fathers were the primary decision-makers. Just 3 percent of parents said they would prefer a future son to remain uncircumcised.

"Fathers are important in the IMC decision-making process," the authors concluded. "Fathers, as well as mothers, should be targeted for optimal scale-up of IMC services. Circumcision programs should offer services for males of all ages, as male circumcision at some age is highly acceptable to both men and women."

Back to other news for June 2012

Adapted from:
06.18.2012; doi:10.1542/peds.2011-2290; Marisa R. Young, BA; and others

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This article was provided by CDC National Prevention Information Network. It is a part of the publication CDC HIV/Hepatitis/STD/TB Prevention News Update.
See Also
Quiz: Are You at Risk for HIV?
10 Common Fears About HIV Transmission
More on HIV Prevention in Kenya

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