Low Uptake of Voluntary Medical Male Circumcision Among High Risk Men in Malawi

Maria Augusta Carrasco; Trang Quynh Nguyen; Michelle R. Kaufman

doi:10.1007/s10461-016-1633-1

Low Uptake of Voluntary Medical Male Circumcision Among High Risk Men in Malawi

Maria Augusta Carrasco, Trang Quynh Nguyen, Michelle R. Kaufman

Bloomberg School of Public Health

Research output: Contribution to journal › Article › peer-review

7 Scopus citations

Abstract

Malawi is one of 14 priority countries for voluntary medical male circumcision (VMMC) initiatives with the lowest VMMC uptake. Using data from a study of 269 men accessing VMMC in southern Malawi and latent class analysis, men were classified based on four risk factors: ever tested for HIV, condom use at last sex, having casual/concurrent sexual partners, and using alcohol before sex. Two distinct classes were identified: 8% of men were classified as high risk, while 92% were classified as low/medium risk. Poisson regression modeling indicated that men who had lower education (risk ratio [RR] 1.07, p < 0.05) and were ages 19–26 (RR 1.07, p < 0.05) were more likely to be in the high risk group. The low numbers of men in the high risk category seeking services suggests the need to implement targeted strategies to increase VMMC uptake among such high risk men.

Original language	English (US)
Pages (from-to)	447-453
Number of pages	7
Journal	AIDS and behavior
Volume	22
Issue number	2
DOIs	https://doi.org/10.1007/s10461-016-1633-1
State	Published - Feb 1 2018

Keywords

Biomedical intervention
HIV prevention
Malawi
Sub-Saharan Africa
Voluntary medical male circumcision

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

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10.1007/s10461-016-1633-1

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title = "Low Uptake of Voluntary Medical Male Circumcision Among High Risk Men in Malawi",

abstract = "Malawi is one of 14 priority countries for voluntary medical male circumcision (VMMC) initiatives with the lowest VMMC uptake. Using data from a study of 269 men accessing VMMC in southern Malawi and latent class analysis, men were classified based on four risk factors: ever tested for HIV, condom use at last sex, having casual/concurrent sexual partners, and using alcohol before sex. Two distinct classes were identified: 8% of men were classified as high risk, while 92% were classified as low/medium risk. Poisson regression modeling indicated that men who had lower education (risk ratio [RR] 1.07, p < 0.05) and were ages 19–26 (RR 1.07, p < 0.05) were more likely to be in the high risk group. The low numbers of men in the high risk category seeking services suggests the need to implement targeted strategies to increase VMMC uptake among such high risk men.",

keywords = "Biomedical intervention, HIV prevention, Malawi, Sub-Saharan Africa, Voluntary medical male circumcision",

author = "Carrasco, {Maria Augusta} and Nguyen, {Trang Quynh} and Kaufman, {Michelle R.}",

note = "Funding Information: Acknowledgements We would like to thank the following people for their support on this project: Jane Brown, Peter Roberts, Glory Mkandawire, Beth Deutsch, Timothy Mah, Jennifer Boyle, and the health facilities where data were collected. This research was supported by the United States Agency for International Development (USAID) under award number 674-A-00-09-00024-00 to the Johns Hopkins Center for Communication Programs. M.A. Carrasco was partially supported by the National Institute of Allergy and Infectious Disease (T32 AI050056-12). The views in this publication do not necessarily reflect the views of USAID or the United States Government. Publisher Copyright: {\textcopyright} 2016, Springer Science+Business Media New York (outside the USA).",

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N2 - Malawi is one of 14 priority countries for voluntary medical male circumcision (VMMC) initiatives with the lowest VMMC uptake. Using data from a study of 269 men accessing VMMC in southern Malawi and latent class analysis, men were classified based on four risk factors: ever tested for HIV, condom use at last sex, having casual/concurrent sexual partners, and using alcohol before sex. Two distinct classes were identified: 8% of men were classified as high risk, while 92% were classified as low/medium risk. Poisson regression modeling indicated that men who had lower education (risk ratio [RR] 1.07, p < 0.05) and were ages 19–26 (RR 1.07, p < 0.05) were more likely to be in the high risk group. The low numbers of men in the high risk category seeking services suggests the need to implement targeted strategies to increase VMMC uptake among such high risk men.

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Low Uptake of Voluntary Medical Male Circumcision Among High Risk Men in Malawi

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