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Condom avoidance and determinants of demand for male circumcision inJohannesburg, South Africa
Jun 28th, 2011 - 05:03:41
Bridges et al 2010 MMC determinants.pdf
FYI- this is a very important study, possibly debunking MMC opponents'
claim that men get circumcised because they think they won't have to
use condoms anymore- that they have an "invisible condom."
It could potentially be taken to reflect on the success of messaging
and demand creation efforts here in Gauteng Province in South Africa.
Seems like men (except white men?) are getting the right information
about MMC and its benefits.
Condom avoidance and determinants of demand for male circumcision in
Johannesburg, South Africa
John F P Bridges,1* Fred W Selck,1 Glenda E Gray,2 James A McIntyre2
and Neil A Martinson2,3
1Johns Hopkins Bloomberg School of Public Health, Department of Health
Policy and Management, Baltimore, MD, USA,
2Perinatal HIV Research Unit, University of the Witwatersrand,
Johannesburg, South Africa and 3Johns Hopkins University
School of Medicine, Baltimore, MD, USA
*Corresponding author. Assistant Professor, Department of Health
Policy & Management, Johns Hopkins Bloomberg School of Public
Health, 624 N. Broadway, Rm 689, Baltimore, MD 21205, USA. Tel: þ1
410-614-9851. Fax: þ1 410-614-9152. E-mail: jbridges (at) jhsph.edu
Accepted 13 July 2010
Circumcision is efficacious in reducing HIV acquisition in heterosexual males.
The South Africa government has been reluctant to adopt a national circumcision
programme, possibly due to concerns that circumcision may result in
decreased condom use.
To identify the determinants of demand for male circumcision, to examine
variations by ethnicity, and to determine whether it is demanded to avoid
403 parents and 237 sons in Johannesburg, South Africa, were recruited through
a randomized household survey, with oversampling to balance between blacks
(n¼220), coloured (mixed ethnicity) (n¼202) and whites (n¼218). The
demand for male circumcision was estimated using a conjoint analysis, with
each respondent randomly receiving four tasks comparing seven possible
benefitssix identified through key informant interviews and one for condom
avoidance. Respondents choices were analysed using logistic regression,
including stratified analyses to test for homogeneity.
Overall, circumcisions beneficial effects on HIV transmission (P