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AIDS Behav. 2016 Nov;20(11):2489-2502.

Needs Assessment and Theory-Based Promotion of Voluntary Medical Male Circumcision (VMMC) Among Male Sexually Transmitted Diseases Patients (MSTDP) in China.

Wang Z1,2, Feng T3, Lau JT4,5,6,7.

Author information

1
Centre for Health Behaviours Research, JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Shatin, NT, Hong Kong SAR, China.
2
CUHK Shenzhen Research Institute (SZRI), Shenzhen, China.
3
Shenzhen Center for Chronic Disease Control, Shenzhen, China.
4
Centre for Health Behaviours Research, JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Shatin, NT, Hong Kong SAR, China. jlau@cuhk.edu.hk.
5
CUHK Shenzhen Research Institute (SZRI), Shenzhen, China. jlau@cuhk.edu.hk.
6
Centre for Medical Anthropology and Behavioral Health, Sun Yat-sen University, Guangzhou, China. jlau@cuhk.edu.hk.
7
5F, School of Public Health, Prince of Wales Hospital, Shatin, NT, Hong Kong SAR, China. jlau@cuhk.edu.hk.

Abstract

Voluntary medical male circumcision (VMMC) is an evidence-based biomedical HIV prevention method. It is under-utilized in countries outside Africa, including China. The present single-arm, non-blinded test-of-concept trial was designed to promote VMMC among 179 male sexually transmitted diseases patients (MSTDP) in Shenzhen, China. It was based on behavioral health theories and results of a formative survey. At month 4, 45.5 % of the MSTDP responded positively to the intervention (19.9 % had taken up VMMC and 25.6 % intended to do so in the next 6 months). Adjusted analysis showed that cognitive variables measured at baseline (perceived self-efficacy, subjective norm and behavioral intention) significantly predicted adoption of VMMC during the 4-month follow-up period. Process evaluation involving clinicians of the STD clinics was positive. At month 6, 36.0 % of the circumcised participants used condom less frequently with their regular sex partner. We recommend scaling up the intervention, taking prevention of risk compensation into account.

KEYWORDS:

China; Male STD patients; Promotion; Risk compensation; Voluntary medical male circumcision

PMID:
25801474
DOI:
10.1007/s10461-015-1040-z
[Indexed for MEDLINE]

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