HIV risk perception and changes in sexual behavior and sexual satisfaction following male circumcision among circumcised males and their female partners from a traditionally noncircumcising community in Kenya, 2012-2014

Introduction: The aim of this study was to determine HIV risk perception, sexual satisfaction and condom use among recently-circumcised sexually-active males and their female partners from a traditionally noncircumcising Kenyan community. Methods: A longitudinal bio-behavioural survey using intervi...

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Main Authors: Barbara Burmen, Kennedy Mutai, George Otieno Olilo
Format: Article
Language:English
Published: Edizioni FS 2018-11-01
Series:Journal of Health and Social Sciences
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Online Access:https://journalhss.com/wp-content/uploads/jhss33_281-296.pdf
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author Barbara Burmen
Kennedy Mutai
George Otieno Olilo
author_facet Barbara Burmen
Kennedy Mutai
George Otieno Olilo
author_sort Barbara Burmen
collection DOAJ
description Introduction: The aim of this study was to determine HIV risk perception, sexual satisfaction and condom use among recently-circumcised sexually-active males and their female partners from a traditionally noncircumcising Kenyan community. Methods: A longitudinal bio-behavioural survey using interviewer-administered structured questionnaires was conducted in Siaya County of Kenya between November 2012 and February 2014 among persons of both genders aged ≥13 years. Male respondents were characterized as ‘recently circumcised’ if they had been circumcised within the 2 years of the interview, ‘previously circumcised’ if prior to this and as ‘uncircumcised’. Sexual satisfaction was measured on a 3-point likert scale (‘satisfied’, ‘no opinion’, ‘dissatisfied’). Logistic regression analysis was carried out to compare self-reported characteristics of the survey respondents by their own (males) or their partners (females) circumcision status. Results: Of 3,285 men interviewed, 1,001 (30%) were circumcised, of whom 247 (25%) were recently circumcised. Of 4,171 women interviewed, 976 (24%) had primary partners who were circumcised of whom 151 (15%) had ‘recently circumcised’ primary partners. Recently circumcised males were more likely to be younger, single and unemployed; similarly, their female partners were more likely to be younger, single and have attained above primary education (P < 0.05). Most of (≥ 90%) all men and women believed that circumcised men are less likely to get HIV infection and felt that both reducing the number of sex partners, and condom use with a partner with unknown HIV status were still necessary despite male circumcision (MC) being available in their community. Majority of males and females (> 90%) were pleased with their own or their partners recent circumcision, sexual performance and condom use. Discussion and Conclusion: Messages to promote MC should incorporate information regarding preserved/enhanced sexual satisfaction, ease of condom use, and include women to promote MC, a onetime intervention, which is not associated with risk compensation.
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spelling doaj-art-09a5665dbb3e413f9040db7c3b389b602025-01-18T18:20:30ZengEdizioni FSJournal of Health and Social Sciences2499-22402499-58862018-11-013328129610.19204/2018/hvrs6HIV risk perception and changes in sexual behavior and sexual satisfaction following male circumcision among circumcised males and their female partners from a traditionally noncircumcising community in Kenya, 2012-2014Barbara Burmen0Kennedy Mutai1George Otieno Olilo2MBChB, MPH, PHD, Kenya Medical Research Institute/Centers for Global Health Research, (KEMRI/CGHR) Kisumu, Kenya, Busia Road, Kisumu, KenyaMSC Applied Statistics, Kenya Medical Research Institute/Centers for Global Health Research, (KEMRI/CGHR) Kisumu, Kenya, Busia Road, Kisumu, KenyaMmed Population Based Field Epidemiology, Kenya Medical Research Institute/Centers for Global Health Research, (KEMRI/CGHR) Kisumu, Kenya, Busia Road, Kisumu, KenyaIntroduction: The aim of this study was to determine HIV risk perception, sexual satisfaction and condom use among recently-circumcised sexually-active males and their female partners from a traditionally noncircumcising Kenyan community. Methods: A longitudinal bio-behavioural survey using interviewer-administered structured questionnaires was conducted in Siaya County of Kenya between November 2012 and February 2014 among persons of both genders aged ≥13 years. Male respondents were characterized as ‘recently circumcised’ if they had been circumcised within the 2 years of the interview, ‘previously circumcised’ if prior to this and as ‘uncircumcised’. Sexual satisfaction was measured on a 3-point likert scale (‘satisfied’, ‘no opinion’, ‘dissatisfied’). Logistic regression analysis was carried out to compare self-reported characteristics of the survey respondents by their own (males) or their partners (females) circumcision status. Results: Of 3,285 men interviewed, 1,001 (30%) were circumcised, of whom 247 (25%) were recently circumcised. Of 4,171 women interviewed, 976 (24%) had primary partners who were circumcised of whom 151 (15%) had ‘recently circumcised’ primary partners. Recently circumcised males were more likely to be younger, single and unemployed; similarly, their female partners were more likely to be younger, single and have attained above primary education (P < 0.05). Most of (≥ 90%) all men and women believed that circumcised men are less likely to get HIV infection and felt that both reducing the number of sex partners, and condom use with a partner with unknown HIV status were still necessary despite male circumcision (MC) being available in their community. Majority of males and females (> 90%) were pleased with their own or their partners recent circumcision, sexual performance and condom use. Discussion and Conclusion: Messages to promote MC should incorporate information regarding preserved/enhanced sexual satisfaction, ease of condom use, and include women to promote MC, a onetime intervention, which is not associated with risk compensation.https://journalhss.com/wp-content/uploads/jhss33_281-296.pdfAfrica; health behavior; HIV; male circumcision; female views; risk perception; sexual behavior; sexual satisfaction
spellingShingle Barbara Burmen
Kennedy Mutai
George Otieno Olilo
HIV risk perception and changes in sexual behavior and sexual satisfaction following male circumcision among circumcised males and their female partners from a traditionally noncircumcising community in Kenya, 2012-2014
Journal of Health and Social Sciences
Africa; health behavior; HIV; male circumcision; female views; risk perception; sexual behavior; sexual satisfaction
title HIV risk perception and changes in sexual behavior and sexual satisfaction following male circumcision among circumcised males and their female partners from a traditionally noncircumcising community in Kenya, 2012-2014
title_full HIV risk perception and changes in sexual behavior and sexual satisfaction following male circumcision among circumcised males and their female partners from a traditionally noncircumcising community in Kenya, 2012-2014
title_fullStr HIV risk perception and changes in sexual behavior and sexual satisfaction following male circumcision among circumcised males and their female partners from a traditionally noncircumcising community in Kenya, 2012-2014
title_full_unstemmed HIV risk perception and changes in sexual behavior and sexual satisfaction following male circumcision among circumcised males and their female partners from a traditionally noncircumcising community in Kenya, 2012-2014
title_short HIV risk perception and changes in sexual behavior and sexual satisfaction following male circumcision among circumcised males and their female partners from a traditionally noncircumcising community in Kenya, 2012-2014
title_sort hiv risk perception and changes in sexual behavior and sexual satisfaction following male circumcision among circumcised males and their female partners from a traditionally noncircumcising community in kenya 2012 2014
topic Africa; health behavior; HIV; male circumcision; female views; risk perception; sexual behavior; sexual satisfaction
url https://journalhss.com/wp-content/uploads/jhss33_281-296.pdf
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