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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Int+AIDS+Soc
2017 ; 20
(1
): 21498
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"Now that you are circumcised, you cannot have first sex with your wife": post
circumcision sexual behaviours and beliefs among men in Wakiso district, Uganda
#MMPMID28605174
Kibira SPS
; Atuyambe LM
; Sandøy IF
; Makumbi FE
; Daniel M
J Int AIDS Soc
2017[Jun]; 20
(1
): 21498
PMID28605174
show ga
INTRODUCTION: Safe male circumcision is an important biomedical intervention in
the comprehensive HIV prevention programmes implemented in 14 sub-Saharan African
countries with high HIV prevalence. To sustain its partial protective benefit, it
is important that perceived reduced HIV risk does not lead to behavioural risk
compensation among circumcised men and their sexual partners. This study explored
beliefs that may influence post circumcision sexual behaviours among circumcised
men in a programme setting. METHODS: Forty-eight in-depth interviews were
conducted with newly circumcised men in Wakiso district, central Uganda.
Twenty-five men seeking circumcision services at public health facilities in the
district were recruited from May to June 2015 and, interviewed at baseline and
after 6 months. Participants' beliefs and sexual behaviours were compared just
after circumcision and at follow up to explore changes. Data were managed using
atlas.ti7 and analysed following a thematic network analysis framework. RESULTS:
Four themes following safe male circumcision emerged from this study. Beliefs
related to: (1) sexual cleansing, (2) healing, (3) post SMC sexual capabilities
and (4) continued HIV transmission risk. Most men maintained or adopted safer
sexual behaviour; being faithful to their partner after circumcision or using
condoms with extramarital partners following the knowledge that there was
continued HIV risk post circumcision. The most prevalent risky belief was
regarding sexual cleansing post circumcision, and as a result of this belief,
some men had one off condom-less sexual intercourse with a casual partner. Some
resumed sex before the recommended period due to misunderstanding of what
comprised healing. CONCLUSIONS: Although most men maintained or adopted safer
sexual behaviour, there were instances of risky sexual behaviour resulting from
beliefs regarding the first sexual intercourse after circumcision or
misunderstandings of what comprised wound healing. If not addressed, these may
attenuate the safe male circumcision benefits of risk reduction for HIV.