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Three randomized trials have shown
male circumcision decreases female-to-male HIV incidence by 60 percent. The
study authors note that this research in sub-Saharan Africa has centered on
adolescents and adults. Modeling suggests the cost-effectiveness of infant male
circumcision in high to moderate seroprevalent regions. The authors examined
parental decision-making and differences in characteristics of parents in
western Kenya accepting or declining IMC services.
In 2010, the case-control study was
conducted at five government hospitals in Nyanza province. Mothers and fathers
accepting IMC comprised the cases, while controls were parents who declined
such services. A 41-question survey was administered.
The study enrolled 627 mothers and
493 fathers. Multivariable logistic regression modeling showed factors
associated with mothers accepting IMC were: father circumcised (odds
ratio=2.30, P
“Fathers are important in the IMC
decision-making process,” the authors concluded. “Fathers, as well as mothers,
should be targeted for optimal scale-up of IMC services. Circumcision programs
should offer services for males of all ages, as male circumcision at some age
is highly acceptable to both men and women.”
The Friends of AIDS Foundation is
dedicated to enhancing the quality of life for HIV positive individuals and
empowering people to make healthy choices to prevent the spread of the HIV
virus. To learn more about The Friends of AIDS Foundation, please visit: http://www.friendsofaids.org.
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