title: Male circumcision coverage, knowledge, and attitudes after 4-years of program scale-up in Rakai, Uganda.
abstract: We assessed medical male circumcision (MMC) coverage and knowledge and attitudes toward MMC adoption in men in Rakai, Uganda after 4 years of scale-up. MMC prevalence only reached 28 %, with an annual increase of 4 %. Prevalence was lower in men not using condoms or having never received HIV testing and counseling. Over 95 % of uncircumcised men knew the health benefits of and places offering MMC, but only 27 % were willing to adopt MMC. Main reasons for non-acceptance were fear of pain or injury. The data suggest MMC uptake in Rakai has been suboptimal and demand generation is key for scale-up.
authors.affiliation: Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, 627 N. Washington St. RM2-C, Baltimore, MD, 21205, USA, xikong@jhsph.edu.
authors.forename: Xiangrong
authors.initials: X
authors.lastname: Kong
authors.forename: Joseph
authors.initials: J
authors.lastname: Ssekasanvu
authors.forename: Godfrey
authors.initials: G
authors.lastname: Kigozi
authors.forename: Tom
authors.initials: T
authors.lastname: Lutalo
authors.forename: Fred
authors.initials: F
authors.lastname: Nalugoda
authors.forename: David
authors.initials: D
authors.lastname: Serwadda
authors.forename: Maria
authors.initials: M
authors.lastname: Wawer
authors.forename: Ronald
authors.initials: R
authors.lastname: Gray
mesh_terms: D000293:Adolescent; D000328:Adult; D002944:Circumcision, Male / Q000208:ethnology / Q000523:psychology / Q000706:statistics & numerical data*; D017280:Condoms / Q000706:statistics & numerical data; D017144:Focus Groups; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control*; D007722:Health Knowledge, Attitudes, Practice; D006306:Health Surveys; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D010342:Patient Acceptance of Health Care / Q000523:psychology / Q000706:statistics & numerical data*; D015995:Prevalence; D015397:Program Evaluation; D012424:Rural Population; D012725:Sexual Behavior; D012959:Socioeconomic Factors; D014454:Uganda / Q000453:epidemiology; D055815:Young Adult