title: Needs Assessment and Theory-Based Promotion of Voluntary Medical Male Circumcision (VMMC) Among Male Sexually Transmitted Diseases Patients (MSTDP) in China.
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.
authors: 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.|CUHK Shenzhen Research Institute (SZRI), Shenzhen, China.
authors: Zixin
authors: Z
authors: Wang
authors: Shenzhen Center for Chronic Disease Control, Shenzhen, China.
authors: Tiejian
authors: T
authors: Feng
authors: 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.|CUHK Shenzhen Research Institute (SZRI), Shenzhen, China. jlau@cuhk.edu.hk.|Centre for Medical Anthropology and Behavioral Health, Sun Yat-sen University, Guangzhou, China. jlau@cuhk.edu.hk.|5F, School of Public Health, Prince of Wales Hospital, Shatin, NT, Hong Kong SAR, China. jlau@cuhk.edu.hk.
authors: Joseph T F
authors: JT
authors: Lau
mesh_terms: D000328:Adult; D002681:China; D002944:Circumcision, Male / Q000208:ethnology / Q000523:psychology*; D017280:Condoms / Q000706:statistics & numerical data; D015658:HIV Infections / Q000517:prevention & control; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D033182:Intention; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D010342:Patient Acceptance of Health Care; D010465:Perception; D012747:Sexual Partners; D012749:Sexually Transmitted Diseases / Q000517:prevention & control* / Q000523:psychology*; D011795:Surveys and Questionnaires
keywords: China; Male STD patients; Promotion; Risk compensation; Voluntary medical male circumcision