title: Factors Associated with Preference for Early Infant Male Circumcision Among a Representative Sample of Parents in Homa Bay County, Western Kenya.
abstract: Several countries scaling-up adult medical male circumcision (MMC) for HIV prevention intend to introduce early infant male circumcision (EIMC). To assess preference for EIMC in a community with a mature adult MMC program, we conducted a cross-sectional survey of a representative sample of mothers (n = 613) and fathers (n = 430) of baby boys ("index son") at 16 health facilities in western Kenya. Most (59 %) were for EIMC, generally. Just 29 % were for circumcising the index son. Pain and protection from HIV were the most frequently cited barrier and facilitator to EIMC, respectively. In multivariable logistic regression, ever talking with the partner about EIMC and positive serostatus were associated with preference for EIMC for the index son. Attitudes towards EIMC are favorable. Willingness to circumcise an infant son is modest. To facilitate EIMC uptake, education about EIMC pain management and encouraging discussion between parents about EIMC during pregnancy should be integrated into programs.
authors.affiliation: Department of Gynecology and Obstetrics, Emory University School of Medicine, Glenn Building, 4th Floor - 412B, 69 Jesse Hill Jr Drive SE, Atlanta, GA, 30303, USA. myoun31@emory.edu.
authors.forename: Marisa R
authors.initials: MR
authors.lastname: Young
authors.affiliation: Nyanza Reproductive Health Society, Kisumu, Kenya.
authors.forename: Frederick
authors.initials: F
authors.lastname: Adera
authors.affiliation: Department of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, IL, USA.
authors.forename: Supriya D
authors.initials: SD
authors.lastname: Mehta
authors.affiliation: Department of Medical Microbiology, University of Nairobi, Nairobi, Kenya.
authors.forename: Walter
authors.initials: W
authors.lastname: Jaoko
authors.affiliation: Nyanza Reproductive Health Society, Kisumu, Kenya.
authors.forename: Timothy
authors.initials: T
authors.lastname: Adipo
authors.affiliation: Nyanza Reproductive Health Society, Kisumu, Kenya.
authors.forename: Jacinta
authors.initials: J
authors.lastname: Badia
authors.affiliation: Department of Obstetrics & Gynecology, Advocate Medical Group, Chicago, IL, USA.
authors.forename: Sherry K
authors.initials: SK
authors.lastname: Nordstrom
authors.affiliation: Department of Obstetrics & Gynecology, University of Washington, Seattle, WA, USA.
authors.forename: Tracy E
authors.initials: TE
authors.lastname: Irwin
authors.affiliation: Department of Surgery, Jaramogi Oginga Odinga Teaching and Referral Hospital, Kisumu, Kenya.
authors.forename: Dedan
authors.initials: D
authors.lastname: Ongong'a
authors.affiliation: Department of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, IL, USA.
authors.forename: Robert C
authors.initials: RC
authors.lastname: Bailey
mesh_terms: D000328:Adult; D001294:Attitude to Health; D002944:Circumcision, Male; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000517:prevention & control*; D006801:Humans; D007223:Infant; D033182:Intention; D007630:Kenya; D008297:Male; D009035:Mothers; D010146:Pain; D010290:Parents
keywords: Acceptability; Early infant male circumcision; HIV prevention; Kenya