title: Prevalence and Predictors of Uncircumcised, Kenyan Men's Desire for Circumcision for Their Infant Sons.
abstract: Men are key decision makers for their son's circumcision, so understanding their beliefs is important for the uptake of early infant male circumcision in countries in sub-Saharan Africa that have high HIV prevalence. We analyzed men's preferences for circumcising their sons using data from a population-representative survey of 1501 uncircumcised men aged 25-49 years in western Kenya. Most men (59%) reported they would "definitely" want their son circumcised if a son was born to them within the next year. However, only 25% intended to become circumcised themselves. In multivariable Poisson regression models to estimate prevalence ratios, key predictors of the desire to circumcise their sons included knowledge that circumcision reduces HIV acquisition, having a supportive partner, discussing circumcision with the partner, altruism, and intention to be circumcised himself. Focusing on partner dynamics may have the greatest capacity to increase demand since 55% had not talked to their partner about circumcision.
authors.affiliation: Department of Internal Medicine, Dell Medical School, University of Texas at Austin, 1912 Speedway, SZB 546.05, Austin, TX, 78712, USA. Parker.hudson@austin.utexas.edu.|Institute for Global Health and Infectious Diseases, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. Parker.hudson@austin.utexas.edu.|Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. Parker.hudson@austin.utexas.edu.
authors.forename: F Parker
authors.identifier: 0000-0001-9428-3918
authors.initials: FP
authors.lastname: Hudson
authors.affiliation: Institute for Global Health and Infectious Diseases, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.|Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
authors.forename: William C
authors.initials: WC
authors.lastname: Miller
authors.affiliation: Impact Research and Development Organization, Kisumu, Kenya.
authors.forename: Samwel
authors.initials: S
authors.lastname: Rao
authors.affiliation: Impact Research and Development Organization, Kisumu, Kenya.
authors.forename: Kawango
authors.initials: K
authors.lastname: Agot
authors.affiliation: Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
authors.forename: Harsha
authors.initials: H
authors.lastname: Thirumurthy
mesh_terms: D000328:Adult; D002944:Circumcision, Male / Q000523:psychology*; D003430:Cross-Sectional Studies; D003657:Decision Making; D005220:Fathers / Q000523:psychology*; D015658:HIV Infections / Q000517:prevention & control*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007223:Infant; D033182:Intention; D007630:Kenya; D008297:Male; D008875:Middle Aged; D009679:Nuclear Family; D015995:Prevalence; D012747:Sexual Partners; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Early infant male circumcision; HIV prevention; Kenya