Introduction
Study Collection and Search Strategies
Country/Authors/Year | Time of the study | Study population | Ethnic composition | Circumcision status of participants | Data collection methods |
---|---|---|---|---|---|
Botswana/Kebaabetswe et al. (2003) | 2001 | 316 Male and 289 female participants, age 18–74, in urban and rural settings | Ethnically heterogeneous (over 15 ethnicities) | Both circumcised and uncircumcised men | Interviews, pre- and post-educational session |
Kenya/Bailey et al. (2002) | 1998 | Residents of Nyanza Province, age 16–80, men and women, 30 focus groups, each 6–14 people, urban and rural population, farmers, business people, teachers, sex workers, barmaids, and touts. | Ethnically homogenous (Luo) | Not recorded; nearly all likely uncircumcised | Focus groups; interviews with healthcare providers |
Kenya/Bailey (Unpublished report to AIDSMARK, 2002) | 1999 | 32 Clinicians were interviewed to assess their knowledge and practice of MC, records of MC performed in the area were reviewed, 7 circumcised men and their wives were interviewed | Ethnically homogenous (Luo) | Both circumcised and uncircumcised | Interviews, KAB questionnaires, record review |
Kenya/Mattson et al. (2005) | 1999 | 107 Men and 110 women, 16 years of age and older of Luo ethnicity, in urban and rural settings | Ethnically homogenous (Luo) | Both circumcised and uncircumcised men | Structured interviews |
Malawi/Ngalande et al. (2006) | 2003 | 318 Participants, 32 focus groups with men and women 16–80 years old | Ethnically diverse (Chewa, Tonga, Yao, Ngoni, Lomwe, and Nyanja) | Both circumcised and uncircumcised men | Focus groups |
South Africa/Lagarde et al. (2003) | 2001 | 482 Men aged 19–29 years and 302 women aged 14–25 years | Ethically heterogeneous (Sotho, Tswana, Xhosa and other ethnicities) | 22% of men 19–29 years old were circumcised | Interviews using standardized questionnaire |
South Africa/Scott et al. (2005) | 2002 | 100 Adult men and 44 adult women in rural Zulu land and 4 service providers | Ethnically homogenous (Zulu) | Both circumcised and uncircumcised men | Interviews, focus groups |
South Africa/Rain-Taljaard et al. (2003) | 1999–2000 | Sample of 606 13–59 year old males interviewed in August 2000 and 723 14–24 year old males interviewed in August 1999 | Ethnically diverse (Sotho, Xhosa, Zulu, Tswana, Shangaan, and Venda) | 36% of men 25–59 years old were circumcised | Interviews and focus groups |
Swaziland/Tsela and Halperin (2006) | 2006 | 409 Men aged 15–49 were interviewed in urban and rural setting | Not reported, but likely majority were Swazi | 14% of men were circumcised | Interviews |
Tanzania/Nnko et al. (2001) | 1991–1997 | 998 Sukuma men from a cohort of factory workers in Mwanza town, 13 focus groups from mostly rural area, and population based surveys | Ethnically homogenous (Sukuma) | 21% of men in the sample were circumcised | Interviews and cohort data analysis |
Uganda/Bailey et al. (1999) | 1997 | 188 Circumcised and 177 uncircumcised men 18 to 67 years old from the Industrial Borough, Mbale. | Ethnically diverse (17 tribal groups, including Gisu) | 52% of men were circumcised | Structured interviews |
Zambia/Lukobo and Bailey (submitted) | 2003 | 160 Men and 162 women in the 34 focus groups in rural and urban settings | Ethnically diverse (Lunda, Luvale, Chewa, Tonga) | Both circumcised and uncircumcised men | Focus groups |
Zimbabwe/Halperin et al. (2005) | 2000 | 200 Men attending beer halls in Harare | Not reported, but likely majority were Shona | Both circumcised and uncircumcised men | Interviews, focus group |
Diversity of the Study Sample
Summary of Quantitative Results of Acceptability
Authors/year/country | % Of uncircumcised men willing to be circumcised | % Of women favoring circumcision of their partners | % Of men willing to circumcise their sons | % Of women willing to circumcise their sons |
---|---|---|---|---|
Kebaabetswe et al. (2003)/Botswana | 61% Before and 81% after information session, if procedure is done in safe hospital settings and is free | 50% Before and 79% after information session | 67% Before and 90% after information session, if procedure is done in safe hospital settings and is free | 62% Before and 90% after information session, if procedure is done in safe hospital settings and is free |
Mattson et al. (2005)/Kenya | 70%, If procedure involved minimal cost and little pain | 69% | 74%, If procedure was safe and affordable (Bailey, Muga, & Poulussen, 2000) | 89%, If little pain was involved |
Lagarde et al. (2003)/South Africa | 73%, If MC protected from STIs/HIV | 47% Thought most women preferred circumcised men | 71% Of non-circumcised men and 82% of circumcised men, if MC protected from STIs/HIV | 70%, If MC protected from STIs/HIV |
Scott et al. (2005)/South Africa | 51%, If performed safely and at low cost | 68% | 50% | 73% |
Rain-Taljaard et al. (2003)/South Africa | 59%, If MC reduced chances of STIs and HIV | N/a | N/a | N/a |
Tsela and Halperin (2006)/Swaziland | 54%; 87%, If MC protected against HIV/STIs | N/a | 71% | N/a |
Bailey et al. (1999)/Uganda | 29%, If cost was minimal | N/a | N/a | N/a |
Halperin et al. (2005)/Zimbabwe | 45% If MC protected against HIV/STIs, and was safe and affordable | N/a | N/a | N/a |