Table 3.
Factors associated with intention to undergo free medicalised adult male circumcision (AMC) among self-reported uncircumcised men aged 22 and over
| Intention to undergo AMC % (N) | Univariate Odds ratio1 (95%CI) | Adjusted Odds ratio2 (95%CI) | |
|---|---|---|---|
| Background Characteristics | |||
| Age | |||
| Less than 27 | 85.8 (162) | 1 | 1 |
| 27 and over | 76.6 (209) | 0.54 (0.31 to 0.93) P = 0.03 | 0.63 (0.32 to 1.14) P = 0.10 |
| Ethnic group | |||
| Sotho | 89.4 (104) | 1 | 1 |
| Zulu | 77.2 (189) | 0.40 (0.23 to 0.82) P = 0.01 | 0.36 (0.17 to 0.79) P = 0.01 |
| Other | 76.9 (78) | 0.39 (0.17 to 0.89) P = 0.03 | 0.33 (0.13 to 0.80) P = 0.02 |
| Religion | |||
| Christian | 81.1 (132) | 1 | NS |
| No religion | 78.2 (188) | 0.83 (0.48 to 1.46) P = 0.53 | |
| Other | 88.2 (51) | 1.70 (0.66 to 4.61) P = 0.25 | |
| Education: grade 12 completed | |||
| No | 80.8 (217) | 1 | NS |
| Yes | 80.0 (100) | 0.95 (0.53 to 1.70) P = 0.86 | |
| Occupation | |||
| Employed | 78.7 (216) | 1 | NS |
| Unemployed | 82.8 (96) | 1.28 (0.73 to 2.32) P = 0.38 | |
| Other | 84.6 (39) | 1.50 (0.59 to 3.84) P = 0.40 | |
| Marital status | |||
| Ever married | 76.3 (118) | 1 | NS |
| Committed to someone | 79.4 (175) | 1.21 (0.69 to 2.09) P = 0.52 | |
| Single | 89.7 (78) | 2.69 (1.23 to 6.27) P = 0.02 | |
| Reported sexual behavior | |||
| Number of lifetime sexual partners | |||
| Less than 8 | 81.2 (181) | 1 | NS |
| 8 or more | 80.0 (190) | 0.93 (0.55 to 1.50) P = 0.77 | |
| Linear trend | NA | 1.00 (0.98 to 1.01) P = 0.60 | |
| Number of sexual partners in the past 12 months | |||
| Less than 2 | 81.2 (181) | 1 | NS |
| 2 or more | 79.8 (188) | 0.91 (0.54 to 1.48) P = 0.73 | |
| Linear trend | NA | 0.97 (0.91 to 1.03) P = 0.30 | |
| Ever used a condom | |||
| Yes | 81.6 (315) | 1 | NS |
| No | 75.0 (56) | 0.68 (0.35 to 1.31) P = 0.39 | |
| Consistent condom use in the past 12 months, with non-spousal partners | |||
| Yes | 81.3 (96) | 1 | NS |
| No | 80.4 (179) | 0.95 (0.50 to 1.79) P = 0.87 | |
| Attitudes towards HIV and awareness of HIV status | |||
| Perceived risk of infection with HIV | |||
| No or small risk | 81.1 (159) | 1 | NS |
| Average or high risk | 82.7 (139) | 1.11 (0.62 to 2.02) P = 0.72 | |
| Aware of HIV status | |||
| Yes | 81.0 (121) | 1 | NS |
| No | 80.4 (250) | 0.96 (0.55 to 1.70) P = 0.89 | |
| Knowledge, attitudes and beliefs towards AMC | |||
| AMC protects fully against HIV | |||
| Disagree | 80.3 (229) | 1 | NS |
| Agree | 86.2 (58) | 1.50 ( 0.68 to 3.40) P = 0.31 | |
| Most women prefer circumcised men | |||
| Disagree | 71.7 (53) | 1 | NS |
| Agree | 84.6 (208) | 2.20 (1.10 to 4.40) P = 0.032 | |
| AMC increases sexual pleasure | |||
| Disagree | 78.9 (71) | 1 | NS |
| Agree | 86.4 (132) | 1.70 (0.80 to 3.60) P = 0.17 | |
| Circumcised men need to use condoms for protection against HIV and other STIs | |||
| Disagree | 72.2 (18) | 1 | NS |
| Agree | 82.6 (322) | 1.80 (0.63 to 5.30) P = 0.27 | |
| Circumcised men can become infected with HIV | |||
| Disagree | 100 (10) | 1 | NS |
| Agree | 80.4 (337) | NC | |
| My partner supports AMC | |||
| Disagree | 63.4 (82) | 1 | 1 |
| Agree | 87.3(158) | 4.03 (2.10 to 7.60) P < 0.001 | 2.59 (1.20 to 5.61) P = 0.02 |
| My family supports AMC | |||
| Disagree | 68.8 (141) | 1 | 1 |
| Agree | 90.6 (170) | 4.41 (2.33 to 8.20) P < 0.001 | 2.92 (1.41 to 6.03) P = 0.005 |
| AMC is safe when it is carried out by a doctor | |||
| Disagree | 38.5 (13) | 1 | 1 |
| Agree | 83.6 (336) | 8.18 (2.61 to 25.9) P < 0.001 | 11.01 (3.10 to 39.04) P < 0.001 |
| Sexually Transmitted Infection | |||
| HIV infection | |||
| No | 81.6 (277) | 1 | NS |
| Yes | 77.7 (94) | 0.78 (0.44 to 1.42) P = 0.41 | |
| HSV-2 infection | |||
| No | 82.8 (239) | 1 | NS |
| Yes | 76.5 (101) | 0.67 (0.39 to 1.10) P = 0.14 | |
1 Obtained using logistic regression
2 Obtained using forward stepwise logistic regression with all the variables indicated in this table
N: Sample size
CI: Confidence interval
P: P-value
NS: Not selected by the forward stepwise logistic regression
NA: Not available
NC: Not calculable
STI: sexually transmitted infection
HSV-2: Herpes Simplex Virus 2