Table 3.
IBM construct beliefs associated with MC intention (N = 1,082)
| r* | [R = 0.65] β (p value) |
Percent strongly agreea | ||
|---|---|---|---|---|
| Not intend MC | Strongly intend MC | |||
| Behavioral beliefs about getting circumcised | ||||
| Will help encourage friends to get circumcised | 0.46 | 0.17 (0.000) | 26 | 76 |
| Will give you peace of mind | 0.44 | 0.15 (0.000) | 10 | 56 |
| Is something that you are too old for now | −0.38 | −0.17 (0.000) | 24a | 72a |
| Will give you sense of achievement | 0.43 | 0.10 (0.002) | 14 | 58 |
| Might not heal properly, cause disfigurement | −0.35 | −0.07 (0.022) | 9a | 45a |
| Will enhance sexual pleasure for you | 0.29 | 0.10 (0.000) | 12 | 48 |
| Would be against your religion | −0.37 | −0.09 (0.003) | 37a | 79a |
| Will result in a slowdown of HIV in Zimbabwe | 0.40 | 0.06 (0.044) | 20 | 69 |
| It may get infected and swollen | −0.34 | −0.06 (0.045 | 12a | 43a |
| Will make it easier to have sons circumcised | 0.38 | 0.07 (0.021) | 31 | 76 |
| Will cause women to shun you | −0.20 | 0.07 (0.014) | 55a | 79a |
| Wife/girlfriend may think you will seek pleasure elsewhere | −0.29 | −0.07 (0.019) | 35a | 65a |
| Will protect you from STIs | 0.37 | 0.06 (0.043) | 17 | 59 |
| Behavioral beliefs that did not enter stepwise regression model | ||||
| Procedure would be painful | −0.24 | |||
| Wound healing would be painful | −0.24 | |||
| May take too long to heal | −0.31 | |||
| Doctor may make a mistake and cause you to be disfigured | −0.33 | |||
| You may bleed to death | −0.26 | |||
| Have to wait too long to have sex | N.S. | |||
| Will protect you from HIV | 0.32 | |||
| Will still have to use condoms all the time | N.S. | |||
| Will not need to use condoms because protected from HIV | N.S. | |||
| Will be protected from HIV even if condom breaks | 0.17 | |||
| Will be protected from HIV even if have unprotected sex | 0.11 | |||
| Means you will live a long and healthy life | 0.39 | |||
| You will protect your family | 0.36 | |||
| Means you will not spread HIV to others | 0.27 | |||
| Penis will be clean and protect you from bacterial infections | 0.34 | |||
| Will enhance sexual pleasure for your partner | 0.28 | |||
| Friends may laugh at you and you will be embarrassed | −0.27 | |||
| Would be against your culture | −0.35 | |||
| Unnecessary because God will protect you from diseases | −0.29 | |||
| Would lead you to be tempted to have more sex partners | −0.20 | |||
| Would cause you to worry about what happens to foreskin | −0.27 | |||
| Pain from previous infections could be reignited | −0.24 | |||
| Inappropriate to change the way God created you | −0.31 | |||
| You may lose potency | −0.26 | |||
| May compromise your sexual performance | −0.25 | |||
| r* | [R = 0.61] β (p value) |
% Agree encourages | ||
|---|---|---|---|---|
| Not intend MC | Strongly intend MC | |||
| Normative beliefs about who would encourage you to get circumcised | ||||
| Your brothers | 0.58 | 0.24 (0.000) | 17 | 72 |
| Your closest friends | 0.52 | 0.16 (0.000) | 14 | 68 |
| Your culture | 0.50 | 0.16 (0.000) | 16 | 70 |
| People in your community | 0.47 | 0.11 (0.001) | 7 | 51 |
| Your wife | 0.59 | 0.07b (0.033) | 4 | 72 |
| Your girlfriend | 0.43 | 12 | 59 | |
| Normative beliefs that did not enter stepwise regression model | ||||
| Your family | 0.52 | |||
| Your father | 0.41 | |||
| Your mother | 0.43 | |||
| Your sisters | 0.52 | |||
| Your uncles | 0.52 | |||
| Your aunts | 0.52 | |||
| Your nephews | 0.50 | |||
| Your grandparents | 0.40 | |||
| Your religion/church | 0.47 | |||
| Health care workers in your community | 0.38 | |||
| Traditional leaders | 0.43 | |||
| Political leaders | 0.39 | |||
| The media | 0.37 | |||
| The ministry of health | 0.33 | |||
| r* | [R = 0.60] β (p value) |
% Agree would get MC | ||
|---|---|---|---|---|
| Not intend MC | Strongly intend MC | |||
| Descriptive norm beliefs about who would get circumcised | ||||
| Your closest friends | 0.57 | 0.23 (0.000) | 14 | 68 |
| Your brothers | 0.56 | 0.17 (0.002) | 14 | 68 |
| Most people like you | 0.52 | 0.11 (0.011) | 17 | 67 |
| Your other male relatives | 0.55 | 0.12 (0.023) | 11 | 61 |
| r* | [R = 0.66] β (p value) |
% Easy to get MC | ||
|---|---|---|---|---|
| Not intend MC | Strongly intend MC | |||
| Control beliefs—facilitators/barriers to getting circumcised | ||||
| Availability of equipment and materials | 0.55 | 0.23 (0.000) | 30 | 82 |
| People describe circumcision as painful | 0.42 | 0.09 (0.004) | 5 | 36 |
| If you don’t know how circumcision prevents HIV | 0.33 | 0.10 (0.000) | 0 | 24 |
| If local chiefs/village heads support circumcision | 0.52 | 0.13 (0.001) | 23 | 73 |
| Circumcision is new, not offered before in community | 0.41 | 0.10 (0.003) | 2 | 32 |
| If circumcision is not free to you | 0.31 | 0.09 (0.002) | 3 | 21 |
| If circumcision available in local (including rural) clinics | 0.44 | 0.07 (0.020) | 22 | 70 |
| If circumcision promoted on TV and radio | 0.51 | 0.09 (0.032) | 26 | 74 |
| If you cannot do it privately, so others know | 0.36 | 0.06 (0.021) | 9 | 38 |
| If you did not know where to go for circumcision | 0.17 | −0.06 (0.033) | 3 | 13 |
| Control beliefs that did not enter stepwise regression model | ||||
| If your culture was against circumcision | 0.33 | |||
| If your religion does not accept circumcision | 0.32 | |||
| If your wife/girlfriend is against circumcision | 0.33 | |||
| If there were reported cases of complications | 0.30 | |||
| If circumcision only available at new clinics that only provide circumcision | 0.33 | |||
| If circumcision only available at city clinics | 0.26 | |||
| If there was shortage of staff trained in circumcision | 0.20 | |||
| If you would be attended to by female nurses | 0.35 | |||
| HIV being in your community | 0.30 | |||
| If clinic staff explain how circumcision helps prevent HIV | 0.48 | |||
| If clinic staff explain how circumcision is done and how pain is prevented/reduced | 0.44 | |||
| If circumcision is promoted in clinics and hospitals | 0.49 | |||
| If people are assured practitioners are accurate and do not make mistakes | 0.47 | |||
| If people are assured risk of side effects is very low | 0.43 | |||
| If you know people who are circumcised | 0.45 | |||
| Having a clinician in your local clinic do the circumcision | 0.41 | |||
| Having a specialist do the circumcision | 0.45 | |||
| If transportation is provided | 0.52 | |||
| r* | [R = 0.63] β (p value) |
% Certain could get MC | ||
|---|---|---|---|---|
| Not intend MC | Strongly intend MC | |||
| Efficacy beliefs—if you wanted to get circumcised, how certain are you that you could if | ||||
| MC is new and has not been offered before in community | 0.51 | 0.17 (0.000) | 4 | 46 |
| MC is available in local – including rural - clinics | 0.49 | 0.24 (0.000) | 22 | 74 |
| Your culture is against it | 0.50 | 0.17 (0.000) | 7 | 51 |
| Your wife/girlfriend is against it | 0.49 | 0.11 (0.001) | 10 | 52 |
| You cannot have it done privately, so others might know | 0.43 | 0.08 (0.008) | 7 | 46 |
| Worried about whether there are adequate supplies in clinics | 0.34 | 0.06 (0.037) | 2 | 18 |
| Efficacy beliefs that did not enter stepwise regression model | ||||
| If your religion does not accept circumcision | 0.49 | |||
| If people describe the process as painful | 0.48 | |||
| If there are reported cases of complications | 0.41 | |||
| If you do not know exactly how circumcision prevents HIV | 0.38 | |||
| If it is not free to you | 0.40 | |||
| If circumcision is only available at new clinics that only provide circumcision | 0.42 | |||
| If circumcision is only available at city clinics | 0.32 | |||
| If there was a shortage of staff trained in circumcision | 0.30 | |||
| If you would be attended to by female nurses | 0.44 | |||
| If you did now know where to go for circumcision | 0.32 | |||
* p < 0.001 for all correlations, except N.S. not significant
aPercent ‘strongly disagree’ is listed for negative behavioral beliefs, in order to consistently list percent with a positive opinion
bIn order to minimize loss of cases due to missing data, responses for wife and girlfriend were combined into a single variable for the regression analysis, as few respondents had both a wife and a girlfriend