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

Lissouba et al. BMC Infectious Diseases 2011 11:253   doi:10.1186/1471-2334-11-253

Open Data