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Factors Associated with Knowledge of and Willingness for Adult Male Circumcision in Changsha, China

BACKGROUND: Male circumcision (MC) has been shown to reduce the risk of male genital diseases. MC is not commonly practiced among Chinese males and little is known about the factors associated with their knowledge of and willingness for MC. This study was to explore the knowledge regarding the fores...

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Autores principales: Zeng, Mingqiang, Wang, Ling, Chen, Caifang, Zeng, Fanchang, Huang, Liang, Xue, Ruizhi, Chen, Junjie, Gao, Benmin, Tang, Zhengyan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4747502/
https://www.ncbi.nlm.nih.gov/pubmed/26859292
http://dx.doi.org/10.1371/journal.pone.0148832
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author Zeng, Mingqiang
Wang, Ling
Chen, Caifang
Zeng, Fanchang
Huang, Liang
Xue, Ruizhi
Chen, Junjie
Gao, Benmin
Tang, Zhengyan
author_facet Zeng, Mingqiang
Wang, Ling
Chen, Caifang
Zeng, Fanchang
Huang, Liang
Xue, Ruizhi
Chen, Junjie
Gao, Benmin
Tang, Zhengyan
author_sort Zeng, Mingqiang
collection PubMed
description BACKGROUND: Male circumcision (MC) has been shown to reduce the risk of male genital diseases. MC is not commonly practiced among Chinese males and little is known about the factors associated with their knowledge of and willingness for MC. This study was to explore the knowledge regarding the foreskin among Chinese males and to identify factors associated with their willingness to undergo circumcision. METHODS: A total of 237 patients with redundant prepuce/phimosis were interviewed through face-to-face interviews. The items on the questionnaire included: demographics, an objective scale assessing knowledge about the foreskin, willingness to have MC, the attitudes of sexual partners and doctors toward redundant prepuce/phimosis, and the approaches that patients used to acquire knowledge regarding the prepuce. Univariate analysis and multiple logistic regression analysis were performed to identify factors that are associated with willingness to be circumcised (WTC). RESULTS: A total of 212 patients completed the interview. Multivariable logistic regression showed that three factors were significantly associated with WTC: being married (OR = 0.43), perceiving redundant prepuce/phimosis as a disease (OR = 1.93), and if a patient’s partner supported MC (OR = 1.39). 58% (n = 122) had received information about the foreskin from another party: 18% (n = 37) from school, 8% (n = 17) from family, 17% (n = 36) from friends, 27% (n = 57) from health care providers. About 4% (n = 8) believed that their partners disliked their redundant prepuce/phimosis. 20% (n = 42) had received doctors’ advice to undergo circumcision. CONCLUSION: Knowledge about the foreskin was low among Chinese males. Our study elucidates the factors associated with WTC and suggests that more education of the population about the foreskin can help improve the recognition of a correctible abnormality and help patients assess the potential role of MC in their health.
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spelling pubmed-47475022016-02-22 Factors Associated with Knowledge of and Willingness for Adult Male Circumcision in Changsha, China Zeng, Mingqiang Wang, Ling Chen, Caifang Zeng, Fanchang Huang, Liang Xue, Ruizhi Chen, Junjie Gao, Benmin Tang, Zhengyan PLoS One Research Article BACKGROUND: Male circumcision (MC) has been shown to reduce the risk of male genital diseases. MC is not commonly practiced among Chinese males and little is known about the factors associated with their knowledge of and willingness for MC. This study was to explore the knowledge regarding the foreskin among Chinese males and to identify factors associated with their willingness to undergo circumcision. METHODS: A total of 237 patients with redundant prepuce/phimosis were interviewed through face-to-face interviews. The items on the questionnaire included: demographics, an objective scale assessing knowledge about the foreskin, willingness to have MC, the attitudes of sexual partners and doctors toward redundant prepuce/phimosis, and the approaches that patients used to acquire knowledge regarding the prepuce. Univariate analysis and multiple logistic regression analysis were performed to identify factors that are associated with willingness to be circumcised (WTC). RESULTS: A total of 212 patients completed the interview. Multivariable logistic regression showed that three factors were significantly associated with WTC: being married (OR = 0.43), perceiving redundant prepuce/phimosis as a disease (OR = 1.93), and if a patient’s partner supported MC (OR = 1.39). 58% (n = 122) had received information about the foreskin from another party: 18% (n = 37) from school, 8% (n = 17) from family, 17% (n = 36) from friends, 27% (n = 57) from health care providers. About 4% (n = 8) believed that their partners disliked their redundant prepuce/phimosis. 20% (n = 42) had received doctors’ advice to undergo circumcision. CONCLUSION: Knowledge about the foreskin was low among Chinese males. Our study elucidates the factors associated with WTC and suggests that more education of the population about the foreskin can help improve the recognition of a correctible abnormality and help patients assess the potential role of MC in their health. Public Library of Science 2016-02-09 /pmc/articles/PMC4747502/ /pubmed/26859292 http://dx.doi.org/10.1371/journal.pone.0148832 Text en © 2016 Zeng et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Zeng, Mingqiang
Wang, Ling
Chen, Caifang
Zeng, Fanchang
Huang, Liang
Xue, Ruizhi
Chen, Junjie
Gao, Benmin
Tang, Zhengyan
Factors Associated with Knowledge of and Willingness for Adult Male Circumcision in Changsha, China
title Factors Associated with Knowledge of and Willingness for Adult Male Circumcision in Changsha, China
title_full Factors Associated with Knowledge of and Willingness for Adult Male Circumcision in Changsha, China
title_fullStr Factors Associated with Knowledge of and Willingness for Adult Male Circumcision in Changsha, China
title_full_unstemmed Factors Associated with Knowledge of and Willingness for Adult Male Circumcision in Changsha, China
title_short Factors Associated with Knowledge of and Willingness for Adult Male Circumcision in Changsha, China
title_sort factors associated with knowledge of and willingness for adult male circumcision in changsha, china
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4747502/
https://www.ncbi.nlm.nih.gov/pubmed/26859292
http://dx.doi.org/10.1371/journal.pone.0148832
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