Sexual function after voluntary medical male circumcision for human immunodeficiency virus prevention: Results from a programmatic delivery setting in Botswana

BACKGROUND: Uptake of voluntary medical male circumcision (VMMC) remains modest in Botswana in spite of the government’s commitment and service provision availability. Data on sexual function post-VMMC in programmatic settings could help guide messaging tailored to Botswana. OBJECTIVES: At 3-month p...

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Autores principales: Pintye, Jillian C., Wirth, Kathleen E., Ntsuape, Conrad, Kleinman, Nora J., Spees, Lisa, Semo, Bazghina-werq, Mawandia, Shreshth, Ledikwe, Jenny
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AOSIS 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7203194/
https://www.ncbi.nlm.nih.gov/pubmed/32391176
http://dx.doi.org/10.4102/sajhivmed.v21i1.1042
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author Pintye, Jillian C.
Wirth, Kathleen E.
Ntsuape, Conrad
Kleinman, Nora J.
Spees, Lisa
Semo, Bazghina-werq
Mawandia, Shreshth
Ledikwe, Jenny
author_facet Pintye, Jillian C.
Wirth, Kathleen E.
Ntsuape, Conrad
Kleinman, Nora J.
Spees, Lisa
Semo, Bazghina-werq
Mawandia, Shreshth
Ledikwe, Jenny
author_sort Pintye, Jillian C.
collection PubMed
description BACKGROUND: Uptake of voluntary medical male circumcision (VMMC) remains modest in Botswana in spite of the government’s commitment and service provision availability. Data on sexual function post-VMMC in programmatic settings could help guide messaging tailored to Botswana. OBJECTIVES: At 3-month post-VMMC, we evaluated changes in sexual function and satisfaction with the VMMC procedure amongst a cohort of HIV-negative, sexually active men aged 18–49 years who underwent VMMC in a public-sector clinic in Botswana. METHODS: We assessed whether each of the following domains of sexual function had improved, stayed the same or worsened since VMMC: sexual desire, ability to use condoms, ease of vaginal penetration, ease of ejaculation, ability to achieve and maintain an erection and hygiene or cleanliness. RESULTS: Data on sexual function were available for 378 men at 3-month post-VMMC. Median age was 27 years – 54% had a higher than secondary education, 72% were employed and 27% were married. Nearly all (96%) the men reported improvement in at least one domain of sexual function, while 19% reported improvement in all six domains. One-fourth (91/378, 24%) of the men reported that at least one domain of sexual function worsened post-VMMC. The most frequently reported domain that worsened was sexual desire (11%); in all other domains, < 10% of the men reported worsening. Men who reported any worsening sexual function were 2.3-fold as likely to be less than ‘very satisfied’ with the VMMC procedure (risk ratio 2.36, 95% confidence interval [CI] 1.66–3.34, p < 0.001). CONCLUSION: Emphasising improved sexual function experienced after VMMC in demand-creation efforts could potentially increase VMMC uptake in Botswana.
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spelling pubmed-72031942020-05-08 Sexual function after voluntary medical male circumcision for human immunodeficiency virus prevention: Results from a programmatic delivery setting in Botswana Pintye, Jillian C. Wirth, Kathleen E. Ntsuape, Conrad Kleinman, Nora J. Spees, Lisa Semo, Bazghina-werq Mawandia, Shreshth Ledikwe, Jenny South Afr J HIV Med Original Research BACKGROUND: Uptake of voluntary medical male circumcision (VMMC) remains modest in Botswana in spite of the government’s commitment and service provision availability. Data on sexual function post-VMMC in programmatic settings could help guide messaging tailored to Botswana. OBJECTIVES: At 3-month post-VMMC, we evaluated changes in sexual function and satisfaction with the VMMC procedure amongst a cohort of HIV-negative, sexually active men aged 18–49 years who underwent VMMC in a public-sector clinic in Botswana. METHODS: We assessed whether each of the following domains of sexual function had improved, stayed the same or worsened since VMMC: sexual desire, ability to use condoms, ease of vaginal penetration, ease of ejaculation, ability to achieve and maintain an erection and hygiene or cleanliness. RESULTS: Data on sexual function were available for 378 men at 3-month post-VMMC. Median age was 27 years – 54% had a higher than secondary education, 72% were employed and 27% were married. Nearly all (96%) the men reported improvement in at least one domain of sexual function, while 19% reported improvement in all six domains. One-fourth (91/378, 24%) of the men reported that at least one domain of sexual function worsened post-VMMC. The most frequently reported domain that worsened was sexual desire (11%); in all other domains, < 10% of the men reported worsening. Men who reported any worsening sexual function were 2.3-fold as likely to be less than ‘very satisfied’ with the VMMC procedure (risk ratio 2.36, 95% confidence interval [CI] 1.66–3.34, p < 0.001). CONCLUSION: Emphasising improved sexual function experienced after VMMC in demand-creation efforts could potentially increase VMMC uptake in Botswana. AOSIS 2020-04-20 /pmc/articles/PMC7203194/ /pubmed/32391176 http://dx.doi.org/10.4102/sajhivmed.v21i1.1042 Text en © 2020. The Authors https://creativecommons.org/licenses/by/4.0/ Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License.
spellingShingle Original Research
Pintye, Jillian C.
Wirth, Kathleen E.
Ntsuape, Conrad
Kleinman, Nora J.
Spees, Lisa
Semo, Bazghina-werq
Mawandia, Shreshth
Ledikwe, Jenny
Sexual function after voluntary medical male circumcision for human immunodeficiency virus prevention: Results from a programmatic delivery setting in Botswana
title Sexual function after voluntary medical male circumcision for human immunodeficiency virus prevention: Results from a programmatic delivery setting in Botswana
title_full Sexual function after voluntary medical male circumcision for human immunodeficiency virus prevention: Results from a programmatic delivery setting in Botswana
title_fullStr Sexual function after voluntary medical male circumcision for human immunodeficiency virus prevention: Results from a programmatic delivery setting in Botswana
title_full_unstemmed Sexual function after voluntary medical male circumcision for human immunodeficiency virus prevention: Results from a programmatic delivery setting in Botswana
title_short Sexual function after voluntary medical male circumcision for human immunodeficiency virus prevention: Results from a programmatic delivery setting in Botswana
title_sort sexual function after voluntary medical male circumcision for human immunodeficiency virus prevention: results from a programmatic delivery setting in botswana
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7203194/
https://www.ncbi.nlm.nih.gov/pubmed/32391176
http://dx.doi.org/10.4102/sajhivmed.v21i1.1042
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