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Attitudes, Beliefs and Predictors of Male Circumcision Promotion among Medical University Students in a Traditionally Non-Circumcising Region

Author

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  • Maria Ganczak

    (Department of Epidemiology and Management, Faculty of Medical Sciences, Pomeranian Medical University, 71-210 Szczecin, Poland)

  • Marcin Korzeń

    (Department of Methods of Artificial Intelligence and Applied Mathematics, Faculty of Computer Science and Information Technology, West Pomeranian University of Technology, 71-210 Szczecin, Poland)

  • Maciej Olszewski

    (Students’ Scientific Association, Pomeranian Medical University, 70-204 Szczecin, Poland)

Abstract

Objective : To evaluate the beliefs of medical university students regarding male circumcision (MC), as well as attitudes and the predictors of its promotion in the case of adults at risk of HIV. Methods: A cross-sectional survey was conducted between 2013–2016 at the Medical University in Szczecin, Poland, among final year Polish/foreign students from Northern Europe, using a standardized questionnaire. Results: There were 539 participants, median age 25 years, 40.8% males, and 66.8% were Polish nationals. The MC rate was 16.7%. Regarding HIV/AIDS knowledge, 66.6% of the students scored more than 75%; and, 34.2% knew that MC reduces the risk of HIV infection. One in eleven respondents (9.1%) believed that circumcised men felt more intense sexual pleasure. More than half of the respondents (54.8%) declared that they would recommend MC to adult patients at risk for HIV. The belief that circumcised men felt more intense sexual pleasure, and knowledge on MC regarding HIV risk reduction was associated with greater odds of recommending adult MC (OR = 3.35 and OR = 2.13, respectively). Conclusions : Poor knowledge of its benefits and a low willingness to promote the procedure—strongly dependent on personal beliefs—suggest that medical students may need additional training to help them to discuss MC more openly with adult men at risk for HIV infection. Knowledge may be an effective tool when making decisions regarding MC promotion.

Suggested Citation

  • Maria Ganczak & Marcin Korzeń & Maciej Olszewski, 2017. "Attitudes, Beliefs and Predictors of Male Circumcision Promotion among Medical University Students in a Traditionally Non-Circumcising Region," IJERPH, MDPI, vol. 14(10), pages 1-14, September.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:10:p:1097-:d:112769
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    References listed on IDEAS

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    1. Katharine Kripke & Velephi Okello & Vusi Maziya & Wendy Benzerga & Munamato Mirira & Elizabeth Gold & Melissa Schnure & Sema Sgaier & Delivette Castor & Jason Reed & Emmanuel Njeuhmeli, 2016. "Voluntary Medical Male Circumcision for HIV Prevention in Swaziland: Modeling the Impact of Age Targeting," PLOS ONE, Public Library of Science, vol. 11(7), pages 1-10, July.
    2. Catherine Hankins & Mitchell Warren & Emmanuel Njeuhmeli, 2016. "Voluntary Medical Male Circumcision for HIV Prevention: New Mathematical Models for Strategic Demand Creation Prioritizing Subpopulations by Age and Geography," PLOS ONE, Public Library of Science, vol. 11(10), pages 1-9, October.
    3. Steven M Goodreau & Nicole B Carnegie & Eric Vittinghoff & Javier R Lama & Jonathan D Fuchs & Jorge Sanchez & Susan P Buchbinder, 2014. "Can Male Circumcision Have an Impact on the HIV Epidemic in Men Who Have Sex with Men?," PLOS ONE, Public Library of Science, vol. 9(7), pages 1-9, July.
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