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Table 3 Factors associated with intention to undergo free medicalised adult male circumcision (AMC) among self-reported uncircumcised men aged 22 and over

From: Adult male circumcision as an intervention against HIV: An operational study of uptake in a South African community (ANRS 12126)

 

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. 1 Obtained using logistic regression
  2. 2 Obtained using forward stepwise logistic regression with all the variables indicated in this table
  3. N: Sample size
  4. CI: Confidence interval
  5. P: P-value
  6. NS: Not selected by the forward stepwise logistic regression
  7. NA: Not available
  8. NC: Not calculable
  9. STI: sexually transmitted infection
  10. HSV-2: Herpes Simplex Virus 2