Understanding Male Circumcision: Insights From a Peri-urban Community in Maputo City, Mozambique.

Details

• Alternative Title:
  International Health, 2025, v. 17, no. 2: Understanding Male Circumcision: Insights From a Peri-urban Community in Maputo City, Mozambique.
• Journal Article:
  International Health
• Personal Author:
  Baduro, Joelma ; Mccabe, K. Carter ; Cavele, Nílzio ; José, Américo ; Mulimela, Anchelda ; Jamnadas, Mehol ; Manhiça, Cremildo ; Monjane, Celso ; Nhachungue, Sheila ; Decroo, Tom ; Macicame, Ivalda
• Description:
  Circumcision is a protective measure against sexually transmitted infections (STIs), reducing the risk of HIV infection. This study reported coverage of male circumcision and assessed the factors associated with male uncircumcision in a peri-urban area in Maputo City, Mozambique.
  
  This cross-sectional study of the Health Demographic Surveillance System in the Polana Caniço neighborhood investigated the sociodemographic and behavioral factors associated with uncircumcised males aged 15-49 y from October 2019 to June 2021. Data were collected from an HIV risk factors questionnaire and descriptive analyses conducted comparing self-reported male circumcision status by sociodemographic factors and sexual behaviors. The association was assessed via χ2 tests, and a multivariable logistic regression model was constructed. Adjusted ORs and 95% CIs were reported for factors associated with uncircumcised status.
  
  Of the 3481 males aged 15-49 y who responded to the questionnaire, 79.5% (2766) self-reported being circumcised. The percentage of uncircumcised men steadily increased with age, ranging from 12.4% (95) among males aged 15-19 y to 34.5% (148) of men aged 40-49 y. Men without education or with primary education, as well as those not practicing Islam, were 3-4 times more likely to be uncircumcised. Uncircumcised men were more likely to self-report an STI and a lack of condom use.
  
  Being uncircumcised was associated with not using condoms and having STIs, highlighting the need to further emphasize combination HIV-prevention programs and regular HIV/STI screening. Targeting males with lower education and across religions can help reach those with lower coverage of this effective prevention intervention.
• Content Notes:
  Author manuscript
• Subjects:
  • Humans
  • Male
  • Adult
  • Circumcision, Male
  • Adolescent
  • Cross-Sectional Studies
  • Young Adult
  • Middle Aged
  • HIV Infections
  • Sexual Behavior
  More +
• Keywords:
  • HDSS
  • HIV/STI
  • male circumcision
  • Maputo
  • Mozambique
  • sociodemographic
• Source:
  International Health, 2025, v. 17, no. 2
• DOI:
  https://doi.org/10.1093/inthealth/ihae042
• ISSN:
  1876-3413 ; 1876-3405
• Pubmed ID:
  38828533
• Pubmed Central ID:
  PMC12082477
• Document Type:
  Text
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/ ; Instituto Nacional de Saude/ ; 350 GH002021/CC/CDC HHSUnited States/
• Genre:
  Journal Article
• Place as Subject:
  Mozambique
• Pages in Document:
  205-213 (17 pdf pages)
• Volume:
  17
• Issue:
  2
• Download URL:
  https://stacks.cdc.gov/view/cdc/262092/cdc_262092_DS1.pdf
• File Type:
  [PDF - 982.57 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:850f53b20363f6f42d7a476e325c8f003b0d567a674f52df027c684cac8662326c13b212b43ba6080c6782ad7b38725490985567c05b48503fb3a15ee210fc6e