Why women object to male circumcision to prevent HIV in a moderate-prevalence setting

Qualitative Health Research

Volumn 23, Issue 2, 2013, Pages 180-193

  Kelly, Angela ^a   Kupul, Martha ^a   Aeno, Herick ^a   Shih, Patti ^b   Naketrumb, Richard ^a   Neo, James ^a   Fitzgerald, Lisa ^c   Kaldor, John M ^b   Siba, Peter M ^a   Vallely, Andrew ^a  

^a PAPUA NEW GUINEA INSTITUTE OF MEDICAL RESEARCH   (Papua New Guinea)

^b UNIVERSITY OF NEW SOUTH WALES   (Australia)

^c UNIVERSITY OF QUEENSLAND   (Australia)

Author keywords

HIV AIDS prevention; Pacific Pacific Islanders; risk; sexuality sexual health; women's issues

Indexed keywords

ADOLESCENT; ADULT; ARTICLE; ATTITUDE TO HEALTH; CIRCUMCISION; CULTURAL ANTHROPOLOGY; FEMALE; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; INFORMATION PROCESSING; INTERVIEW; MALE; MIDDLE AGED; NEGRO; PAPUA NEW GUINEA; PSYCHOLOGICAL ASPECT; RELIGION; YOUNG ADULT;

ADOLESCENT; ADULT; AFRICAN CONTINENTAL ANCESTRY GROUP; ATTITUDE TO HEALTH; CIRCUMCISION, MALE; CULTURE; FEMALE; FOCUS GROUPS; HIV INFECTIONS; HUMANS; INTERVIEWS AS TOPIC; MALE; MIDDLE AGED; PAPUA NEW GUINEA; RELIGION; WOMEN; YOUNG ADULT;

EID: 84871669046     PISSN: 10497323     EISSN: 15527557     Source Type: Journal    
DOI: 10.1177/1049732312467234     Document Type: Article

References (79)

1. Aggleton P.. "Just a snip"? A social history of male circumcision. Reproductive Health Matters. 2007 ; 15 (29). 15-21
2. Agot K. E., Kiarie J. N., Nguyen H. Q., Odhiambo J. O., Oyango T. M., Weiss N. S.. Male circumcision in Siaya and Bpndo Districts, Kenya: Prospective cohort study to assess behavioral disinhibition following circumcision. Journal of Acquired Immune Deficiency Syndromes. 2007 ; 44: 66-70
3. Amnesty International. (2006). Papua New Guinea violence against women: Not inevitable, never acceptable! (ASA 34/002/2006). Retrieved from http://www.unhcr.org/refworld/docid/4517a4184.html
4. Aruwafu H., Kupe F., Akuani F. Port Moresby, Papua New Guinea: National Research Institute & National Department of Health ; 2008:
5. Asamoah-Gyadu J. K.. Your body is a temple: Conversion narratives in African-led Eastern European Pentecostalism. Pastoral Psychology. 2009 ; 58: 1-14
6. Australian Agency for International Development. (2008). Violence against women in Melanesia and East Timor: Building on regional and global promising approaches. Retrieved from http://www.ode.ausaid.gov.au/publications/Documents/ vaw-cs-full-report.pdf
7. Auvert B., Taljaard D., Lagarde E., Sobngwi-Tambekou J., Sitta R., Puren A.. Randomized, controlled intervention trial of male circumcision for reduction of HIV infection risk: The ANRS 1265 Trial. PLoS Medicine. 2005 ; 2 ( 11 ):
8. Bailey R. C., Moses S., Parker C. B., Agot K., Maclean I., Krieger J. N., Ndinya-Achola J. O.. Male circumcision for HIV prevention in young men in Kisumu, Kenya: A randomised controlled trial. Lancet. 2007 ; 369 (9562). 643-656
9. Bailey R. C., Muga R., Poulussen R., Abicht H.. The acceptability of male circumcision to reduce HIV infections in Nyanza Province, Kenya. AIDS Care. 2002 ; 14 (1). 27-40
10. Bailey R. C., Neema S., Othieno R.. Sexual behaviors and other HIV risk factors in circumcised and uncircumcised men in Uganda. Journal of Acquired Immune Deficiency Syndromes. 1999 ; 22 (3). 294-301
11. Barker G., Ricardo C.. Young men and the construction of masculinity in sub-Saharan Africa: Implications for HIV/AIDS, conflict, and violence. 2005 ;:
12. Barnes D. B., Murphy S.. Reproductive decisions for women with HIV: Motherhood's role in envisioning a future. Qualitative Health Research. 2009 ; 19: 481-491
13. Cassell M., Halperin D. T., Shelton J. D., Stanton D.. Risk compensation: The Achilles' heel of innovations in HIV prevention. British Medical Journal. 2006 ; 332 (7541). 605-607
14. Castro-Vasquez G... Paper presented at the eighth biennial meeting of the International Association for the Study of Sexuality, Culture and Society ; 2011 Madrid, Spain ; 2011..
15. de Wit J. B., Aggleton P., Myers T., Crewe M.. The rapidly changing paradigm of HIV prevention: Time to strengthen social and behavioural approaches. Health Education Research. 2011 ; 26 (3). 381-392
16. Douglas M. Purity and danger: An analysis of the concepts of pollution and taboo. London: Routledge ; 1984:
17. Dowsett G. W., Couch M.. Male circumcision and HIV prevention: Is there really enough of the right kind of evidence?. Reproductive Health Matters. 2007 ; 15 (29). 33-44
18. Eves R.. AIDS and apocalypticism: Interpretations of the epidemic in Papua New Guinea. Culture, Health and Sexuality. 2003 ; 3: 249-264
19. Eves R. Making sense of AIDS: Culture, sexuality and power in Melanesia. Eves R. Butt L., ed. Honolulu: University of Hawaii Press ; 2008: 206-223.
20. Eves R. Civic insecurity: Law, order and HIV in Papua New Guinea. Luker V. Dinnen S., ed. Canberra, Australia: ANU E Press, Australian National University ; 2010:
21. Glaser B. G., Strauss A. The discovery of grounded theory: Strategies for qualitative research. Chicago: Aldine ; 1967:
22. Gray R. H., Kigozi G., Serwadda D., Makumbi F., Watya S., Nalugoda F., Wawer M. J.. Male circumcision for HIV prevention in men in Rakai, Uganda: A randomised trial. Lancet. 2007 ; 369 (9562). 657-666
23. Halpern S. D., Metzger D. S., Berlin J. A., Ubel P. A.. Who will enroll? Predicting participation in a phase II AIDS vaccine trial. Journal of Acquired Immune Deficiency Syndromes. 2001 ; 27 (3). 281-288
24. Hankins C.. Male circumcision: Implications for women as sexual partners and parents. Reproductive Health Matters. 2007 ; 15 (29). 62-67
25. Hankins C.. Gender, sex, and HIV: How well are we addressing the imbalance?. Current Opinion in HIV and AIDS. 2008 ; 3 (4). 514-520
26. Herdt G. The Sambia: Ritual and gender in New Guinea. New York: Holt, Reinhart & Winston ; 1987:
27. Hill P. S., Tynan A., Law G., Millan J., Browne K., Sauk J., Vallely A.. A typology of penile cutting in Papua New Guinea: Results of a modified Delphi study among sexual health specialists. AIDS Care-Psychological and Socio-Medical Aspects of AIDS/HIV. 2012 ; 24 (1). 77-86
28. Hogbin I. The island of menstruating men: Religion in Wogeo, New Guinea. Prospect Heights, IL: Chandler ; 1970:
29. Joint United Nations Programme on HIV/AIDS. (2011, July20). New data from study roll-out provides further evidence that male circumcision is effective in preventing HIV in men [Press release]. Retrieved from http://www.unaids.org/en/ resources/presscentre/pressreleaseandstatementarchive/2011/july/ 20110720psmcresults/
30. Kebaabetswe P., Lockman S., Mogwe S., Mandevu R., Thior I., Essex M., Shapiro R. L.. Male circumcision: An acceptable strategy for HIV prevention in Botswana. Sexually Transmitted Infections. 2003 ; 79 (3). 214-219
31. Kelly A.. The body of Christ has AIDS: The Catholic Church responding faithfully to HIV and AIDS in Papua New Guinea. Journal of Religion and Health. 2009 ; 48 (1). 16-28
32. Kelly A., Kupul M., Aeno H., Neo J., Naketrumb R., Fitzgerald L., Vallely A.. More than just a cut: A qualitative study of penile practices and their relationship to masculinity, sexuality and contagion and their implications for HIV prevention in Papua New Guinea. BMC International Health and Human Rights. 2012 ; 12: 10
33. Kelly A., Kupul M., Fitzgerald L., Aeno H., Neo J., Naketrumb R., Vallely A.. "Now we are in a different time; Various bad diseases have come." Understanding men's acceptability of male circumcision for HIV prevention in a moderate prevalence setting. BMC Public Health. 2012 ; 12 ( 1 ):
34. Kelly A., Kupul M., Frankland A., Worth H., Nosi S., Mek A., Siba P.. Living serodiscordantly in Papua New Guinea: Sexual practices of HIV-positive people on ART by serostatus of regular heterosexual partner. AIDS Care-Psychological and Socio-Medical Aspects of AIDS/HIV. 2011 ; 23 (6). 734-740
35. Kelly A., Worth H., Akuani F., Kepa B., Kupul M., Walizopa L., Siba P.. Gendered talk about sex, sexual relationships and HIV among young people in Papua New Guinea. Culture, Health and Sexuality. 2010 ; 12 (3). 221-232
36. Kippax S.. Understanding and integrating the structural and biomedical determinants of HIV infection: A way forward for prevention. Current Opinion in HIV and AIDS. 2008 ; 3 (4). 489-494
37. Kippax S., Stephenson N.. Beyond the distinction between biomedical and social dimensions of HIV prevention through the lens of a social public health. American Journal of Public Health. 2012 ; 102 (5). 789-799
38. Lagarde E., Dirk T., Puren A., Reathe R. T., Bertran A.. Acceptability of male circumcision as a tool for preventing HIV infection in a highly infected community in South Africa. Journal of Acquired Immune Deficiency Syndromes. 2003 ; 17 (1). 89-95
39. Lau J. T., Zhang J., Yan H., Lin C., Choi K. C., Wang Z., Yang H.. Acceptability of circumcision as a means of HIV prevention among men who have sex with men in China. AIDS Care. 2011 ; 23 (11). 1472-1482
40. Law G., Dinnen S. Civic insecurity: Law, order and HIV in Papua New Guinea. Luker V. Dinnen S., ed. Canberra, Australia: ANU E Press, Australian National University ; 2010: 179-190.
41. Lock M., Nguyen V. K. An anthropology of biomedicine. West Sussex, UK: Wiley-Blackwell ; 2010:
42. Madhivanan P., Krupp K., Chandrasekaran V., Karat S. C., Reingold A. L., Klausner J. D.. Acceptability of male circumcision among mothers with male children in Mysore, India. AIDS. 2008 ; 22 (8). 983-988
43. Madhivanan P., Krupp K., Kulkarni V., Kulkarni S., Klausner J. D.. Acceptability of male circumcision for HIV prevention among high-risk men in Pune, India. Sexually Transmitted Diseases. 2011 ; 38 (6). 571
44. Mane P., Aggleton P.. Gender and HIV/AIDS: What do men have to do with it?. Current Sociology. 2001 ; 49 (6). 23-37
45. Mattson C. L., Bailey R. C., Muga R., Poulussen R., Onyango T.. Acceptability of male circumcision and predictors of circumcision preference among men and women in Nyanza Province, Kenya. AIDS Care. 2005 ; 17 (2). 182-194
46. Mavundla T. R., Netswera F. G., Toth F., Bottoman B., Tenge S.. How boys become dogs: Stigmatization and marginalization of uninitiated Xhosa males in East London, South Africa. Qualitative Health Research. 2010 ; 20: 931-941
47. Millan J., Yeka W., Obiero W., Pantumari J. HIV/AIDS Behavioural Surveillance Survey (BSS) within high risk settings, Papua New Guinea. Port Moresby, Papua New Guinea: Papua New Guinea National AIDS Council Secretariat ; 2007:
48. Mugwanya K. K., Baeten J. M., Nakku-Joloba E., Katabira E., Celum C., Tisch D., Whalen C.. Knowledge and attitudes about male circumcision for HIV-1 prevention among heterosexual HIV-1 serodiscordant partnerships in Kampala, Uganda. AIDS and Behavior. 2010 ; 14 (5). 1190-1197
49. Muula A. S.. Male circumcision to prevent HIV transmission and acquisition: What else do we need to know?. AIDS and Behavior. 2007 ; 11 (3). 357-363
50. National study of sexual and reproductive knowledge and behaviour in Papua New Guinea. Goroka, Papua New Guinea: Papua New Guinea Institute of Medical Research ; 1994:
51. Newman P. L., Boyd D. J. Rituals of manhood: Male initiation in Papua New Guinea. Herdt G., ed. Berkeley: University of California Press ; 1982: 239-285.
52. Ngalande R., Levy J., Kapondo C., Bailey R. C.. Acceptability of male circumcision for prevention of HIV infection in Malawi. AIDS and Behavior. 2006 ; 10 (4). 377-385
53. Nnko S., Washija R., Urassa M., Boerma J. T.. Dynamics of male circumcision practices in northwest Tanzania. Sexually Transmitted Diseases. 2001 ; 28 (4). 214-218
54. Papua New Guinea National AIDS Council Secretariat. (2010a). National HIV and AIDS strategy 2011-2015. Retrieved from http://www.nacs.org.pg/attachments/ article/74/PNG-NHS-Main%20document.pdf
55. Papua New Guinea HIV prevalence: 2009 estimates. Port Moresby, Papua New Guinea: Author ; 2010b:
56. The 2010 STI, HIV and AIDS annual surveillance report. Port Moresby, Papua New Guinea: Author ; 2012:
57. Peltzer K., Niang C. I., Muula A. S., Bowa K., Okeke L., Boiro H., Chimbwete C.. Editorial review: Male circumcision, gender and HIV prevention in sub-Saharan Africa: A (social science) research agenda. Sahara-J: Journal of Social Aspects of HIV/AIDS. 2007 ; 4 (3). 658-667
58. Sexual antagonism: The intellectual history of a concept in New Guinea anthropology. Poole F. J. Herdt G., ed. Adelaide, Australia: University of Adelaide ; 1982:
59. Rain-Taljaard R. C., Lagarde E., Taljaard D. J., Campbell C., MacPhail C., Williams B., Auvert B.. Potential for an intervention based on male circumcision in a South African town with high levels of HIV infections. AIDS Care. 2003 ; 15 (3). 315-327
60. Riess T. H., Achieng M. M., Otieno S., Ndinya-Achola J. O., Bailey R. C.. When I was circumcised I was thought certain things: Risk compensation and protective sexual behavior among circumcised men in Kisumu, Kenya. PLoS One. 2010 ; 5 ( 8 ):
61. Ruan Y., Qian H. Z., Li D., Shi W., Li Q., Liang H., Shao Y.. Willingness to be circumcised for preventing HIV among Chinese men who have sex with men. AIDS Patient Care STDS. 2009 ; 23 (5). 315-321
62. Sawires S. R., Dworkin S. L., Fiamma A., Peacock D., Szekeres G., Coates T. J.. Male circumcision and HIV/AIDS: Challenges and opportunities. Lancet. 2007 ; 369 (9562). 708-713
63. Scott B. E., Weiss H. A., Viljoen J. I.. The acceptability of male circumcision as an HIV intervention among a rural Zulu population, Kwazulu-Natal, South Africa. AIDS Care. 2005 ; 17 (3). 304-313
64. Siegfried N., Muller M., Deeks J. J., Volmink J.. Male circumcision for prevention of heterosexual acquisition of HIV in men. Cochrane Database of Systematic Reviews. 2009 ; (2). CD003362
65. Silverman E. K.. Anthropology and circumcision. Annual Review of Anthropology. 2004 ; 33: 419-445
66. Stewart P. J., Strathern A.. Power and placement in blood practices. Ethnology. 2002 ; 41 (4). 549-563
67. Dealing with inequality: Analysing gender relations in Melanesia and beyond. Strathern M., ed. Cambridge, UK: Cambridge University Press ; 1987:
68. Tieu H. V., Phanuphak N., Ananworanich J., Vatanparast R., Jadwattanakul T., Pharachetsakul N., Phanuphak P.. Acceptability of male circumcision for the prevention of HIV among high-risk heterosexual men in Thailand. Sexually Transmitted Diseases. 2010 ; 37 (6). 352-355
69. Tuzin D. F. The voice of the Tambaran: Truth and illusion in Ilahita Arapesh religion. Berkeley: University of California Press ; 1980:
70. Tuzin D. F. Rituals of manhood: Male initiation in Papua New Guinea. Herdt G., ed. Berkeley: University of California Press ; 1982: 321-355.
71. United Nations Division for the Advancement of Women. (2000). The HIV/AIDS pandemic and its gender implication (EGM/HIV-AIDS/2000/Rep.1). Retrieved from www.un.org/womenwatch/daw/csw/hivaids/report.pdf
72. Wambura M., Mwanga J. R., Mosha J. F., Mshana G., Mosha F., Changalucha J.. Acceptability of medical male circumcision in the traditionally circumcising communities in Northern Tanzania. BMC Public Health. 2011 ; 11:
73. Weiss H. A., Hankins C. A., Dickson K.. Male circumcision and risk of HIV infection in women: A systematic review and meta-analysis. Lancet Infectious Diseases. 2009 ; 9 (11). 669-677
74. Weiss H. A., Quigley M. A., Hayes R. J.. Male circumcision and risk of HIV infection in sub-Saharan Africa: A systematic review and meta-analysis. AIDS. 2000 ; 14 (15). 2361-2370
75. Westercamp N., Bailey R. C.. Acceptability of male circumcision for prevention of HIV/AIDS in sub-Saharan Africa: A review. AIDS and Behavior. 2007 ; 11 (3). 341-355
76. Wilde C.. Turning sex into a game: Gogodala men's response to the AIDS epidemic and condom promotion in rural Papua New Guinea. Oceania. 2007 ; 77 (1). 58-71
77. Williamson M. H. Sepik heritage: Tradition and change in Papua New Guinea. Lutkehaus N. Kaufmann C., ed. Sydney, Australia: Crawford House ; 1990:
78. Winner L. Autonomous technology: Technics-out-of-control as a theme in political thought. Cambridge, MA: MIT Press ; 1978:
79. World Health Organization, & Joint United Nations Programme on HIV/AIDS. (2007). WHO and UNAIDS announce recommendations from expert consultation on male circumcision for HIV prevention [Press release]. Retrieved from www.who.int/mediacentre/news/releases/2007/pr10/en/index.html