Randomized trials have shown that voluntary medical male circumcision (VMMC) significantly reduces HIV acquisition risk in men. We sought to identify subpopulations of Botswanan men with high levels of VMMC uptake by comparing an observational cohort of men presenting for circumcision services at two high-volume clinics in Botswana's capital city, Gabo-rone, with a matched, population-based random sample of uncircumcised men. Among these high uptake VMMC subpopulations, we then examined the immediate factors that play a role in men's decision to seek VMMC services. As compared to their population-based controls, men choosing to undergo circumcision were more likely to be ages 24-34, more highly educated, to have a religious affiliation, and in a serious relationship. Our results suggest that married men and highly educated men were more likely to pursue circumcision for personal hygiene reasons. These findings have direct implications for targeted demand creation and mobilization activities to increase VMMC uptake in Botswana.

中文翻译：

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在博茨瓦纳城市环境中寻求HIV阴性成年男性自愿接受包皮环切术的直接动机

随机试验表明，自愿进行男性包皮环切术（VMMC）可以大大降低男性感染HIV的风险。我们试图通过比较在博茨瓦纳首都加博隆的两个大型诊所接受包皮环切服务的男性观察人群与匹配的，基于人群的随机样本进行比较，以识别高VMMC摄入量的博茨瓦纳男性人群。未割礼的男人。然后，在这些高摄入量VMMC亚人群中，我们研究了在男性寻求VMMC服务的决定中起作用的直接因素。与以人群为基础的对照相比，选择行包皮环切术的男性年龄在24-34岁之间，受教育程度更高，具有宗教信仰，并且有认真的恋爱关系。我们的研究结果表明，已婚男性和受过高等教育的男性出于个人卫生原因更倾向于行包皮环切术。这些发现对有针对性的需求创建和动员活动产生直接影响，以增加博茨瓦纳对VMMC的吸收。