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Needs Assessment and Theory-Based Promotion of Voluntary Medical Male Circumcision (VMMC) Among Male Sexually Transmitted Diseases Patients (MSTDP) in China

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Abstract

Voluntary medical male circumcision (VMMC) is an evidence-based biomedical HIV prevention method. It is under-utilized in countries outside Africa, including China. The present single-arm, non-blinded test-of-concept trial was designed to promote VMMC among 179 male sexually transmitted diseases patients (MSTDP) in Shenzhen, China. It was based on behavioral health theories and results of a formative survey. At month 4, 45.5 % of the MSTDP responded positively to the intervention (19.9 % had taken up VMMC and 25.6 % intended to do so in the next 6 months). Adjusted analysis showed that cognitive variables measured at baseline (perceived self-efficacy, subjective norm and behavioral intention) significantly predicted adoption of VMMC during the 4-month follow-up period. Process evaluation involving clinicians of the STD clinics was positive. At month 6, 36.0 % of the circumcised participants used condom less frequently with their regular sex partner. We recommend scaling up the intervention, taking prevention of risk compensation into account.

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Acknowledgments

The authors gratefully thank the study participants, clinicians and directors of the collaborative STD clinics for their contribution. The study was supported by the National Natural Science Foundation of China (Ref#: 81373054).

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    Authors and Affiliations

    1. Centre for Health Behaviours Research, JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Shatin, NT, Hong Kong SAR, China

      Zixin Wang & Joseph T. F. Lau

    2. CUHK Shenzhen Research Institute (SZRI), Shenzhen, China

      Zixin Wang & Joseph T. F. Lau

    3. Shenzhen Center for Chronic Disease Control, Shenzhen, China

      Tiejian Feng

    4. Centre for Medical Anthropology and Behavioral Health, Sun Yat-sen University, Guangzhou, China

      Joseph T. F. Lau

    5. 5F, School of Public Health, Prince of Wales Hospital, Shatin, NT, Hong Kong SAR, China

      Joseph T. F. Lau

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    1. Zixin Wang
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    Corresponding author

    Correspondence to Joseph T. F. Lau.

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    Zixin Wang and Tiejian Feng have contributed equally to this manuscript.

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    Wang, Z., Feng, T. & Lau, J.T.F. Needs Assessment and Theory-Based Promotion of Voluntary Medical Male Circumcision (VMMC) Among Male Sexually Transmitted Diseases Patients (MSTDP) in China. AIDS Behav 20, 2489–2502 (2016). https://doi.org/10.1007/s10461-015-1040-z

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