Female Partner Acceptance as a Predictor of Men’s Readiness to Undergo Voluntary Medical Male Circumcision in Zambia: The Spear and Shield Project

Ryan Cook, Deborah Jones, Colleen A. Redding, Robert Zulu, Ndashi Chitalu, Stephen M. Weiss

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

The World Health Organization has recommended the scale-up of voluntary medical male circumcision (VMMC) for HIV prevention in sub-Saharan Africa; however, men are often uninterested in undergoing VMMC. The Spear & Shield project enrolled 668 men and female partners from ten Zambian community health centers into parallel interventions promoting VMMC for HIV prevention or time-matched control conditions. A mediation model was utilized to examine the relationships between changes in women’s acceptance of VMMC and men’s readiness to undergo the procedure. Results demonstrated that, at 12 months post-intervention, a 5.9 % increase in the likelihood of undergoing VMMC among men in the experimental condition could be attributed to increased women’s acceptance. From a public health perspective, involving women in VMMC promotion interventions such as the Spear & Shield project could significantly impact the demand for VMMC in Zambia.

Original languageEnglish (US)
Pages (from-to)2503-2513
Number of pages11
JournalAIDS and Behavior
Volume20
Issue number11
DOIs
StatePublished - Nov 1 2016

Keywords

  • Couples
  • Voluntary medical male circumcision
  • Women
  • Zambia

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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