Amsterdam 2015
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| Abstract #2136 - Circumcision and TasP: Biomedical interventions | ||||
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Session: 27.2: Circumcision and TasP: Biomedical interventions (Parallel) on Thursday @ 11.30-13.00 in C001 Chaired by Catherine Adams, Fraukje Mevissen Authors: Presenting Author: Dr Danuta Kasprzyk - University of Washington, United States |
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| Additional Authors: | ||||
| Aim: While male circumcision (MC) has been shown to significantly reduce HIV acquisition among men, uptake has remained low in many sub-Saharan African countries. Demand needs to be improved. Communication campaigns have traditionally avoided suggesting increased sexual pleasure for both partners post-MC, though it is a common belief among men (Montaño, et.al. 2014). A Field Implementation Study Phase of a non-surgical device Trial allowed us to test the longitudinal effect of MC on sexual pleasure among men and their female partners. | ||||
| Method / Issue: Under the auspices of the Zimbabwe Ministry of Health and Child Care (MOHCC) MC Programme, a field trial to carry out circumcisions using a non-surgical device was implemented. Clinical and psychosocial assessments were conducted at two local district hospitals and a national MC Center. Of 603 eligible men enrolled, half (N=301) were randomly assigned to the psychosocial assessment. Based on the Integrated Behavioral Model (IBM) data was collected for male participants aged 18 or older, and their female partners, assessing 11 outcomes pre-and-post MC procedure including: sexual history and activity, attitudes toward sex, and sexual pleasure. 298 males and 44 female partners were interviewed pre-procedure and 280 males and 106 females at 90-days post-procedure. | ||||
| Results / Comments: Data showed 15% men returned to sexual activity prior to the recommended period of abstinence. All men returned to sexual activity by 90-days. Sexual activity increased pre- to post-MC (p>.02). Prior to the MC, men believed they would last longer (59%), sexual pleasure would increase for them (57%), and increase for their partner (69%). Post-procedure 76% said they lasted longer, 57% said sexual pleasure increased for them 76% said partner’s pleasure increased. Both men and women found sex with their partner more appealing (p<0.01), cleaner (p<.00), and extremely satisfying (p<0.04) comparing pre to post measures. At 90-days post-procedure, the vast majority of men reported lasting longer during sexual relations (90%). The majority of men and women (91.14%) found their partner enjoyed his/her sexual experience better than they had pre-procedure. By contrast, though men expected condoms would be easier to use (72% pre), post-MC only 38% said condoms were easier to use. | ||||
| Discussion: MC does have reported positive effects on sexual pleasure for both men and their female partners. This suggests that messages about increased sexual pleasure may be utilized to bolster MC uptake throughout the country. Such messages could target both men and women, as data shows both had increased pleasure. | ||||
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