Understanding the linkages between male circumcision and multiple sexual partnership among married Ghanaian men: Analysis of data from the 2014 Ghana demographic and health survey.
Circumcision
Ghana
Men
Multiple sexual partnership
Journal
SSM - population health
ISSN: 2352-8273
Titre abrégé: SSM Popul Health
Pays: England
ID NLM: 101678841
Informations de publication
Date de publication:
Aug 2020
Aug 2020
Historique:
received:
20
03
2020
revised:
22
06
2020
accepted:
23
06
2020
entrez:
10
7
2020
pubmed:
10
7
2020
medline:
10
7
2020
Statut:
epublish
Résumé
This current study sought to investigate the association between male circumcision status and engaging in multiple sexual partnership among men in Ghana. Data from this study come from the men's file of the 2014 Ghana demographic and health survey. Both descriptive and inferential statistics were conducted among 1, 948 men and the level of statistical significance was pegged at p < 0.05. Results revealed that men who have been circumcised were more likely to engage in multiple sexual partnership (AOR = 3.36; CI:1.14-9.89), compared to those who have not been circumcised. With the covariates, men with primary level of education were more likely to have multiple sexual partners (AOR = 2.01; CI:1.10-3.69), compared to those with no education. With wealth status, men with richest (AOR = 2.27; CI:1.04-4.97), richer (AOR = 2.05; CI: 1.03-4.08), and middle wealth status (AOR = 1.83; CI:1.01-3.34) had the highest likelihood of having multiple sexual partners, compared to those with poorest wealth status. Conversely, men who professed the Islamic faith were less likely to engage in multiple sexual partnership (AOR = 0.58; CI: 0.36-0.94), compared to Christians. Similarly, men who resided in the Brong Ahafo (AOR = 0.51; CI: 0.26-0.99), Upper East (AOR = 0.41; CI:0.19-0.89), and Ashanti regions (AOR = 0.39; CI: 0.20-0.78) were less likely to engage in multiple sexual partnership. Based on the current findings, educational campaigns by stakeholder groups (e.g., Ministry of Health in collaboration with the National Commission on Civic Education, civil society, educational institutions) should sensitize the sexually active population at the community level to consistently use condoms, especially when they have multiple sexual partners, even when a man is circumcised. Campaign messages must clearly emphasize that male circumcision should not substitute precautionary measures such as delay in the onset of sexual relationships, averting penetrative sex, reducing the number of sexual partners as well as correct and consistent use of male or female condoms regardless one's social standing.
Identifiants
pubmed: 32642549
doi: 10.1016/j.ssmph.2020.100622
pii: S2352-8273(20)30259-7
pii: 100622
pmc: PMC7334616
doi:
Types de publication
Journal Article
Langues
eng
Pagination
100622Informations de copyright
© 2020 The Author(s).
Déclaration de conflit d'intérêts
The authors declare that they have no competing interests.
Références
AIDS. 1994 Jan;8(1):81-6
pubmed: 8011240
Sex Transm Dis. 2003 May;30(5):405-10
pubmed: 12916131
Lancet. 2011 Jan 15;377(9761):209-18
pubmed: 21216000
S Afr Med J. 2008 Oct;98(10):762-4, 766
pubmed: 19115748
Sex Transm Infect. 2009 Apr;85(2):116-20
pubmed: 19074928
Sex Transm Dis. 2008 Jan;35(1):78-83
pubmed: 17989585
AIDS Care. 2005 Apr;17(3):304-13
pubmed: 15832878
Soc Biol. 1992 Fall-Winter;39(3-4):203-11
pubmed: 1340040
Curr HIV/AIDS Rep. 2009 Nov;6(4):187-93
pubmed: 19849961
AIDS Care. 2010 Aug;22(8):1006-11
pubmed: 20552464
Lancet. 2007 Feb 24;369(9562):643-56
pubmed: 17321310
Am J Epidemiol. 2005 Nov 1;162(9):907-16
pubmed: 16177149
BMC Public Health. 2016 Jan 05;16:7
pubmed: 26727935
Popul Health Metr. 2016 Mar 01;14:4
pubmed: 26933388
J Sex Med. 2014 Dec;11(12):2847-64
pubmed: 25284631
Brain Res. 1986 Apr 23;371(2):205-30
pubmed: 3697758
BMC Public Health. 2012 Jul 29;12(1):571
pubmed: 22839700
Urol Clin North Am. 2004 Aug;31(3):461-7, viii
pubmed: 15313055
Sex Med. 2015 Jun;3(2):76-85
pubmed: 26185672
AIDS Behav. 2019 May;23(5):1104-1114
pubmed: 30357642
AIDS. 2006 Mar 21;20(5):731-9
pubmed: 16514304
Sex Transm Infect. 2003 Jun;79(3):214-9
pubmed: 12794204
HIV AIDS (Auckl). 2015 Apr 09;7:105-13
pubmed: 25914557
BMC Public Health. 2011 Aug 17;11:651
pubmed: 21849048
Am J Obstet Gynecol. 2009 Jan;200(1):42.e1-7
pubmed: 18976733
Lancet. 2007 Feb 24;369(9562):657-66
pubmed: 17321311
PLoS Med. 2005 Nov;2(11):e298
pubmed: 16231970
Int Perspect Sex Reprod Health. 2011 Dec;37(4):181-90
pubmed: 22227625
SAHARA J. 2007 Nov;4(3):658-67
pubmed: 18185893
PLoS Med. 2006 Jul;3(7):e262
pubmed: 16822094
Fam Plann Perspect. 1993 Sep-Oct;25(5):208-14
pubmed: 8262169
Lancet. 2006 Nov 4;368(9547):1595-607
pubmed: 17084760
Soc Biol. 1999 Spring-Summer;46(1-2):17-32
pubmed: 10842499
Afr Health Sci. 2016 Mar;16(1):105-15
pubmed: 27358620
Afr J Reprod Health. 2007 Dec;11(3):83-98
pubmed: 20698061
BJU Int. 2012 Feb;109(4):E11
pubmed: 22313504
BMC Infect Dis. 2006 Nov 30;6:172
pubmed: 17137513
Sex Med. 2019 Jun;7(2):145-161
pubmed: 31031121