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. 2025 Mar 4;17(2):205-213.
doi: 10.1093/inthealth/ihae042.

Understanding male circumcision: insights from a peri-urban community in Maputo City, Mozambique

Joelma Baduro  1 , K Carter Mccabe  2 , Nílzio Cavele  1 , Américo José  1 , Anchelda Mulimela  1 , Mehol Jamnadas  1 , Cremildo Manhiça  1 , Celso Monjane  1 , Sheila Nhachungue  1 , Tom Decroo  3 , Ivalda Macicame  1
Affiliations

Understanding male circumcision: insights from a peri-urban community in Maputo City, Mozambique

Joelma Baduro et al. Int Health. .

Abstract

Background: Circumcision is a protective measure against sexually transmitted infections (STIs), reducing the risk of HIV infection. This study reported coverage of male circumcision and assessed the factors associated with male uncircumcision in a peri-urban area in Maputo City, Mozambique.

Methods: This cross-sectional study of the Health Demographic Surveillance System in the Polana Caniço neighborhood investigated the sociodemographic and behavioral factors associated with uncircumcised males aged 15-49 y from October 2019 to June 2021. Data were collected from an HIV risk factors questionnaire and descriptive analyses conducted comparing self-reported male circumcision status by sociodemographic factors and sexual behaviors. The association was assessed via χ2 tests, and a multivariable logistic regression model was constructed. Adjusted ORs and 95% CIs were reported for factors associated with uncircumcised status.

Results: Of the 3481 males aged 15-49 y who responded to the questionnaire, 79.5% (2766) self-reported being circumcised. The percentage of uncircumcised men steadily increased with age, ranging from 12.4% (95) among males aged 15-19 y to 34.5% (148) of men aged 40-49 y. Men without education or with primary education, as well as those not practicing Islam, were 3-4 times more likely to be uncircumcised. Uncircumcised men were more likely to self-report an STI and a lack of condom use.

Conclusions: Being uncircumcised was associated with not using condoms and having STIs, highlighting the need to further emphasize combination HIV-prevention programs and regular HIV/STI screening. Targeting males with lower education and across religions can help reach those with lower coverage of this effective prevention intervention.

Keywords: HDSS; HIV/STI; Maputo; Mozambique; male circumcision; sociodemographic.

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Conflict of interest statement

Competing interests: The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the funding agencies.

Figures

Figure 1.
Figure 1.
Polana Canico A (PCA) and Polana Canico B (PCB) neighborhood blocks selected for surveillance in the HDSS.
Figure 2.
Figure 2.
Flowchart of the HDSS Polana Caniço sampling and recruitment process for households and household members for surveillance round 2. *People unavailable for the interview, people with mental incapacity to respond and adolescents aged 15–17 y whose legal guardian did not permit their inclusion.
See this image and copyright information in PMC

References

    1. Ministério da Saúde-MISAU, Instituto Nacional de Estatística - INE, and ICF. 2018. Inquérito de Indicadores de Imunização, Malária e HIV/SIDA em Moçambique - IMASIDA, 2015. Maputo/Moçambique: MISAU/Moçambique, INE, and ICF.
    1. Instituto Nacional de Saude (INS). Mozambique Population-based HIV Impact Assessment 2021 (INSIDA 2021): Final Report. Maputo: INS; July 2023.
    1. Niang CI. Strategies and Approaches for Male Circumcision Programming. Geneva, Switzerland: World Health Organization, 2006.
    1. World Health Organization, Joint United Nations Programme on HIV/AIDS. New Data on Male Circumcision and HIV Prevention: Policy and Programme Implications: WHO/UNAIDS Technical Consultation on Male Circumcision and HIV Prevention: Research Implications for Policy and Programming, Montreux, 6–8 March 2007: Conclusions and Recommendations. Geneva: World HealthOrganization; 2007. Available at https://apps.who.int/iris/bitstream/handle/10665/43751/9789241595988_eng... [accessed May 30, 2019].
    1. Sorensen MS. The New York Times. June 2, 2018. [accessed October 15, 2018]. Denmark talks (reluctantly) about a ban on circumcising boys.

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