Predictors of voluntary medical male circumcision prevalence among men aged 25-39 years in Nyanza region, Kenya: Results from the baseline survey of the TASCO study

• Published in: PloS one 2017-10, Vol.12 (10), p.e0185872-e0185872
• Main Authors: Odoyo-June, Elijah, Agot, Kawango, Grund, Jonathan M, Onchiri, Frankline, Musingila, Paul, Mboya, Edward, Emusu, Donath, Onyango, Jacob, Ohaga, Spala, Soo, Leonard, Otieno-Nyunya, Boaz
• Format: Article
• Language: English
• Subjects: Acquired immune deficiency syndrome; Adult; AIDS; Analysis; Biology and Life Sciences; Circumcision; Circumcision, Male - statistics & numerical data; Disease control; Disease prevention; Education; Elective Surgical Procedures - statistics & numerical data; Ethnic factors; Health aspects; HIV; Human immunodeficiency virus; Humans; Interpersonal communication; Kenya; Male; Males; Medicine and Health Sciences; Men; Men's health; People and Places; Prevalence studies (Epidemiology); Social Sciences; Surveys and Questionnaires
• ISSN: 1932-6203; 1932-6203
• DOI: 10.1371/journal.pone.0185872

Uptake of voluntary medical male circumcision (VMMC) as an intervention for prevention of HIV acquisition has been low among men aged ≥25 years in Nyanza region, western Kenya. We conducted a baseline survey of the prevalence and predictors of VMMC among men ages 25-39 years as part of the preparations for a cluster randomized controlled trial (cRCT) called the Target, Speed and Coverage (TASCO) Study. The TASCO Study aimed to assess the impact of two demand creation interventions-interpersonal communication (IPC) and dedicated service outlets (DSO), delivered separately and together (IPC + DSO)-on VMMC uptake. As part of the preparatory work for implementation of the cRCT to evaluate tailored interventions to improve uptake of VMMC, we conducted a survey of men aged 25-39 years from a traditionally non-circumcising Kenyan ethnic community within non-contiguous locations selected as study sites. We determined their circumcision status, estimated the baseline circumcision prevalence and assessed predictors of being circumcised using univariate and multivariate logistic regression. A total of 5,639 men were enrolled of which 2,851 (50.6%) reported being circumcised. The odds of being circumcised were greater for men with secondary education (adjusted Odds Ratio (aOR) = 1.65; 95% CI: 1.45-1.86, p