Population-based cohort data used to assess trends in early resumption of sexual activity after voluntary medical male circumcision in Rakai, Uganda

Voluntary medical male circumcision (VMMC) reduces the risk of heterosexual acquisition of HIV by 50%-60%. The Uganda Ministry of Health recommends abstinence of sex for 42 days after VMMC to allow complete wound healing. However, some men resume sex early before the recommended period. We estimated...

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Bibliographic Details
Published in:PloS one 2024-11, Vol.19 (11), p.e0297240
Main Authors: Daama, Alex, Nalugoda, Fred, Kankaka, Edward, Kasango, Asani, Nantume, Betty, Kigozi, Grace Nalwoga, Ssekubugu, Robert, Namutundu, Juliana, Ssettuba, Absalom, Lutalo, Tom, Kagaayi, Joseph, Nakigozi, Gertrude, Alamo, Stella, Mills, Lisa A, Kabuye, Geoffrey, Gray, Ron, Wawer, Maria, Serwadda, David, Sewankambo, Nelson, Kigozi, Godfrey
Format: Article
Language:English
Subjects:
Abstinence
Acquired immune deficiency syndrome
Adolescent
Adult
Age groups
AIDS
Biology and Life Sciences
Care and treatment
Circumcision
Circumcision, Male - statistics & numerical data
Circumcision, Male - trends
Cohort Studies
Cross-Sectional Studies
Data collection
Education
Health aspects
HIV
HIV (Viruses)
HIV Infections - epidemiology
HIV Infections - prevention & control
Human immunodeficiency virus
Humans
Male
Marital status
Medical tests
Medicine and Health Sciences
Men
Middle Aged
People and Places
Physical Sciences
Polls & surveys
Prevalence
Prevention
Reproductive health
Research and Analysis Methods
Risk Factors
Risk reduction
Self report
Sex
Sexual Behavior
Sexually transmitted diseases
Sociodemographics
STD
Surveys
Trends
Uganda - epidemiology
Variables
Wound healing
Young Adult
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Summary:Voluntary medical male circumcision (VMMC) reduces the risk of heterosexual acquisition of HIV by 50%-60%. The Uganda Ministry of Health recommends abstinence of sex for 42 days after VMMC to allow complete wound healing. However, some men resume sex early before the recommended period. We estimated trends in prevalence and risk factors of early sex resumption (ESR) among VMMC clients in Rakai, Uganda, from 2013-2020. Data from the Rakai Community Cohort Study (RCCS), a cross-sectional study, were analyzed. Data included consenting males aged 15-49 years in RCCS who self-reported having received VMMC between the period of 2013 to 2020. ESR prevalence and associated risk factors were assessed using modified Poisson regression to estimate adjusted prevalence ratios (aPR). Overall, 1,832 participants were included in this study. ESR decreased from 45.1% in 2013 to 14.9% in 2020 (p
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0297240