Citizenship in a time of HIV: Understanding medical adult male circumcision in South Africa

Medical adult male circumcision has been shown to offer men significant protection against HIV infection during peno-vaginal sex. This has resulted in calls for a national roll-out of medical adult male circumcision in South Africa, a rights-based constitutional democracy. This article explores the...

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Bibliographic Details
Published in:Journal of health psychology 2018-05, Vol.23 (6), p.871-881
Main Authors: Howard-Payne, Lynlee, Bowman, Brett
Format: Article
Language:English
Subjects:
Adult
Adults
Circumcision
Circumcision, Male - psychology
Citizenship
Democracy
Developing Countries
Efficacy
HIV
HIV Infections - prevention & control
HIV Infections - transmission
Human immunodeficiency virus
Humans
Infections
Interview, Psychological
Male
Men
Morality
Negotiating
Patient Acceptance of Health Care - psychology
Patient Advocacy
Policy making
Prevention programs
Preventive medicine
Sex education
Social Identification
South Africa
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Summary:Medical adult male circumcision has been shown to offer men significant protection against HIV infection during peno-vaginal sex. This has resulted in calls for a national roll-out of medical adult male circumcision in South Africa, a rights-based constitutional democracy. This article explores the ways that the potential tensions between this call to circumcise as a practice of good health citizenship and the guaranteed right to bodily integrity are negotiated in interviews with 30 urban-based men in Johannesburg. The results suggest that despite its demonstrable biological efficacy, these tensions may paralyse decision- and policy-makers in grappling with the potential scaling up of medical adult male circumcision for HIV prevention in South Africa.
ISSN:1359-1053
1461-7277
DOI:10.1177/1359105316651709