Early infant male circumcision: Potential for changing adverse gender norms associated with traditional male circumcision among circumcising communities in Kenya.

IF 1.1 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Jacob Onyango, Marylyn Ochillo, Eunice Omanga, Ohaga Spala, Gift-Noelle Wango, Edwin Lwanya, Kawango Agot
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Abstract

Introduction: Traditional male circumcision (TMC) inculcates masculine-dominance norms in young men. Early infant male circumcision (EIMC) and medical male circumcision (MMC) can potentially minimise these adverse gender norms. We explored the perceptions about EIMC and MMC among communities practising TMC in Kenya.Method: We conducted focus group discussions with men and women and councils of elders, and key informant interviews with traditional circumcisers. Data were analysed using NVivo 10.Results: Most participants described MC as a rite of passage into adulthood, with the preferred age for MC to occur at 10 to 15 years old. Interestingly, awareness of the advantages of EIMC, especially among younger men and women, was high. Participants acknowledged that TMC reinforces hegemonic masculinity that undermines gender equality. Except among traditional circumcisers and some members of councils of elders, MMC and female providers were largely deemed acceptable.Conclusion: EIMC and MMC are slowly gaining acceptance, providing important tools to challenge adverse gender norms associated with TMC.

早期婴儿男性包皮环切术:改变肯尼亚包皮环切术社区中与传统男性包皮环切术相关的不良性别规范的潜力。
传统的男性包皮环切术(TMC)向年轻男性灌输男性主导的规范。早期婴儿男性包皮环切术(EIMC)和医学男性包皮环切术(MMC)可以潜在地减少这些不利的性别规范。我们探讨了肯尼亚实施传统医学管理的社区对EIMC和MMC的看法。方法:对男性、女性和长老委员会进行焦点小组讨论,对传统包皮环切者进行关键信息提供者访谈。使用NVivo 10分析数据。结果:大多数参与者将MC描述为进入成年期的仪式,MC的首选年龄发生在10至15岁。有趣的是,对EIMC优势的认识很高,尤其是在年轻男性和女性中。与会者承认,男权主义强化了男性霸权,破坏了性别平等。除了传统的包皮环切者和一些长老委员会成员外,MMC和女性提供者在很大程度上被认为是可以接受的。结论:EIMC和MMC正逐渐被接受,为挑战与TMC相关的不良性别规范提供了重要工具。
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来源期刊
Ajar-African Journal of Aids Research
Ajar-African Journal of Aids Research 医学-公共卫生、环境卫生与职业卫生
CiteScore
1.80
自引率
8.30%
发文量
38
审稿时长
>12 weeks
期刊介绍: African Journal of AIDS Research (AJAR) is a peer-reviewed research journal publishing papers that make an original contribution to the understanding of social dimensions of HIV/AIDS in African contexts. AJAR includes articles from, amongst others, the disciplines of sociology, demography, epidemiology, social geography, economics, psychology, anthropology, philosophy, health communication, media, cultural studies, public health, education, nursing science and social work. Papers relating to impact, care, prevention and social planning, as well as articles covering social theory and the history and politics of HIV/AIDS, will be considered for publication.
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