Prevalence and associated factors of behavioral intention for risk compensation following voluntary medical male circumcision among male sexually transmitted diseases patients in China |
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| Authors: | Zixin Wang Tiejian Feng |
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| Institution: | 1. Centre for Health Behaviours Research, JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong SAR, People’s Republic of China;2. Shenzhen Research Institute (SZRI), The Chinese University of Hong Kong, Shenzhen, People’s Republic of China;3. Shenzhen Center for Chronic Disease Control, Shenzhen, People’s Republic of China |
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| Abstract: | Risk compensation was an important concern of voluntary medical male circumcision (VMMC) promotion campaigns. No study investigated risk compensation following VMMC among male sexually transmitted diseases patients (MSTDP). A cross-sectional survey interviewed 308 uncircumcised MSTDP in Shenzhen, China. 26.9% of them intended to perform at least one of the five types of risk compensation behaviors following VMMC. In the summary stepwise model, provision of incorrect response to HIV/sexually transmitted diseases knowledge items (multivariate odds ratios (ORm)?=?2.30), genital herpes infection (ORm?=?3.19), Risk Reduction Score for Unprotected Sex, and Negative Condom Attitudes Scale (ORm?=?1.13) were significantly associated with behavioral intention to perform at least one type of risk compensation behavior following VMMC. The results provided a framework for developing related interventions. Prevention of risk compensation should be an essential component of VMMC promotion for all MSTDP, irrespective of their intention for VMMC. |
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| Keywords: | Behavioral intention of risk compensation voluntary medical male circumcision risk perceptions attitude toward condom use male sexually transmitted diseases patients China |
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