Preventing HIV Among Adolescent Boys and Young Men Through PEPFAR-Supported Voluntary Medical Male Circumcision in 15 Sub-Saharan African Countries, 2018-2021.

IF 1.6 4区医学 Q2 EDUCATION & EDUCATIONAL RESEARCH Aids Education and Prevention Pub Date : 2023-07-01 DOI:10.1521/aeap.2023.35.suppA.67

Megan E Peck, Katherine Ong, Todd Lucas, Anne G Thomas, Ronald Wandira, Bene Ntwaaga, Mandzisi Mkhontfo, Tiruneh Zegeye, Fikirte Yohannes, Dejene Mulatu, Teruwork Gultie, Ambrose Wanyonyi Juma, Elijah Odoyo-June, Alice Maida, Wezi Msungama, Marcos Canda, Gram Mutandi, Brigitte L T Zemburuka, Ida Kankindi, Peter Vranken, Nandi Maphothi, Dayanund Loykissoonlal, Sudhir Bunga, Jonathan M Grund, Kokuhumbya J Kazaura, Geoffrey Kabuye, Omega Chituwo, Brian Muyunda, Royd Kamboyi, Godfrey Lingenda, John Mandisarisa, Amy Peterson, Rickie Malaba, Sinokuthemba Xaba, Talent Moyo, Carlos Toledo

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Abstract

Voluntary medical male circumcision (VMMC) is an HIV prevention intervention that has predominantly targeted adolescent and young men, aged 10-24 years. In 2020, the age eligibility for VMMC shifted from 10 to 15 years of age. This report describes the VMMC client age distribution from 2018 to 2021, at the site, national, and regional levels, among 15 countries in southern and eastern Africa. Overall, in 2018 and 2019, the highest proportion of VMMCs were performed among 10-14-year-olds (45.6% and 41.2%, respectively). In 2020 and 2021, the 15-19-year age group accounted for the highest proportion (37.2% and 50.4%, respectively) of VMMCs performed across all age groups. Similarly, in 2021 at the site level, 68.1% of VMMC sites conducted the majority of circumcisions among men aged 15-24 years. This analysis highlights that adolescent boys and young men are the primary recipients of VMMC receiving an important lifetime reduction in HIV risk.

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2018-2021年，在15个撒哈拉以南非洲国家通过PEPFAR支持的自愿医疗男性包皮环切手术预防青少年男孩和年轻男性感染艾滋病毒。

自愿包皮环切术（VMMC）是一项主要针对 10-24 岁青少年和年轻男性的艾滋病毒预防干预措施。2020 年，接受包皮环切手术的年龄资格从 10 岁提高到 15 岁。本报告介绍了 2018 年至 2021 年期间，非洲南部和东部 15 个国家在现场、国家和地区层面的 VMMC 客户年龄分布情况。总体而言，在 2018 年和 2019 年，10-14 岁儿童进行的自愿监测和评价比例最高（分别为 45.6% 和 41.2%）。2020 年和 2021 年，在所有年龄组中，15-19 岁年龄组进行自愿监测和管理的比例最高（分别为 37.2% 和 50.4%）。同样，在 2021 年，68.1% 的自愿监测点为 15-24 岁男性进行了包皮环切手术。这项分析突出表明，青春期男孩和青年男子是接受包皮环切手术的主要人群，他们在接受包皮环切手术后可终生降低感染艾滋病毒的风险。

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来源期刊

Aids Education and Prevention Multiple-

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2.20

自引率

5.60%

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期刊介绍： Presenting state-of-the-art research and information, AIDS Education and Prevention is a vital addition to the library collections of medical schools, hospitals, and other institutions and organizations with HIV/AIDS research programs. The journal integrates public health, psychosocial, sociocultural, and public policy perspectives on issues of key concern nationally and globally.