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  1. Book ; Online ; Thesis: Male circumcision for HIV prevention – assessing awareness among people living in rural Uganda

    Wilcken, Andrea

    2013  

    Title variant Die Kenntnis von Jugendlichen und Erwachsenen in ländlichen Gegenden Ugandas über männliche Beschneidung zur Prävention von HIV
    Author's details Andrea Wilcken
    Language English
    Size Online-Ressource
    Publisher Medizinische Fakultät Charité - Universitätsmedizin Berlin
    Publishing place Berlin
    Document type Book ; Online ; Thesis
    Thesis / German Habilitation thesis Berlin, Medizinische Fakultät Charité - Universitätsmedizin Berlin, Diss., 2013
    Database Former special subject collection: coastal and deep sea fishing

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  2. Book ; Online ; Thesis: Male circumcision for HIV prevention – assessing awareness among people living in rural Uganda

    Wilcken, Andrea [Verfasser]

    2013  

    Author's details Andrea Wilcken
    Keywords Medizin, Gesundheit ; Medicine, Health
    Subject code sg610
    Language English
    Publisher Medizinische Fakultät Charité - Universitätsmedizin Berlin
    Publishing place Berlin
    Document type Book ; Online ; Thesis
    Database Digital theses on the web

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  3. Article ; Online: Traditional male circumcision in eastern and southern Africa: a systematic review of prevalence and complications.

    Wilcken, Andrea / Keil, Thomas / Dick, Bruce

    Bulletin of the World Health Organization

    2010  Volume 88, Issue 12, Page(s) 907–914

    Abstract: Objective: to systematically review studies on the prevalence and complications of traditional male circumcision (i.e. circumcision by a traditional provider with no formal medical training), whose coverage and safety are unclear.: Methods: we ... ...

    Abstract Objective: to systematically review studies on the prevalence and complications of traditional male circumcision (i.e. circumcision by a traditional provider with no formal medical training), whose coverage and safety are unclear.
    Methods: we systematically searched databases and reports for studies on the prevalence and complications of traditional male circumcision in youth 10-24 years of age in eastern and southern Africa, and also determined the ages at which traditional circumcision is most frequently performed.
    Findings: six studies reported the prevalence of traditional male circumcision, which had been practised in 25-90% of all circumcised male study participants. Most circumcisions were performed in boys 13-20 years of age. Only two of the six studies on complications reported overall complication rates (35% and 48%) following traditional male circumcision. The most common complications were infection, incomplete circumcision requiring re-circumcision and delayed wound healing. Infection was the most frequent cause of hospitalization. Mortality related to traditional male circumcision was 0.2%.
    Conclusion: published studies on traditional male circumcision in eastern and southern Africa are limited; thus, it is not possible to accurately assess the prevalence of complications following the procedure or the impact of different traditional practices on subsequent adverse events. Also, differences in research methods and the absence of a standard reporting format for complications make it difficult to compare studies. Research into traditional male circumcision procedures, practices and complication rates using standardized reporting formats is needed.
    MeSH term(s) Adolescent ; Africa, Eastern/epidemiology ; Africa, Southern/epidemiology ; Circumcision, Male/adverse effects ; Circumcision, Male/statistics & numerical data ; Humans ; Male ; Medicine, African Traditional ; Postoperative Complications/classification ; Postoperative Complications/epidemiology ; Young Adult
    Language English
    Publishing date 2010-10-29
    Publishing country Switzerland
    Document type Journal Article ; Review ; Systematic Review
    ZDB-ID 80213-x
    ISSN 1564-0604 ; 0042-9686 ; 0366-4996 ; 0510-8659
    ISSN (online) 1564-0604
    ISSN 0042-9686 ; 0366-4996 ; 0510-8659
    DOI 10.2471/BLT.09.072975
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Male circumcision for HIV prevention - a cross-sectional study on awareness among young people and adults in rural Uganda

    Hizaamu Ramadhan NB / Miiro-Nakayima Flavia / Wilcken Andrea / Keil Thomas / Balaba-Byansi Dorothy

    BMC Public Health, Vol 10, Iss 1, p

    2010  Volume 209

    Abstract: Abstract Background Medical male circumcision is now part of a comprehensive approach to HIV prevention. It has been shown that awareness of the protective effect of male circumcision leads to high acceptability towards the introduction of medical male ... ...

    Abstract Abstract Background Medical male circumcision is now part of a comprehensive approach to HIV prevention. It has been shown that awareness of the protective effect of male circumcision leads to high acceptability towards the introduction of medical male circumcision services within countries. The objective of this survey was to identify factors determining awareness of male circumcision for HIV prevention. Methods We interviewed 452 participants (267 adults >24 years of age; 185 youths 14-24 years) living in three rural Ugandan districts in 2008. Using a standardized questionnaire, we assessed socio-demographic parameters, awareness of MC for HIV prevention, general beliefs/attitudes regarding MC and MC status. Determinants for awareness of MC for HIV prevention were examined with multiple logistic regression models. Results Out of all adults, 52.1% were male (mean ± SD age 39.8 ± 11 years), of whom 39.1% reported to be circumcised. Out of all youths, 58.4% were male (18.4 ± 2.5), 35.0% circumcised. Adults were more aware of MC for HIV prevention than youths (87.1% vs. 76.5%; p = 0.004). In adults, awareness was increased with higher educational level compared to no school: primary school (adjusted OR 9.32; 95%CI 1.80-48.11), secondary (5.04; 1.01-25.25), tertiary (9.91; 0.76-129.18), university education (8.03; 0.59-109.95). Younger age and male sex were further significant determinants of increased awareness, but not marital status, religion, district, ethnicity, employment status, and circumcision status. In youths, we found a borderline statistically significant decrease of awareness of MC for HIV prevention with higher educational level, but not with any other socio-demographic factors. Conclusions Particularly Ugandans with low education, youths, and women, playing an important role in decision-making of MC for their partners and sons, should be increasingly targeted by information campaigns about positive health effects of MC.
    Keywords Public aspects of medicine ; RA1-1270
    Subject code 360
    Language English
    Publishing date 2010-04-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Journal ; Article ; Online: Traditional male circumcision in eastern and southern Africa

    Wilcken, Andrea / Keil, Thomas / Dick, Bruce

    a systematic review of prevalence and complications

    2010  

    Abstract: ... 907 ... ...

    Abstract 907

    914
    Keywords Research
    Language English
    Publishing date 2010-12-01
    Publisher World Health Organization
    Document type Journal ; Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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    Inter-library loan at ZB MED

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  6. Article ; Online: Male circumcision for HIV prevention--a cross-sectional study on awareness among young people and adults in rural Uganda.

    Wilcken, Andrea / Miiro-Nakayima, Flavia / Hizaamu, Ramadhan N B / Keil, Thomas / Balaba-Byansi, Dorothy

    BMC public health

    2010  Volume 10, Page(s) 209

    Abstract: Background: Medical male circumcision is now part of a comprehensive approach to HIV prevention. It has been shown that awareness of the protective effect of male circumcision leads to high acceptability towards the introduction of medical male ... ...

    Abstract Background: Medical male circumcision is now part of a comprehensive approach to HIV prevention. It has been shown that awareness of the protective effect of male circumcision leads to high acceptability towards the introduction of medical male circumcision services within countries. The objective of this survey was to identify factors determining awareness of male circumcision for HIV prevention.
    Methods: We interviewed 452 participants (267 adults >24 years of age; 185 youths 14-24 years) living in three rural Ugandan districts in 2008. Using a standardized questionnaire, we assessed socio-demographic parameters, awareness of MC for HIV prevention, general beliefs/attitudes regarding MC and MC status. Determinants for awareness of MC for HIV prevention were examined with multiple logistic regression models.
    Results: Out of all adults, 52.1% were male (mean +/- SD age 39.8 +/- 11 years), of whom 39.1% reported to be circumcised. Out of all youths, 58.4% were male (18.4 +/- 2.5), 35.0% circumcised.Adults were more aware of MC for HIV prevention than youths (87.1% vs. 76.5%; p = 0.004). In adults, awareness was increased with higher educational level compared to no school: primary school (adjusted OR 9.32; 95%CI 1.80-48.11), secondary (5.04; 1.01-25.25), tertiary (9.91; 0.76-129.18), university education (8.03; 0.59-109.95). Younger age and male sex were further significant determinants of increased awareness, but not marital status, religion, district, ethnicity, employment status, and circumcision status. In youths, we found a borderline statistically significant decrease of awareness of MC for HIV prevention with higher educational level, but not with any other socio-demographic factors.
    Conclusions: Particularly Ugandans with low education, youths, and women, playing an important role in decision-making of MC for their partners and sons, should be increasingly targeted by information campaigns about positive health effects of MC.
    MeSH term(s) Adult ; Circumcision, Male/psychology ; Cross-Sectional Studies ; Educational Status ; Female ; HIV Infections/prevention & control ; Health Knowledge, Attitudes, Practice ; Humans ; Interviews as Topic ; Logistic Models ; Male ; Marital Status ; Middle Aged ; Rural Population ; Sexual Partners ; Social Class ; Uganda ; Young Adult
    Language English
    Publishing date 2010-04-26
    Publishing country England
    Document type Comparative Study ; Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1471-2458
    ISSN (online) 1471-2458
    DOI 10.1186/1471-2458-10-209
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Inter-library loan at ZB MED

    Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

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