Evidence map›Paper›PMID 26237217›Full record

ArticlePloS one2015

Knowledge, Attitudes, Practices and Beliefs about Medical Male Circumcision (MMC) among a Sample of Health Care Providers in Haiti.

Jessy G Dévieux, Anshul Saxena, Rhonda Rosenberg, Jeffrey D Klausner, Michèle Jean-Gilles, Purnima Madhivanan, Stéphanie Gaston, Muni Rubens, Harry Theodore, Marie-Marcelle Deschamps and 2 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.2field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Observational
  3. Review
  4. Healthcare providers' perceptions and understanding of voluntary medical male circumcision in KwaZulu-Natal, South Africa: A qualitative study.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2021
    Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 2 countries.

Jessy G DévieuxAIDS Prevention Program, Florida International University, Miami, Florida, United States of America.
Anshul SaxenaAIDS Prevention Program, Florida International University, Miami, Florida, United States of America.
Rhonda RosenbergAIDS Prevention Program, Florida International University, Miami, Florida, United States of America.
Jeffrey D KlausnerUniversity of California Los Angeles, Los Angeles, California, United States of America.
Michèle Jean-GillesAIDS Prevention Program, Florida International University, Miami, Florida, United States of America.
Purnima MadhivananAIDS Prevention Program, Florida International University, Miami, Florida, United States of America.
Stéphanie GastonHaitian Study Group for Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), Port-au-Prince, Haiti.
Muni RubensAIDS Prevention Program, Florida International University, Miami, Florida, United States of America.
Harry TheodoreHaitian Study Group for Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), Port-au-Prince, Haiti.
Marie-Marcelle DeschampsHaitian Study Group for Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), Port-au-Prince, Haiti.
Serena P KoenigDivision of Global Health Equity, Brigham and Women's Hospital, Boston, Massachusetts, United States of America.
Jean William PapeHaitian Study Group for Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), Port-au-Prince, Haiti; Center for Global Health, Weill Cornell Medical College, New York, New York, United States of America.
Florida International University · USGheskio Centers · HTBrigham and Women's Hospital · USCornell University · USUniversity of California, Los Angeles · US

Funding

GHESKIO HIV Clinical Trial UnitUM1AI069421 · NIAID · GHESKIO CENTER · PI JEAN WILLIAM PAPE · 2012 to 2026
$23.6M
GHESKIO HIV Clinical Trial UnitU01AI069421 · NIAID · GHESKIO CENTER · PI PAPE, JEAN WILLIAM · 2007 to 2011
$8.4M
An Innovative Educational Intervention for Newborn Medical Male CircumcisionR21HD076685 · NICHD · FLORIDA INTERNATIONAL UNIVERSITY · PI DEVIEUX, JESSY G. · 2013 to 2014
$382k
NIAID NIH HHS UM1 AI069421NICHD NIH HHS R21 HD076685
6 · The paper itself

Abstract

backgroundHaiti has the highest number of people living with HIV infection in the Caribbean/Latin America region. Medical male circumcision (MMC) has been recommended to help prevent the spread of HIV. We sought to assess knowledge, attitudes, practices and beliefs about MMC among a sample of health care providers in Haiti.

methodsA convenience sample of 153 health care providers at the GHESKIO Centers in Haiti responded to an exploratory survey that collected information on several topics relevant to health providers about MMC. Descriptive statistics were calculated for the responses and multivariable logistic regression was conducted to determine opinions of health care providers about the best age to perform MMC on males. Bayesian network analysis and sensitivity analysis were done to identify the minimum level of change required to increase the acceptability of performing MMC at age less than 1 year.

resultsThe sample consisted of medical doctors (31.0%), nurses (49.0%), and other health care professionals (20.0%). Approximately 76% showed willingness to offer MMC services if they received training. Seventy-six percent believed that their male patients would accept circumcision, and 59% believed infancy was the best age for MMC. More than 90% of participants said that MMC would reduce STIs. Physicians and nurses who were willing to offer MMC if provided with adequate training were 2.5 (1.15-5.71) times as likely to choose the best age to perform MMC as less than one year. Finally, if the joint probability of choosing "the best age to perform MMC" as one year or older and having the mistaken belief that "MMC prevents HIV entirely" is reduced by 63% then the probability of finding that performing MMC at less than one year acceptable to health care providers is increased by 35%.

conclusionParticipants demonstrated high levels of knowledge and positive attitudes towards MMC. Although this study suggests that circumcision is acceptable among certain health providers in Haiti, studies with larger and more representative samples are needed to confirm this finding.

Indexed as

Attitude of Health PersonnelCircumcision, MaleHealth Knowledge, Attitudes, PracticeHealth PersonnelFemaleHaitiHIV InfectionsHumansMale

Identifiers

PMID26237217
PMCPMC4523202
OpenAlexW954402964

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.