Evidence map›Paper›PMID 28528464›Full record

ArticleAIDS and behavior2018

Evidence-Based Identification of Key Beliefs Explaining Infant Male Circumcision Motivation Among Expectant Parents in Zimbabwe: Targets for Behavior Change Messaging.

Daniel E Montaño, Mufuta Tshimanga, Deven T Hamilton, Gerald Gorn, Danuta Kasprzyk

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In one paragraph

Article in AIDS and behavior, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 41% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

5 authors at 3 institutions in 3 countries.

Daniel E MontañoDepartment of Family and Child Nursing, School of Nursing, University of Washington, Box 357262, Seattle, WA, 98195-7920, USA. montano@uw.edu.ORCID 0000-0002-6842-2256
Mufuta TshimangaDepartment of Community Medicine, University of Zimbabwe, Harare, Zimbabwe.
Deven T HamiltonCenter for Studies in Demography and Ecology, University of Washington, Seattle, WA, USA.
Gerald GornDepartment of Management and Marketing, The Hong Kong Polytechnic University, King's Park, Hong Kong.
Danuta KasprzykDepartment of Family and Child Nursing, School of Nursing, University of Washington, Box 357262, Seattle, WA, 98195-7920, USA.
University of Washington · USHong Kong Polytechnic University · HKUniversity of Zimbabwe · ZW

Funding

Environmental/Behavioral Factors Shaping Circumcision Decisions in ZimbabweR01MH083594 · NIMH · BATTELLE CENTERS/PUB HLTH RES & EVALUATN · PI MONTANO, DANIEL E · 2009 to 2012
$2.5M
NIMH NIH HHS R01 MH083594
6 · The paper itself

Abstract

Slow adult male circumcision uptake is one factor leading some to recommend increased priority for infant male circumcision (IMC) in sub-Saharan African countries. This research, guided by the integrated behavioral model (IBM), was carried out to identify key beliefs that best explain Zimbabwean parents' motivation to have their infant sons circumcised. A quantitative survey, designed from qualitative elicitation study results, was administered to independent representative samples of 800 expectant mothers and 795 expectant fathers in two urban and two rural areas in Zimbabwe. Multiple regression analyses found IMC motivation among fathers was explained by instrumental attitude, descriptive norm and self-efficacy; while motivation among mothers was explained by instrumental attitude, injunctive norm, descriptive norm, self-efficacy, and perceived control. Regression analyses of beliefs underlying IBM constructs found some overlap but many differences in key beliefs explaining IMC motivation among mothers and fathers. We found differences in key beliefs among urban and rural parents. Urban fathers' IMC motivation was explained best by behavioral beliefs, while rural fathers' motivation was explained by both behavioral and efficacy beliefs. Urban mothers' IMC motivation was explained primarily by behavioral and normative beliefs, while rural mothers' motivation was explained mostly by behavioral beliefs. The key beliefs we identified should serve as targets for developing messages to improve demand and maximize parent uptake as IMC programs are rolled out. These targets need to be different among urban and rural expectant mothers and fathers.

Indexed as

Health Knowledge, Attitudes, PracticeMotivationAdultCircumcision, MaleEvidence-Based MedicineFemaleHIV InfectionsHumansInfantMaleParentsRegression AnalysisRural PopulationSelf EfficacySurveys and QuestionnairesZimbabweBehavioral theoryBehavior change communicationEvidence based demand creationImplementation scienceInfant circumcisionIntegrated behavioral modelVoluntary medical male circumcision (VMMC)

Identifiers

PMID28528464
PMCPMC5696117
OpenAlexW2615023786

What OpenQuestion holds

Textmetadata
LicenceTDM
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.