Evidence map›Paper›PMID 28665881›Full record

ArticleAIDS (London, England)2017

Voluntary medical male circumcision among adolescents: a missed opportunity for HIV behavioral interventions.

Michelle R Kaufman, Kim H Dam, Lynn M Van Lith, Karin Hatzold, Webster Mavhu, Catherine Kahabuka, Lusanda Mahlasela, Arik V Marcell, Eshan U Patel, Maria Elena Figueroa and 6 more

Open access · hybridAbstract read
In one paragraph

Article in AIDS (London, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

19 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
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  10. Impact of Counseling Received by Adolescents Undergoing Voluntary Medical Male Circumcision on Knowledge and Sexual Intentions.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2018
    Article
  11. Providers' Perceptions and Training Needs for Counseling Adolescents Undergoing Voluntary Medical Male Circumcision.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2018
    Article
  12. Parental Communication, Engagement, and Support During the Adolescent Voluntary Medical Male Circumcision Experience.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2018
    Article
  13. Perceived Quality of In-Service Communication and Counseling Among Adolescents Undergoing Voluntary Medical Male Circumcision.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2018
    Article
  14. Age Differences in Perceptions of and Motivations for Voluntary Medical Male Circumcision Among Adolescents in South Africa, Tanzania, and Zimbabwe.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2018
    Article
  15. Adolescent Wound-Care Self-Efficacy and Practices After Voluntary Medical Male Circumcision-A Multicountry Assessment.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2018
    Article
  16. Article
  17. Females' Peer Influence and Support for Adolescent Males Receiving Voluntary Medical Male Circumcision Services.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2018
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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

16 authors at 7 institutions in 4 countries.

Michelle R KaufmanaDepartment of Health, Behavior & Society, Johns Hopkins Bloomberg School of Public Health bJohns Hopkins Center for Communication Programs, Baltimore, Maryland, USA cPopulation Services International dCentre for Sexual Health & HIV/AIDS Research, Harare, Zimbabwe eCSK Research Solutions Ltd., Dar es Salaam, Tanzania fCentre for Communication Impact, Pretoria, South Africa gDepartment of Pediatrics, Johns Hopkins School of Medicine, Baltimore, Maryland, USA hUnited States Agency for International Development Washington/Global Health Bureau/Office of HIV/AIDS, Washington, District of Columbia, USA iMinistry of Health and Child Care, Harare, Zimbabwe jMinistry of Health, Community Development, Gender, Elderly and Children, Dar es Salaam, Tanzania kNational Department of Health, Pretoria, South Africa lDepartment of Pathology, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
Kim H Dam
Lynn M Van Lith
Karin Hatzold
Webster Mavhu
Catherine Kahabuka
Lusanda Mahlasela
Arik V Marcell
Eshan U Patel
Maria Elena Figueroa
Emmanuel Njeuhmeli
Kim Seifert-Ahanda
Getrude Ncube
Gissenge Lija
Collen Bonnecwe
Aaron A R Tobian
Johns Hopkins University · USJohns Hopkins Center for Communication Programs · USUnited States Agency for International Development · USCentre for Sexual Health and HIV AIDS Research · ZWDepartment of Health · ZAMinistry of Health and Child Welfare · ZWMinistry of Health, Community Development, Gender, Elderly and Children · TZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveVoluntary medical male circumcision (VMMC) is one of the first opportunities for adolescent males in African countries to interact with the healthcare system. This study explored the approaches used during adolescent VMMC counseling and whether these strategies maximize broader HIV prevention opportunities.

methodsQualitative interviews were conducted with 92 VMMC clients ages 10-19 years in South Africa (n = 36), Tanzania (n = 36), and Zimbabwe (n = 20) and 33 VMMC providers across the three countries. Discussions explored HIV prevention counseling, testing, and disclosure of results. Audio recordings were transcribed, translated into English, and coded thematically by two individuals.

resultsMale adolescents in all three countries reported that limited information was provided about HIV prevention and care, and adolescents were rarely provided condoms. Although VMMC protocols require opt-out HIV testing, adolescents recounted having blood taken without knowing the purpose, not receiving results, nor completely understanding the link between VMMC and HIV. Most males interviewed assumed they had tested negative because they were subsequently circumcised without knowing test results. Providers reported spending little time talking about HIV prevention, including condom use. They admitted that younger adolescent clients often receive little information if assumed they are not sexually active or too young to understand and instead discussed nonsexually transmitted routes of HIV.

conclusionIn the sites of the three countries studied, HIV prevention and care messages were inconsistent and sometimes totally absent from VMMC counseling sessions. VMMC appears to be a missed opportunity to engage in further HIV prevention and care with adolescents.

Indexed as

AdolescentAdultChildCircumcision, MaleFemaleHealth EducationHIV InfectionsHumansInterviews as TopicMaleMiddle AgedSouth AfricaTanzaniaYoung AdultZimbabwe

Identifiers

PMID28665881
PMCPMC5497778
OpenAlexW2727290117

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.