More than just a cut: a qualitative study of penile practices and their relationship to masculinity, sexuality and contagion and their implications for HIV prevention in Papua New GuineaReportar como inadecuado




More than just a cut: a qualitative study of penile practices and their relationship to masculinity, sexuality and contagion and their implications for HIV prevention in Papua New Guinea - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

BMC International Health and Human Rights

, 12:10

First Online: 20 July 2012Received: 02 December 2011Accepted: 27 June 2012DOI: 10.1186-1472-698X-12-10

Cite this article as: Kelly, A., Kupul, M., Nake Trumb, R. et al. BMC Int Health Hum Rights 2012 12: 10. doi:10.1186-1472-698X-12-10

Abstract

BackgroundMale circumcision MC has been shown to reduce vaginal transmission of HIV to men. While community acceptability is important in a countries preparedness to introduce MC, it is equally important to map contemporary MC and other penile cutting practices, and the socio-cultural dimensions underpinning these practices.

MethodsA total of 482 men and women n = 276 and n = 210, respectively participated in 82 semi-structured and 45 focus group discussions from four different provinces of Papua New Guinea PNG, each representing one of the four socially and geographically diverse regions of the country.

ResultsOf the men interviewed 131 self-reported that they had undergone a penile alteration with some reporting multiple types. Practices were diverse and could be grouped into five broad categories: traditional customary penile cutting; contemporary penile cutting; medical circumcision; penile inserts; and penile bloodletting practices in which sharp objects are used to incise the glans and or inserted and withdrawn from the male urethra or in order to induce bleeding. Socio-cultural traditions, enhanced sexual pleasure and improved genital hygiene were key motivators for all forms of penile practices.

ConclusionsThe findings from this study highlight the complex and diverse nature of penile practices in PNG and their association with notions of masculinity, sexuality and contagion. Contemporary penile practices are critical to a community’s acceptance of MC and of a country’s ability to successfully implement MC in the context of a rich and dynamic culture of penile practices. If a MC program were to be successfully rolled out in PNG to prevent HIV it would need to work within and build upon these diverse cultural meanings and motivators for penile practices already commonly performed in PNG by men.

KeywordsHIV Papua New Guinea Male circumcision Penile practices Masculinity Sexuality Contagion Cultural meaning AbbreviationsMCMale circumcision

PNGPapua New Guinea

HIVHuman immunodeficiency virus

WNBPWest new britain province

ESPEast sepik province

NCDNational capital district

EHPEastern highlands province.

Electronic supplementary materialThe online version of this article doi:10.1186-1472-698X-12-10 contains supplementary material, which is available to authorized users.

Download fulltext PDF



Autor: Angela Kelly - Martha Kupul - Richard Nake Trumb - Herick Aeno - James Neo - Lisa Fitzgerald - Peter S Hill - John M Kal

Fuente: https://link.springer.com/







Documentos relacionados