Sexual risk behaviours and willingness to be circumcised among uncircumcised Men in Uganda

Simon P. S. Kibira, Makerere University
Frederick Makumbi, Makerere University
Marguerite Daniel, University of Bergen
Lynn M. Atuyambe, Makerere University
Ingvild Sandøy, University of Bergen

We report the sexual risk behaviours (SRBs) of men willing and those not willing to be circumcised at the launch of the male circumcision programme in Uganda. Data were from the 2011 AIDS Indictor Survey. We used generalized linear models, obtaining prevalence risk ratios (PRRs) as measures of association between willingness to be circumcised and multiple sexual partners, transactional sex, non-marital sex and non-use of condoms at last non-marital sex. In unadjusted analyses, all the SRBs were associated with willingness to be circumcised while in the adjusted analysis, non-marital sex (Adj PRR 1.27; CI: 1.16 -1.40) and non-use of condoms at last such sex (Adj PRR 1.18; CI: 1.07-1.29) were associated with higher willingness to be circumcised. Willingness to be circumcised was more common among uncircumcised men reporting SRBs. This indicates that the early adopters of SMC were likely to be in particular need of such additional HIV protective measures.