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A typology of penile cutting in Papua New Guinea: results of a modified Delphi study among sexual health specialists.

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Title: A typology of penile cutting in Papua New Guinea: results of a modified Delphi study among sexual health specialists.
Authors: Hill, PeterS. (AUTHOR), Tynan, Anna (AUTHOR), Law, Greg (AUTHOR), Millan, John (AUTHOR), Browne, Kelwyn (AUTHOR), Sauk, Joyce (AUTHOR), Kupul, Martha (AUTHOR), Kelly, Angela (AUTHOR), Siba, Peter (AUTHOR), Kaldor, John (AUTHOR), Vallely, Andrew (AUTHOR), on behalf of the Male Circumcision Acceptability and Impact Study (MCAIS Team) (AUTHOR)
Source: AIDS Care. Jan2012, Vol. 24 Issue 1, p77-86. 10p. 5 Color Photographs, 3 Illustrations, 1 Chart.
Subjects: Circumcision, HIV prevention, Delphi method, Sexual health, Interviewing, Harm reduction
Geographic Terms: New South Wales, Papua New Guinea, Queensland
Abstract: Male circumcision (MC) significantly reduces the risk of HIV acquisition in men. The geographical, linguistic and cultural diversity of Papua New Guinea (PNG) makes issues of acceptability and implementation complex, and culturally appropriate HIV and Sexually Transmissible Infection (STI) prevention strategies are crucial in this setting. A modified Delphi approach was conducted with sexual health specialists to document and classify variants of penile cutting as part of a programme of research being carried out to investigate the acceptability and potential epidemiological impact of MC for HIV prevention in PNG, and options for future roll-out. Three broad categories were identified: circumcision, longitudinal incisions (including dorsal slit procedures) and incisions that did not alter the profile of penis or foreskin. The typology provides a universal language for health practitioners and policy makers that will inform future sexual health deliberations. The popularity of dorsal slit procedures in PNG has significant implications due to its procedural simplicity and limited resource requirements, making it an attractive provider option compared to medical circumcision. Further research is urgently required to examine the effectiveness of dorsal slit procedures for HIV prevention in PNG, the prevalence of various forms of penile cutting and the extent to which health staff are currently engaged in dorsal slit procedures. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: A typology of penile cutting in Papua New Guinea: results of a modified Delphi study among sexual health specialists.
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Jan2012, Vol. 24 Issue 1, p77-86. 10p. 5 Color Photographs, 3 Illustrations, 1 Chart.
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  Data: <searchLink fieldCode="DE" term="%22Circumcision%22">Circumcision</searchLink><br /><searchLink fieldCode="DE" term="%22HIV+prevention%22">HIV prevention</searchLink><br /><searchLink fieldCode="DE" term="%22Delphi+method%22">Delphi method</searchLink><br /><searchLink fieldCode="DE" term="%22Sexual+health%22">Sexual health</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Harm+reduction%22">Harm reduction</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22New+South+Wales%22">New South Wales</searchLink><br /><searchLink fieldCode="DE" term="%22Papua+New+Guinea%22">Papua New Guinea</searchLink><br /><searchLink fieldCode="DE" term="%22Queensland%22">Queensland</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Male circumcision (MC) significantly reduces the risk of HIV acquisition in men. The geographical, linguistic and cultural diversity of Papua New Guinea (PNG) makes issues of acceptability and implementation complex, and culturally appropriate HIV and Sexually Transmissible Infection (STI) prevention strategies are crucial in this setting. A modified Delphi approach was conducted with sexual health specialists to document and classify variants of penile cutting as part of a programme of research being carried out to investigate the acceptability and potential epidemiological impact of MC for HIV prevention in PNG, and options for future roll-out. Three broad categories were identified: circumcision, longitudinal incisions (including dorsal slit procedures) and incisions that did not alter the profile of penis or foreskin. The typology provides a universal language for health practitioners and policy makers that will inform future sexual health deliberations. The popularity of dorsal slit procedures in PNG has significant implications due to its procedural simplicity and limited resource requirements, making it an attractive provider option compared to medical circumcision. Further research is urgently required to examine the effectiveness of dorsal slit procedures for HIV prevention in PNG, the prevalence of various forms of penile cutting and the extent to which health staff are currently engaged in dorsal slit procedures. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/09540121.2011.592812
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      – Code: eng
        Text: English
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        PageCount: 10
        StartPage: 77
    Subjects:
      – SubjectFull: Circumcision
        Type: general
      – SubjectFull: HIV prevention
        Type: general
      – SubjectFull: Delphi method
        Type: general
      – SubjectFull: Sexual health
        Type: general
      – SubjectFull: Interviewing
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      – SubjectFull: Harm reduction
        Type: general
      – SubjectFull: New South Wales
        Type: general
      – SubjectFull: Papua New Guinea
        Type: general
      – SubjectFull: Queensland
        Type: general
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              Text: Jan2012
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