Sociodemographic factors affecting the uptake of voluntary safe medical male circumcision among adults aged 15-49 years attending the OPD at Mubende Regional Referral Hospital. A cross-sectional study.

Authors

  • Arnold Kasiita Mildmay School of Allied Health Sciences
  • Perpetua Nabayigga Mildmay School of Allied Health Sciences
  • Francisco Ssemuwemba Mildmay School of Allied Health Sciences
  • Hasifa Nansereko Mildmay School of Allied Health Sciences
  • Immaculate Naggulu Mildmay School of Allied Health Sciences
  • Jane Frank Nalubega Mildmay School of Allied Health Sciences

DOI:

https://doi.org/10.71020/gtaave86

Keywords:

male circumcision, sociodemographic factors, marital status, religion, cultural beliefs, household income, employment status

Abstract

Background:

The study aimed to assess the sociodemographic factors affecting the uptake of voluntary safe medical male circumcision among adults aged 15-49 years attending the OPD at Mubende Regional Referral Hospital.

Methodology:

A descriptive cross-sectional quantitative study was conducted among adult males aged 15-49 years at Mubende Regional Referral Hospital OPD. Using a sample of 107, participants were selected via simple random sampling with a lottery method. Data were collected with structured, closed-ended questionnaires, translated into Luganda when necessary, and piloted at Mityana General Hospital. Data were entered into Excel and analyzed using SPSS v24, with results summarized as frequencies and percentages. Ethical approval, informed consent, confidentiality, and voluntary participation were ensured throughout the study. 

Results:

The sociodemographic characteristics of the 107 respondents revealed that the majority, 76 (71%), were aged 36-49 years, while 31 (29%) were aged 15-35 years. Most were married (62, 58%) and had completed primary education or below (84, 78.5%), with only a small proportion attaining secondary or tertiary education. Almost all respondents were Christian (105, 98.1%), with very few adhering to traditional beliefs (2, 1.9%) or Islam (2, 1.9%). Employment status showed that over half were unemployed (57, 53.3%), 34 (31.8%) were self-employed, and only 16 (15%) were decently employed. Household income was low for most respondents (69, 64.5%), while only 17 (15.9%) earned high income. Additionally, 55 (52%) reported that their cultural beliefs did not support VMMC.

Conclusion:

Lower education levels, older age, marriage status, cultural non-support, and low income were key sociodemographic barriers limiting VMMC uptake.

Recommendation:

VMMC programs should engage cultural and religious leaders, tailor messages to older men, and provide financial or transport support to reduce cultural and economic barriers to uptake.

Author Biographies

  • Arnold Kasiita, Mildmay School of Allied Health Sciences

    is a student pursuing a diploma in clinical medicine and community health.

  • Perpetua Nabayigga, Mildmay School of Allied Health Sciences

    is a research supervisor at Mildmay School of Allied Health Sciences

  • Francisco Ssemuwemba, Mildmay School of Allied Health Sciences

    is a research supervisor at Mildmay School of Allied Health Sciences

  • Hasifa Nansereko, Mildmay School of Allied Health Sciences

    is a research supervisor at Mildmay School of Allied Health Sciences

  • Immaculate Naggulu, Mildmay School of Allied Health Sciences

    is a research supervisor at Mildmay School of Allied Health Sciences

  • Jane Frank Nalubega, Mildmay School of Allied Health Sciences

    is a research supervisor at Mildmay School of Allied Health Sciences

     

References

1. Blöndal, K., Sveinsdóttir, H., & Jónsdóttir, H. (2022). Patients’ knowledge of postsurgical recovery trajectories and its influence on anxiety: A cross-sectional analysis. Journal of Advanced Nursing, 78(10), 3287–3299.

2. Gillespie, B. M., Chaboyer, W., & Wallis, M. (2023). Post-surgical wound-care education and its impact on patient outcomes: An integrative review. Journal of Clinical Nursing, 32(7–8), 1145–1158.

3. Glaser, J., Garber, J., Walker, R., & Torke, A. (2020). Improving informed consent in clinical settings: A systematic review of decision aids. Medical Decision Making, 40(3), 294–306.https://doi.org/10.1177/0272989X19896348

4. Jiang, S., Liu, H., & Yang, L. (2021). Improving patient adherence to post-operative wound-care instructions through structured teaching. Journal of Wound Care, 30(12), 967–975.

5. Kripke, K., Vazzano, A., Kirungi, W., Musinguzi, J., Opio, A., Ssempebwa, R., & Njeuhmeli, E. (2023). Correction: Modeling the impact of Uganda’s safe male circumcision program: Implications for age and regional targeting. PLoS ONE, 12(1), 1–14. https://doi.org/10.1371/journal.pone.0169699

6. Mwandi, Z., Murphy, A., Reed, J., & Njeuhmeli, E. (2022). Cost determinants of male circumcision services in Eastern and Southern Africa: A multi-country economic evaluation. Health Economics Review, 12, 20.

7. Ncube, G., Mavhu, W., & Cowan, F. (2022). Waiting times, privacy, and service acceptability in VMMC clinics in southern Africa: Client perspectives. BMC Health Services Research, 22, 1314.

8. Pew Research Center. (2023). Religious affiliation and male circumcision practices worldwide. Washington, DC: Pew Research Center.

9. Toroitich-Ruto, C., Siu, G. E., Kabanda, S., Were, W., & Hope, R. (2022). Sociocultural influences on decision-making for male circumcision among adults in Eastern Africa. BMC Public Health, 22, 1548.

10. Wawer, M. J., & Gray, R. H., Moulton, L. H., Chen, M. Z., & Reynolds, S. J. (2021). Male circumcision for the prevention of HSV-2 and HPV infections and syphilis. The New England Journal of Medicine, 360(13), 1298–1309.https://doi.org/10.1056/NEJMoa0802556

11. Wang, Y., Li, H., & Sun, J. (2024). Effects of structured pre-surgical instructions on patient preparedness and anxiety: A randomized trial. International Journal of Nursing Studies, 150, 104629.

12. Woudneh, M., Tadesse, A., & Mebratu, B. (2025). Understanding follow-up adherence and healing expectations after minor surgical procedures in Ethiopia. African Health Sciences, 25(1), 45–56.

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Published

2026-09-11

Issue

Section

Section of orginal Peer-reviewed articles

How to Cite

Sociodemographic factors affecting the uptake of voluntary safe medical male circumcision among adults aged 15-49 years attending the OPD at Mubende Regional Referral Hospital. A cross-sectional study. (2026). Journal of World Health Research, 3(9), 7. https://doi.org/10.71020/gtaave86

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