Factors associated with STIs among traditionally circumcised men in the Eastern Cape Province, South Africa

Abstract

Background: The aim of this study was to explore factors associated with STIs among traditionally circumcised men in the rural areas of Eastern Cape Province, South Africa. Method: A cross sectional study using interviewer administered fully structured questionnaires was conducted among 1167 men who had undergone initiation and traditional male circumcision in rural areas of the Eastern Cape Province. Results: The mean age of the participants was 19.8 years. About 31% reported having more than one sexual partner. A total of 37.9% reported inconsistent condom use and 21% did not use condom at last sex. Overall, 8.4% reported ever having had an STI. Logistic regression analysis showed that a diagnosis with an STI was associated with increasing age, being employed, having multiple sexual partners, knowing HIV status, perceived personal STI risk and beliefs about male circumcision and STI protection. Discussion: The study findings reveal important target points for future cultural sensitive health education aimed at decreasing STIs among traditionally initiated and circumcised men.