@article{fdi:010078424, title = {{V}oluntary medical male circumcision and {HIV} in {Z}ambia : expectations and observations}, author = {{G}arenne, {M}ichel and {M}atthews, {A}.}, editor = {}, language = {{ENG}}, abstract = {{T}he study analysed the {HIV}/{AIDS} situation in {Z}ambia six years after the onset of mass campaigns of {V}oluntary {M}edical {M}ale {C}ircumcision ({VMMC}). {T}he analysis was based on data from {D}emographic and {H}ealth {S}urveys ({DHS}) conducted in 2001, 2007 and 2013. {R}esults show that {HIV} prevalence among men aged 15-29 (the target group for {VMMC}) did not decrease over the period, despite a decline in {HIV} prevalence among women of the same age group (most of their partners). {C}orrelations between male circumcision and {HIV} prevalence were positive for a variety of socioeconomic groups (urban residence, province of residence, level of education, ethnicity). {I}n a multivariate analysis, based on the 2013 {DHS} survey, circumcised men were found to have the same level of infection as uncircumcised men, after controlling for age, sexual behaviour and socioeconomic status. {L}astly, circumcised men tended to have somewhat riskier sexual behaviour than uncircumcised men. {T}his study, based on large representative samples of the {Z}ambian population, questions the current strategy of mass circumcision campaigns in southern and eastern {A}frica.}, keywords = {{HIV} ; {AIDS} ; {C}ircumcision ; {VMMC} ; {ZAMBIE}}, booktitle = {}, journal = {{J}ournal of {B}iosocial {S}cience}, volume = {52}, numero = {4}, pages = {560--572}, ISSN = {0021-9320}, year = {2020}, DOI = {10.1017/s0021932019000634}, URL = {https://www.documentation.ird.fr/hor/fdi:010078424}, }