伝統的な割礼に関するXhosaの男性の知識、態度、信念の探求

BACKGROUND: The practice of traditional circumcision is associated with considerable morbidity and mortality, yet there is a paucity of literature that provides an understanding of the cultural values that influence men to choose traditional rather than medical circumcision.The aim of this study was to better understand the culture surrounding traditional circumcision, with a view to addressing morbidity and mortality rates associated with the Xhosa male initiation rituals.We explored Xhosa men's perceptions regarding the need for the risks and伝統的な割礼を受けるための社会的圧力、非開始または失敗した開始の影響、および伝統的な割礼の合併症のための医療援助を得るための認識された障壁。 方法：個々の詳細なインタビューは、目的にサンプリングされた10人のティーンエイジャーと成人男性を対象に行われました。インタビューは、フレームワーク法を使用して記録、翻訳、転写、分析されました。 結果：伝統的な割礼は、Xhosa文化にとって不可欠であると見なされていました。参加者は、個人の成長と発達、家族と仲間の圧力、自立と知識、祖先とのつながり、男らしさへの開始など、参加の多くの理由を合理化しました。伝統的な割礼の危険性と彼らが耐えなければならない困難の宣伝にもかかわらず、ほとんどの若い男性はまだこのプロセスが必要かつ価値があると考えていました。 結論：伝統的な開始と割礼はここにとどまります。少年の大半は、まだ長老と超自然的なプロセスを信頼して彼らを導いています。しかし、一部の参加者は、不必要な死と苦しみを引き起こすヒューマンエラーを減らすために政府のイニシアチブを歓迎しました。罹患率と死亡率を防ぐための現在のシステムは不十分であり、優先順位を付ける必要があります。

BACKGROUND: The practice of traditional circumcision is associated with considerable morbidity and mortality, yet there is a paucity of literature that provides an understanding of the cultural values that influence men to choose traditional rather than medical circumcision.The aim of this study was to better understand the culture surrounding traditional circumcision, with a view to addressing morbidity and mortality rates associated with the Xhosa male initiation rituals.We explored Xhosa men's perceptions regarding the need for the risks and the social pressure to undergo traditional circumcision, the impact of non-initiation or failed initiation and the perceived barriers to obtaining medical help for the complications of traditional circumcisions. METHODS: Individual in-depth interviews were conducted with 10 purposively sampled teenagers and adult men. The interviews were recorded, translated, transcribed and analysed using the framework method. RESULTS: Traditional circumcision was seen as essential to Xhosa culture. Participants rationalised many reasons for participating, including personal growth and development, family and peer pressure, independence and knowledge gained, a connection with ancestors and initiation into manhood. Despite publicity of the dangers of traditional circumcision and the hardships they have to endure, most young men still saw this process as necessary and worthwhile. CONCLUSION: Traditional initiation and circumcision are here to stay. The majority of boys still trust the elders and supernatural processes to guide them. However, some participants welcomed government initiatives to reduce human error causing unnecessary death and suffering. Current systems to prevent morbidity and mortality are insufficient and should be prioritised.