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Male circumcision to reduce the risk of HIV and sexually transmitted infections among men who have sex with men.
- Source :
-
Current opinion in infectious diseases [Curr Opin Infect Dis] 2010 Feb; Vol. 23 (1), pp. 45-52. - Publication Year :
- 2010
-
Abstract
- Purpose of Review: The success of male circumcision in reducing HIV acquisition among African heterosexuals has led to renewed interest in this biological intervention for HIV/sexually transmissible infection (STI) prevention in men who have sex with men (MSM). This review summarizes the available data on the association of circumcision and HIV/STI among MSM populations.<br />Recent Findings: Results of observational studies indicate that circumcision has limited impact on HIV/STI acquisition among MSM populations overall. Longitudinal data suggest that circumcision may reduce the risk of incident syphilis, but there is little evidence of a protective effect for other STIs. The subgroup of MSM who predominantly practise the insertive role in anal intercourse may be at lower risk of HIV, although the relative inefficiency of HIV acquisition for insertive compared with receptive partners has resulted in imprecise estimates of effect.<br />Summary: The evidence that circumcision reduces HIV and other STIs among MSM is weak and inconsistent. However, recent studies have found that circumcised MSM who predominantly take the insertive role in anal intercourse may be at a lower risk of HIV infection. Although MSM may be willing to undergo adult circumcision, should it be proven to reduce HIV acquisition risk, there is substantial potential that behavioural disinhibition could offset any benefits achieved by a circumcision intervention.
- Subjects :
- HIV Infections prevention & control
HIV Infections transmission
Humans
Male
Sexually Transmitted Diseases prevention & control
Sexually Transmitted Diseases transmission
Circumcision, Male statistics & numerical data
HIV Infections epidemiology
Homosexuality, Male statistics & numerical data
Sexually Transmitted Diseases epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1473-6527
- Volume :
- 23
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Current opinion in infectious diseases
- Publication Type :
- Academic Journal
- Accession number :
- 19935420
- Full Text :
- https://doi.org/10.1097/QCO.0b013e328334e54d