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Circumcision and HIV infection among men who have sex with men in Britain: the insertive sexual role.
- Source :
-
Archives of sexual behavior [Arch Sex Behav] 2013 Oct; Vol. 42 (7), pp. 1319-26. Date of Electronic Publication: 2013 Jan 29. - Publication Year :
- 2013
-
Abstract
- The objective was to examine the association between circumcision status and self-reported HIV infection among men who have sex with men (MSM) in Britain who predominantly or exclusively engaged in insertive anal intercourse. In 2007-2008, a convenience sample of MSM living in Britain was recruited through websites, in sexual health clinics, bars, clubs, and other venues. Men completed an online survey which included questions on circumcision status, HIV testing, HIV status, sexual risk behavior, and sexual role for anal sex. The analysis was restricted to 1,521 white British MSM who reported unprotected anal intercourse in the previous 3 months and who said they only or mostly took the insertive role during anal sex. Of these men, 254 (16.7 %) were circumcised. Among men who had had a previous HIV test (n = 1,097), self-reported HIV seropositivity was 8.6 % for circumcised men (17/197) and 8.9 % for uncircumcised men (80/900) (unadjusted odds ratio [OR], 0.97; 95 % confidence interval [95 % CI], 0.56, 1.67). In a multivariable logistic model adjusted for known risk factors for HIV infection, there was no evidence of an association between HIV seropositivity and circumcision status (adjusted OR, 0.79; 95 % CI, 0.43, 1.44), even among the 400 MSM who engaged exclusively in insertive anal sex (adjusted OR, 0.84; 95 % CI, 0.25, 2.81). Our study provides further evidence that circumcision is unlikely to be an effective strategy for HIV prevention among MSM in Britain.
- Subjects :
- Adolescent
Adult
Data Collection
HIV Infections transmission
HIV Seropositivity epidemiology
Humans
Male
Middle Aged
Risk Factors
Risk-Taking
Syphilis prevention & control
Syphilis transmission
United Kingdom
Young Adult
Circumcision, Male statistics & numerical data
HIV Infections prevention & control
Homosexuality, Male
Sexual Behavior
Subjects
Details
- Language :
- English
- ISSN :
- 1573-2800
- Volume :
- 42
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Archives of sexual behavior
- Publication Type :
- Academic Journal
- Accession number :
- 23358857
- Full Text :
- https://doi.org/10.1007/s10508-012-0061-1