Circumcision and HIV infection among men who have sex with men in Britain: the insertive sexual role

Doerner, Rita; McKeown, Eamonn; Nelson, Simon; Anderson, Jane; Low, Nicola; Elford, Jonathan (2013). Circumcision and HIV infection among men who have sex with men in Britain: the insertive sexual role. Archives of Sexual Behavior, 42(7), pp. 1319-1326. Springer 10.1007/s10508-012-0061-1

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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.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine

UniBE Contributor:

Low, Nicola

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

0004-0002

Publisher:

Springer

Language:

English

Submitter:

Doris Kopp Heim

Date Deposited:

12 Feb 2014 15:26

Last Modified:

25 Mar 2015 15:26

Publisher DOI:

10.1007/s10508-012-0061-1

PubMed ID:

23358857

BORIS DOI:

10.7892/boris.40724

URI:

https://boris.unibe.ch/id/eprint/40724

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