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Male circumcision to reduce the risk of HIV and sexually transmitted infections among men who have sex with men.
Curr Opin Infect Dis. 2010 Feb; 23(1):45-52.CO

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.

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.

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.

Authors+Show Affiliations

National Centre in HIV Epidemiology and Clinical Research, The University of New South Wales, Australia. dtempleton@nchecr.unsw.edu.auNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Review

Language

eng

PubMed ID

19935420

Citation

Templeton, David J., et al. "Male Circumcision to Reduce the Risk of HIV and Sexually Transmitted Infections Among Men Who Have Sex With Men." Current Opinion in Infectious Diseases, vol. 23, no. 1, 2010, pp. 45-52.
Templeton DJ, Millett GA, Grulich AE. Male circumcision to reduce the risk of HIV and sexually transmitted infections among men who have sex with men. Curr Opin Infect Dis. 2010;23(1):45-52.
Templeton, D. J., Millett, G. A., & Grulich, A. E. (2010). Male circumcision to reduce the risk of HIV and sexually transmitted infections among men who have sex with men. Current Opinion in Infectious Diseases, 23(1), 45-52. https://doi.org/10.1097/QCO.0b013e328334e54d
Templeton DJ, Millett GA, Grulich AE. Male Circumcision to Reduce the Risk of HIV and Sexually Transmitted Infections Among Men Who Have Sex With Men. Curr Opin Infect Dis. 2010;23(1):45-52. PubMed PMID: 19935420.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Male circumcision to reduce the risk of HIV and sexually transmitted infections among men who have sex with men. AU - Templeton,David J, AU - Millett,Gregorio A, AU - Grulich,Andrew E, PY - 2009/11/26/entrez PY - 2009/11/26/pubmed PY - 2010/3/23/medline SP - 45 EP - 52 JF - Current opinion in infectious diseases JO - Curr Opin Infect Dis VL - 23 IS - 1 N2 - 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. 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. 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. SN - 1473-6527 UR - https://www.unboundmedicine.com/medline/citation/19935420/Male_circumcision_to_reduce_the_risk_of_HIV_and_sexually_transmitted_infections_among_men_who_have_sex_with_men_ L2 - https://doi.org/10.1097/QCO.0b013e328334e54d DB - PRIME DP - Unbound Medicine ER -