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Low frequency of male circumcision and unwillingness to be circumcised among MSM in Buenos Aires, Argentina: association with sexually transmitted infections.
J Int AIDS Soc. 2013 Jun 06; 16:18500.JI

Abstract

OBJECTIVE

The aims of this study were to investigate the frequency of male circumcision among men who have sex with men (MSM) in Buenos Aires, Argentina; the association between circumcision and sexually transmitted infections (STIs); and, among those uncircumcised, the willingness to be circumcised.

METHODS

A cross-sectional study was conducted among 500 MSM recruited through the respondent-driven sampling (RDS) technique. Participants underwent a consent process, responded to a Web-based survey that included questions on demographic information, sexual behaviour, and circumcision and provided biological samples. HIV, hepatitis B virus (HBV), hepatitis C virus (CV), Treponema pallidum, and human papiloma virus (HPV) diagnoses were performed using standard methodologies. For all analyses, data were weighted based on participants' network size.

RESULTS

Only 64 (13%) of the 500 MSM in our study reported being circumcised. Among uncircumcised men (n=418), 302 (70.4%) said that they would not be willing to get circumcised even if the procedure could reduce the risk of HIV infection. When considering all participants, circumcision status was not significantly associated with HIV, HBV, HCV, T. pallidum or HPV infections. However, when we restricted the sample to men who do not practice receptive anal intercourse (RAI) and compared circumcised to uncircumcised men, the former (N=33) had no cases of HIV infection, while 34 of 231 (14.8%) uncircumcised men were HIV positive (p=0.020). Regarding HPV, uncircumcised men had a significantly larger number of different HPV types compared with circumcised men (mean 1.83 vs. 1.09, p<0.001) and a higher frequency of high-risk-HPV genotypes (47.6% vs. 12.5%, p=0.012).

CONCLUSIONS

Consistent with international evidence, male circumcision appears to have a partial protective effect among MSM. The efficacy of circumcision in reducing risk of HIV infection among MSM appears to be correlated with sexual practices. Given the lack of motivation among MSM with regard to circumcision, proper awareness on the risks and benefits of circumcision needs to be created, if circumcision has to be introduced as a prevention strategy.

Authors+Show Affiliations

Instituto de Investigaciones Biomédicas en Retrovirus y SIDA (INBIRS), Facultad de Medicina, Universidad de Buenos Aires, Buenos Aires, Argentina. mpando@fmed.uba.arNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

23746302

Citation

Pando, María A., et al. "Low Frequency of Male Circumcision and Unwillingness to Be Circumcised Among MSM in Buenos Aires, Argentina: Association With Sexually Transmitted Infections." Journal of the International AIDS Society, vol. 16, 2013, p. 18500.
Pando MA, Balan IC, Dolezal C, et al. Low frequency of male circumcision and unwillingness to be circumcised among MSM in Buenos Aires, Argentina: association with sexually transmitted infections. J Int AIDS Soc. 2013;16:18500.
Pando, M. A., Balan, I. C., Dolezal, C., Marone, R., Barreda, V., Carballo-Dieguez, A., & Avila, M. M. (2013). Low frequency of male circumcision and unwillingness to be circumcised among MSM in Buenos Aires, Argentina: association with sexually transmitted infections. Journal of the International AIDS Society, 16, 18500. https://doi.org/10.7448/IAS.16.1.18500
Pando MA, et al. Low Frequency of Male Circumcision and Unwillingness to Be Circumcised Among MSM in Buenos Aires, Argentina: Association With Sexually Transmitted Infections. J Int AIDS Soc. 2013 Jun 6;16:18500. PubMed PMID: 23746302.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Low frequency of male circumcision and unwillingness to be circumcised among MSM in Buenos Aires, Argentina: association with sexually transmitted infections. AU - Pando,María A, AU - Balan,Ivan C, AU - Dolezal,Curtis, AU - Marone,Ruben, AU - Barreda,Victoria, AU - Carballo-Dieguez,Alex, AU - Avila,María M, Y1 - 2013/06/06/ PY - 2012/11/22/received PY - 2013/04/19/revised PY - 2013/05/08/accepted PY - 2013/6/11/entrez PY - 2013/6/12/pubmed PY - 2013/12/18/medline KW - Buenos Aires KW - HIV KW - HPV KW - circumcision KW - men who have sex with men KW - respondent-driven sampling SP - 18500 EP - 18500 JF - Journal of the International AIDS Society JO - J Int AIDS Soc VL - 16 N2 - OBJECTIVE: The aims of this study were to investigate the frequency of male circumcision among men who have sex with men (MSM) in Buenos Aires, Argentina; the association between circumcision and sexually transmitted infections (STIs); and, among those uncircumcised, the willingness to be circumcised. METHODS: A cross-sectional study was conducted among 500 MSM recruited through the respondent-driven sampling (RDS) technique. Participants underwent a consent process, responded to a Web-based survey that included questions on demographic information, sexual behaviour, and circumcision and provided biological samples. HIV, hepatitis B virus (HBV), hepatitis C virus (CV), Treponema pallidum, and human papiloma virus (HPV) diagnoses were performed using standard methodologies. For all analyses, data were weighted based on participants' network size. RESULTS: Only 64 (13%) of the 500 MSM in our study reported being circumcised. Among uncircumcised men (n=418), 302 (70.4%) said that they would not be willing to get circumcised even if the procedure could reduce the risk of HIV infection. When considering all participants, circumcision status was not significantly associated with HIV, HBV, HCV, T. pallidum or HPV infections. However, when we restricted the sample to men who do not practice receptive anal intercourse (RAI) and compared circumcised to uncircumcised men, the former (N=33) had no cases of HIV infection, while 34 of 231 (14.8%) uncircumcised men were HIV positive (p=0.020). Regarding HPV, uncircumcised men had a significantly larger number of different HPV types compared with circumcised men (mean 1.83 vs. 1.09, p<0.001) and a higher frequency of high-risk-HPV genotypes (47.6% vs. 12.5%, p=0.012). CONCLUSIONS: Consistent with international evidence, male circumcision appears to have a partial protective effect among MSM. The efficacy of circumcision in reducing risk of HIV infection among MSM appears to be correlated with sexual practices. Given the lack of motivation among MSM with regard to circumcision, proper awareness on the risks and benefits of circumcision needs to be created, if circumcision has to be introduced as a prevention strategy. SN - 1758-2652 UR - https://www.unboundmedicine.com/medline/citation/23746302/Low_frequency_of_male_circumcision_and_unwillingness_to_be_circumcised_among_MSM_in_Buenos_Aires_Argentina:_association_with_sexually_transmitted_infections_ L2 - https://doi.org/10.7448/IAS.16.1.18500 DB - PRIME DP - Unbound Medicine ER -