Male circumcision and prevention of HIV and sexually transmitted infections

2008 ◽  
Vol 10 (2) ◽  
pp. 121-127 ◽  
Author(s):  
Ronald H. Gray ◽  
Maria J. Wawer ◽  
Chelsea B. Polis ◽  
Godfrey Kigozi ◽  
David Serwadda
PEDIATRICS ◽  
2007 ◽  
Vol 119 (4) ◽  
pp. 821-822 ◽  
Author(s):  
P. Flynn ◽  
P. Havens ◽  
M. Brady ◽  
P. Emmanuel ◽  
J. Read ◽  
...  

2004 ◽  
Vol 37 (1) ◽  
pp. 75-88 ◽  
Author(s):  
TABITHA LANGENI

This study set out to investigate the influence of male circumcision and other factors on sexually transmitted infections in Botswana. A syndromic approach, which diagnoses a sexually transmitted infection based on the presence of urethral discharge or genital ulcers rather than on laboratory tests, was used. The data were from the 2001 Botswana AIDS Impact Survey where a nationally representative, randomly selected sample of men and women aged 10–64 years were interviewed in both urban and rural areas. The sample selected for this study consisted of 216,480 men aged 15–64 years who had ever had sexual intercourse. The logistic regression technique was executed to examine the association between male circumcision and self-reported urethral discharge or genital ulcers, while controlling for all other independent variables in the analysis. The main finding of this study was that among men who are circumcised, the odds for self-reported urethral discharge or genital ulcers are significantly lower than for those men who are not circumcised in both urban and rural Botswana. The analysis also showed that the odds in favour of self-reported urethral discharge or genital ulcers, for men who drink alcohol, are twice as large as those for men who do not drink alcohol, controlling for all other independent variables in the analysis. Religion and ethnicity also came through as factors exerting a protective influence against self-reported symptoms of sexually transmitted infections. The conclusion is that while male circumcision appears to be significantly associated with the risk for self-reported urethral discharge or genital ulcers, it is man’s behaviour, irrespective of ethnicity or religious dictates, that continues to play a vital role in protection against self-reported symptoms of sexually transmitted infections in Botswana.


2015 ◽  
Vol 2 ◽  
pp. 2333794X1558911
Author(s):  
Noah Kojima ◽  
Claire C. Bristow ◽  
Neil Pollock ◽  
Pierre Crouse ◽  
Harry Theodore ◽  
...  

Male circumcision is highly protective against urinary tract infections, inflammatory conditions of the penis, sexually transmitted infections, and urogenital cancers. We aimed to reintroduce newborn male circumcision through the creation of a training program in Port-au-Prince, Haiti—an area with a considerable burden of preventable urogenital infections, sexually transmitted infections, and low circumcision rate—after an earlier study reported that a majority of Haitian medical providers were in need of and wanted newborn circumcision training. The program was conducted at the GHESKIO Health Centers, a large, non-governmental clinic offering comprehensive pediatric and adult health services. Two Haitian obstetricians and seven nurses learned circumcision procedures. On training completion, one of two obstetricians achieved surgical competence. Introduction of a newborn male circumcision training program was feasible, achieving an acceptable rate of procedural competency and high-quality services. Permanent resources now exist in Haiti to train additional providers to perform newborn male circumcisions.


The Lancet ◽  
2004 ◽  
Vol 363 (9414) ◽  
pp. 1039-1040 ◽  
Author(s):  
Steven J Reynolds ◽  
Mary E Shepherd ◽  
Arun R Risbud ◽  
Raman R Gangakhedkar ◽  
Ronald S Brookmeyer ◽  
...  

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