scholarly journals Circumcision to prevent HIV and other sexually transmitted infections in men who have sex with men: a systematic review and meta-analysis of global data

2019 ◽  
Vol 7 (4) ◽  
pp. e436-e447 ◽  
Author(s):  
Tanwei Yuan ◽  
Thomas Fitzpatrick ◽  
Nai-Ying Ko ◽  
Yong Cai ◽  
Yingqing Chen ◽  
...  
BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e043373
Author(s):  
Isaiane da Silva Carvalho ◽  
Ryanne Carolynne Marques Gomes Mendes ◽  
Priscila de Oliveira Cabral Melo ◽  
Caroline Ferraz Simões ◽  
Luciana Pedrosa Leal ◽  
...  

IntroductionPrisons are places with high vulnerability and high risk for the development of sexually transmitted infections. World Health Agencies recommend establishing intervention measures, such as information and education, on the prevention of diseases. Thus, technologies as tools for health education have been used to reduce sexually transmitted infections. However, no systematic review has investigated the effectiveness of these interventions. Therefore, this review’s objective is to examine the effect of educational technologies used for preventing sexually transmitted infections in incarcerated women.Methods and analysisPreferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines will be strictly followed. The following electronic databases will be searched: Scopus; Cumulative Index of Nursing and Allied Health, Education Resources Information Center, Embase, PsycINFO, PubMed/Medline, Web of Science and Google Scholar. Randomised clinical trials of interventions that used educational technologies to prevent sexually transmitted infections in incarcerated women will be searched in the databases from the beginning of 2020 until December by two researchers independently. A narrative synthesis will be constructed for all included studies, and if there are sufficient data, a meta-analysis will be performed using the Review Manager software (V.5.3). Continuous results will be presented as the weighted mean difference or the standardised mean difference with 95% CIs. Under the heterogeneity of the included studies, a random-effects or fixed-effects model will be used. The studies’ heterogeneity will be assessed by the I2 method. The sensitivity analysis will be carried out to examine the magnitude of each study’s influence on the general results. A significance level of p≤0.05 will be adopted.Ethics and disclosureEthical approval is not required because no primary data will be collected. The results will be published in journals reviewed by peers.PROSPERO registration numberCRD42020163820.


ISRN Urology ◽  
2013 ◽  
Vol 2013 ◽  
pp. 1-42 ◽  
Author(s):  
Robert S. Van Howe

The claim that circumcision reduces the risk of sexually transmitted infections has been repeated so frequently that many believe it is true. A systematic review and meta-analyses were performed on studies of genital discharge syndrome versus genital ulcerative disease, genital discharge syndrome, nonspecific urethritis, gonorrhea, chlamydia, genital ulcerative disease, chancroid, syphilis, herpes simplex virus, human papillomavirus, and contracting a sexually transmitted infection of any type. Chlamydia, gonorrhea, genital herpes, and human papillomavirus are not significantly impacted by circumcision. Syphilis showed mixed results with studies of prevalence suggesting intact men were at great risk and studies of incidence suggesting the opposite. Intact men appear to be of greater risk for genital ulcerative disease while at lower risk for genital discharge syndrome, nonspecific urethritis, genital warts, and the overall risk of any sexually transmitted infection. In studies of general populations, there is no clear or consistent positive impact of circumcision on the risk of individual sexually transmitted infections. Consequently, the prevention of sexually transmitted infections cannot rationally be interpreted as a benefit of circumcision, and any policy of circumcision for the general population to prevent sexually transmitted infections is not supported by the evidence in the medical literature.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Alison B. Wiyeh ◽  
Ruth K. B. Mome ◽  
Phetole W. Mahasha ◽  
Eugene J. Kongnyuy ◽  
Charles S. Wiysonge

2021 ◽  
Author(s):  
Etsay Woldu Anbesu ◽  
Setognal Birara Aychiluhm ◽  
Mussie Alemayehu

Abstract Background Globally, about 178.5 million new cases of curable sexually transmitted infections occur among young people aged 15–24 years. There are fragmented and inconsistent findings on preventive practices of sexually transmitted infection and there is no national representative data on preventive practices of sexually transmitted infection in Ethiopia. Thus, this systematic review and meta-analysis aimed to estimate the pooled prevalence of good preventive practices of sexually transmitted infection and identify its determinants among young people in Ethiopia. Methods The Preferred Reporting Items for Systematic review and Meta-analyses (PRISMA) guideline was employed to develop the review protocol. Databases such as PubMed, CINAH, Google, and Google Scholar were used to search published and unpublished studies from May 15 − 12 August/2021. Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument will be used to assess the quality of the studies. Statistical heterogeneity will be checked using I2 statistics. Subgroup analyses and meta-regression will be done based on regions to identify the sources of heterogeneity at a p-value < 0.05. The statistical analysis will be done using STATA version-14 software. A random-effects model will be employed to estimate the pooled prevalence and identify determinants of preventive practices of sexually transmitted infections. Discussion Young people have a high unmet need for sexual and reproductive health services and poor preventive practices toward sexually transmitted infection. Despite different interventions implemented to enhance the preventive practice of sexually transmitted infection among young people, the problem is still a challenge in low-income countries, including Ethiopia


2021 ◽  
Author(s):  
Etsay Woldu Anbesu ◽  
Setognal Birara Aychiluhm ◽  
Mussie Alemayehu

Abstract Background Globally, about 178.5 million new cases of curable sexually transmitted infections occur among young people aged 15–24 years. There are fragmented and inconsistent findings on preventive practices of sexually transmitted infection and there is no national representative data on preventive practices of sexually transmitted infection in Ethiopia. Thus, this systematic review and meta-analysis aimed to estimate the pooled prevalence of good preventive practices of sexually transmitted infection and identify its determinants among young people in Ethiopia. Methods The Preferred Reporting Items for Systematic review and Meta-analyses (PRISMA) guideline was employed to develop the review protocol. Databases such as PubMed, CINAH, Google, and Google Scholar were used to search published and unpublished studies from May 15 − 12 August/2021. Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument will be used to assess the quality of the studies. Statistical heterogeneity will be checked using I2 statistics. Subgroup analyses and meta-regression will be done based on regions to identify the sources of heterogeneity at a p-value < 0.05. The statistical analysis will be done using STATA version-14 software. A random-effects model will be employed to estimate the pooled prevalence and identify determinants of preventive practices of sexually transmitted infections. Discussion Young people have a high unmet need for sexual and reproductive health services and poor preventive practices toward sexually transmitted infection. Despite different interventions implemented to enhance the preventive practice of sexually transmitted infection among young people, the problem is still a challenge in low-income countries, including Ethiopia


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