Herpes genitalis and circumcision.

Taylor, P.; Rodin, P.

doi:10.1136/sti.51.4.274

Cited by 28 publications

(12 citation statements)

References 21 publications

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“…14 15 Other studies, however, found no association between STD acquisition and circumcision status. [16][17][18][19][20] Only a few studied US populations, and not all confirmed diagnosis with laboratory testing.…”

Section: Introductionmentioning

confidence: 97%

Circumcision and STD in the United States: cross sectional and cohort analyses

Diseker

Peterman²,

Kamb³

et al. 2000

Sexually Transmitted Infections

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Background: Male circumcision status has been shown to be associated with sexually transmitted disease (STD) acquisition in some, but not all, studies. Most studies have been cross sectional. Objectives: We examined the association between circumcision status and the prevalence and incidence of gonorrhoea, chlamydia, and syphilis. Methods: We analysed cross sectional and cohort study data from a multicentre controlled trial in the United States. Between July 1993 and September 1996, 2021 men visiting public inner city STD clinics in the United States were examined by a clinician at enrolment and 1456 were examined at follow up visits 6 and 12 months later. At each visit, men had laboratory tests for gonorrhoea, chlamydia, and syphilis and were examined for circumcision status. We used multiple logisitic regression to compare STD risk among circumcised and uncircumcised men adjusted for potentially confounding factors. Results: Uncircumcised men were significantly more likely than circumcised men to have gonorrhoea in the multivariate analyses, adjusted for age, race, and site, in both the cross sectional (odds ratio (OR), 1.3; 95% confidence interval (CI), 0.9 to 1.7) and in the cohort analysis (OR, 1.6; 95% CI, 1.0 to 2.6). There was no association between lack of circumcision and chlamydia in either the cross sectional (OR, 1.0; 95% CI 0.7-1.4) or the cohort analysis (OR, 0.9; 95% CI 0.5-1.5). The magnitude of association between lack of circumcision and syphilis was similar in the cross sectional (OR, 1.4; 95% CI 0.6 to 3.3) and cohort analysis (OR, 1.5; 95% CI 0.4 to 6.1). Conclusion: Uncircumcised men in the United States may be at increased risk for gonorrhoea and syphilis, but chlamydia risk appears similar in circumcised and uncircumcised men. Our results suggest that risk estimates from cross sectional studies would be similar to cohort findings. (Sex Transm Inf 2000;76:474-479)

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Section: Introductionmentioning

confidence: 97%

Circumcision and STD in the United States: cross sectional and cohort analyses

Diseker

Peterman²,

Kamb³

et al. 2000

Sexually Transmitted Infections

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“…In a study by Cherpes et al [40•], HSV-2 infection in women was significantly associated with a history of intercourse with an uncircumcised partner. Although previous studies have shown the relationship between circumcision status and HIV infection of women, the relationship between genital herpes infection and circumcision status of male partner was not as clear [41][42][43]. The authors posit a number of possibilities for this, including increased seroprevalence of HSV-2 among uncircumcised males, enhanced efficiency of transmission of HSV-2 from uncircumcised males to their female partners, and the possible intermediary role of bacterial vaginosis or lack of lactobacilluspredominant vaginal flora in partners of uncircumcised men.…”

Section: Circumcisionmentioning

confidence: 97%

Controversies in male adolescent health: varicocele, circumcision, and testicular self-examination

Adelman

Joffe²

2004

Current Opinion in Pediatrics

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“…42 Uncircumcised men appear to be at higher risk for the acquisition of genital herpes. 42,45,46 Risk factors for genital herpes include race, age, smoking, douching, a greater number of lifetime sex partners, a history of intercourse with an uncircumcised partner, the presence of vaginal group B Streptococcus and abnormal vaginal flora. 42 …”

Section: Genital Herpesmentioning

confidence: 99%

“…[42][43][44] A review of epidemiologic studies 3 revealed that two studies reported statistically significant associations between lack of circumcision and genital herpes, 45,46 and four studies reported no association. 8,[47][48][49] Another study determined that there is an association in women between HSV-2 infection and a history of intercourse with an uncircumcised partner.…”

Section: Genital Herpesmentioning

confidence: 99%

Circumcision: The Good, the Bad and American Values

Student¹

2005

American Journal of Health Education

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Herpes genitalis and circumcision.

Cited by 28 publications

References 21 publications

Circumcision and STD in the United States: cross sectional and cohort analyses

Circumcision and STD in the United States: cross sectional and cohort analyses

Controversies in male adolescent health: varicocele, circumcision, and testicular self-examination

Circumcision: The Good, the Bad and American Values

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