Willingness of Men Who Have Sex with Men (MSM) in the United States to Be Circumcised as Adults to Reduce the Risk of HIV Infection

Begley, Elin; Jafa, Krishna; Voetsch, Andrew C.; Heffelfinger, James D.; Borkowf, Craig B.; Sullivan, Patrick S.

doi:10.1371/journal.pone.0002731

Cited by 27 publications

(26 citation statements)

References 25 publications

(26 reference statements)

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“…When comparing self-reported and genital examination, the study found that participant can accurately report their circumcision status, which was consistent with an Australia's study [35]. Over half uncircumcised respondents in our study indicated that they would be willing to be circumcised, which was similar to the reports in Beijing, China [33] and other countries [36]. The relative low prevalence of male circumcision and a high willingness to be circumcised could be the evidence of the feasibility to promote MC as an intervention component of the multifaceted intervention strategy among MSM in Chengdu.…”

Section: Discussionsupporting

confidence: 90%

Risk Factors for HIV/Syphilis Infection and Male Circumcision Practices and Preferences among Men Who Have Sex with Men in China

Zeng

Zhang

Tian

et al. 2014

BioMed Research International

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Objective. To investigate factors associated with HIV infection and the frequency and willingness of male circumcision among men who have sex with men (MSM) in Chengdu city, China. Methods. A cross-sectional survey provided information on participants' demographics, risk behaviors, circumcision, and uptake of HIV prevention services. Results. Of 570 participants, 13.3% were infected with HIV and 15.9% with syphilis. An estimated 43.0% of respondents reported having unprotected receptive anal intercourse, and 58.9% reported having ≥2 male sexual partners in the past 6 months. Multivariable logistic regression revealed that syphilis, more male sex partners, predominantly receptive anal intercourse, and exclusively receptive male sex were associated with HIV infection. Higher level of education and peer education service were inversely associated with HIV infection. Nearly a fifth (18.0%) of participants were circumcised. More than half of uncircumcised participants expressed willingness to be circumcised. Conclusion. This study reveals a high prevalence of HIV and syphilis among MSM in Chengdu province of China. The frequency of unprotected receptive anal intercourse and multiple male sexual partnerships highlight the urgency for an effective comprehensive HIV prevention strategy. Although the willingness to accept male circumcision (MC) is high, further research is needed to assess the protective effective of MC among MSM.

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Section: Discussionsupporting

confidence: 90%

Risk Factors for HIV/Syphilis Infection and Male Circumcision Practices and Preferences among Men Who Have Sex with Men in China

Zeng

Zhang

Tian

et al. 2014

BioMed Research International

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“…Consistent with previous studies, 26,30 we found the people with a higher education level had better knowledge of MC/HIV and were more likely to accept MC. We also found that targeted education could effectively improve the acceptability of MC.…”

Section: Discussionsupporting

confidence: 92%

Acceptance of Male Circumcision Among Male Rural-to-Urban Migrants in Western China

Jiang

Huang

Yang

et al. 2013

AIDS Research and Human Retroviruses

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To describe the acceptability of male circumcision (MC) and explore potential factors associated with MC acceptability among male rural-to-urban migrants in western China, a cross-sectional survey of MC acceptability was conducted with 1,904 subjects in three western provinces with high HIV prevalence (Guangxi, Chongqing, and Xinjiang) in China between June 2009 and November 2009. Through face-to-face interviews, the participants completed a self-administered questionnaire about demographics, MC knowledge, willingness and reasons to accept or refuse MC, sexual behaviors, and other psychosocial variables. Factors associated with acceptability of MC were identified by multiple logistic regression analysis. Of the participants (n = 1,904), 710 men were willing to accept MC (37.3%); the reasons included promotion of the partners' genital hygiene (54.9%), redundant prepuce or phimosis (43.1%), enhancement of sexual pleasure (40.6%), prevention of penile inflammation or cancer (35.5%), and protection against HIV and sexual transmitted diseases (STDs)(31.1%). A multivariable logistic regression showed that four factors were associated with acceptability of MC, including education level (OR = 1.286, 95% CI = 1.025*1.614), redundant prepuce or phimosis (OR = 13.751, 95% CI = 10.087*18.745), having one or more circumcised friends (OR = 2.468, 95% CI = 1.953*3.119), and having sexual intercourse with a temporary partner in the past year (OR = 1.543, 95% CI = 1.101*2.162). Compared with previously published data among the general population in China or worldwide, the acceptability of MC (37.3%) was low among the male rural-to-urban migrants in western China. Nevertheless, appropriate education could greatly improve the acceptability of MC. More public campaigns and health education on MC are needed to increase the rate of MC in China.

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“…One, from the USA, found that 53% were willing to be circumcised 16. However, our findings are similar to those of the London study, in which only one in 10 uncircumcised men were willing to participate in circumcision research 12.…”

Section: Discussionsupporting

confidence: 84%

Circumcision among men who have sex with men in Scotland: limited potential for HIV prevention

McDaid

Weiss

Hart³

2010

Sexually Transmitted Infections

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ObjectiveMale circumcision has been shown to reduce the risk of HIV acquisition among heterosexual men but the impact among men who have sex with men (MSM) is not known. In this paper, we explore the feasibility of research into circumcision for HIV prevention among MSM in Scotland.MethodsAnonymous, self-complete questionnaires and Orasure oral fluid collection kits were distributed to men visiting the commercial gay scenes in Glasgow and Edinburgh.Results1508 men completed questionnaires (70.5% response rate) and 1277 provided oral fluid samples (59.7% response rate). Overall, 1405 men were eligible for inclusion in the analyses. 16.6% reported having been circumcised. HIV prevalence was similar among circumcised and uncircumcised men (4.2% and 4.6%, respectively). Although biologically, circumcision is most likely to protect against HIV for men practising unprotected insertive anal intercourse (UIAI), only 7.8% (91/1172) of uncircumcised men reported exclusive UIAI in the past 12 months. Relatively few men reported being willing to participate in a research study on circumcision and HIV prevention (13.9%), and only 11.3% of uncircumcised men did so.ConclusionThe lack of association between circumcision and HIV status, low levels of exclusive UIAI, and low levels of willingness to take part in circumcision research studies suggest circumcision is unlikely to be a feasible HIV prevention strategy for MSM in the UK. Behaviour change should continue to be the focus of HIV prevention in this population.

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Willingness of Men Who Have Sex with Men (MSM) in the United States to Be Circumcised as Adults to Reduce the Risk of HIV Infection

Cited by 27 publications

References 25 publications

Risk Factors for HIV/Syphilis Infection and Male Circumcision Practices and Preferences among Men Who Have Sex with Men in China

Risk Factors for HIV/Syphilis Infection and Male Circumcision Practices and Preferences among Men Who Have Sex with Men in China

Acceptance of Male Circumcision Among Male Rural-to-Urban Migrants in Western China

Circumcision among men who have sex with men in Scotland: limited potential for HIV prevention

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