Male circumcision as an HIV control strategy:Not a “Natural Condom”

Bonner, Kate

doi:10.1016/s0968-8080(01)90101-6

Cited by 34 publications

(25 citation statements)

References 41 publications

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“…Recent epidemiological studies have shown that in high-risk populations in sub-Saharan Africa, male circumcision is associated with a reduced risk of HIV infection [18]. However, use of contaminated equipment during collective circumcision may cause the transmission of bloodborne viruses such as HBV [19], hepatitis C virus [20] or even HIV itself.…”

Section: Discussionmentioning

confidence: 99%

Exposure time to hepatitis B virus and associated risk factors among children in Edirne, Turkey

et al. 2005

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SUMMARYHepatitis B virus (HBV) infection is endemic in Turkey, but the main routes of transmission were not well established. This study aims to detect the exposure time to HBV and associated risk factors among children. In a sampling group of chıldren aged 0-19 years living in Edirne, antiHBc, antiHBs and HBsAg were screened by the microELISA method. A questionnaire was also completed for each child. In 717 children that were included in the study, the total antiHBc seropositivity was 5 . 4 % and was 1 . 8, 0 . 8, 1 . 7, 6 . 8, 11 . 8% in 0-1, 2-5, 6-10, 11-14, 15-19 years age groups respectively. The overall HBsAg seropositivity was 1 . 7%. The risk of HBV infection increased after the age of 10 years (OR 7 . 79,). Collective circumcision was the only independent factor according to regression analysis. Children living in Edirne should be vaccinated against HBV before reaching 11 years of age.

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Section: Discussionmentioning

confidence: 99%

Exposure time to hepatitis B virus and associated risk factors among children in Edirne, Turkey

et al. 2005

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“…Before the RCTs were conducted, Bonner (2001) urged caution in interpreting male circumcision as an answer to the problem of epidemic HIV transmission. She argued that:…”

Section: Debating the Evidencementioning

confidence: 99%

HIV prevention: Making male circumcision the ‘right’ tool for the job

Bell

2014

Global Public Health

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In recent years, HIV/AIDS programming has been transformed by an ostensibly 'new' procedure: male circumcision. This article examines the rise of male circumcision as the 'right' HIV prevention tool. Treating this controversial topic as a 'matter of concern' rather than a 'matter of fact', I examine the reasons why male circumcision came to be seen as a partial solution to the problem of HIV transmission in the twenty-first century and to what effect. Grounded in a close reading of the primary literature, I suggest that the embrace of male circumcision in HIV prevention must be understood in relation to three factors: (1) the rise of evidence-based medicine as the dominant paradigm for conceptualising medical knowledge, (2) the fraught politics of HIV/AIDS research and funding, which made the possibility of a biomedical intervention attractive and (3) underlying assumptions about the nature of African 'culture' and 'sexuality'. I conclude by stressing the need to expand the parameters of the debate beyond the current polarised landscape, which presents us with a problematic either/or scenario regarding the efficacy of male circumcision.

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“…One reason for this belief may be because of the high rates of uncircumcised men in KZN when compared with other regions (Bonner 2001, Boyle 2003. These findings may reflect strong beliefs amongst prison inmates as well as traditional beliefs prevalent within the Zulu speaking community (Sifunda et al 2007).…”

Section: Discussionmentioning

confidence: 99%

HIV/AIDS, STIs and condom use beliefs among male prison inmates in two South African provinces: Mpumalanga and KwaZulu-Natal

Stephens

Conerly

Braithwaite

et al. 2009

Global Public Health

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The purpose of this study was to describe the characteristics of a random sample of prison inmates from two provinces in South Africa with respect to correct knowledge regarding HIV/AIDS and sexual transmitted infection (STI) risk and beliefs about condom use. This cross-sectional descriptive study of 357 prison inmates formed part of a larger longitudinal investigation designed to implement a health education intervention for prison inmates in the KwaZulu-Natal (KZN) and Mpumalanga (MP) provinces of South Africa. Mean differences for groups were compared across sites using Analysis of Variance (ANOVA). Inmates from KZN were less likely to agree that 'It is important to use condoms every time you have sex' F (1355) = 25.8, p<0.0001 when compared with inmates in MP. However, they were more likely to agree that 'Condoms work well to prevent the spread of HIV' F (1355) = 11.7, p<0.001; 'Condoms also prevent pregnancy' F (1355) = 5.1, p<0.05. Overall, the demonstrated differences in condom use behaviour suggested that future prevention efforts focus on the importance of using condoms to prevent the spread of HIV/AIDS and other STIs.

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Male circumcision as an HIV control strategy:Not a “Natural Condom”

Cited by 34 publications

References 41 publications

Exposure time to hepatitis B virus and associated risk factors among children in Edirne, Turkey

Exposure time to hepatitis B virus and associated risk factors among children in Edirne, Turkey

HIV prevention: Making male circumcision the ‘right’ tool for the job

HIV/AIDS, STIs and condom use beliefs among male prison inmates in two South African provinces: Mpumalanga and KwaZulu-Natal

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