Sexual Behaviors and Other HIV Risk Factors in Circumcised and Uncircumcised Men in Uganda

Bailey, Robert C.; Neema, Stella; Othieno, Richard

doi:10.1097/00126334-199911010-00012

Cited by 58 publications

(54 citation statements)

References 22 publications

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“…Kalichman et al (2006) reported that sensation seeking predicts both alcohol use in sexual contexts and a cumulative index of HIV transmission risk factors among STI clinic patients in South Africa. The potential importance of underlying personality characteristics in predicting alcohol use and risk behavior is further supported by research that shows alcohol use is only one of several behaviors that cluster together to increase risk for HIV transmission (Bailey, Neema, & Othieno, 1999). Drinking alcohol as a means of coping with stress is also related to engaging in higher risk behaviors for HIV transmission (Jones, Ross, Weiss, Bhat, & Chitalu, 2005;Wechsberg, Luseno, & Lam, 2005).…”

Section: Predictors Of Alcohol Usementioning

confidence: 96%

Alcohol Use and Sexual Risks for HIV/AIDS in Sub-Saharan Africa: Systematic Review of Empirical Findings

et al. 2007

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Alcohol consumption is associated with risks for sexually transmitted infections (STI), including HIV/AIDS. In this paper, we systematically review the literature on alcohol use and sexual risk behavior in southern Africa, the region of the world with the greatest HIV/AIDS burden. Studies show a consistent association between alcohol use and sexual risks for HIV infection. Among people who drink, greater quantities of alcohol consumption predict greater sexual risks than does frequency of drinking. In addition, there are clear gender differences in alcohol use and sexual risks; men are more likely to drink and engage in higher risk behavior whereas women's risks are often associated with their male sex partners' drinking. Factors that are most closely related to alcohol and sexual risks include drinking venues and alcohol serving establishments, sexual coercion, and poverty. Research conducted in southern Africa therefore confirms an association between alcohol use and sexual risks for HIV. Sexual risk reduction interventions are needed for men and women who drink and interventions should be targeted to alcohol serving establishments.

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Section: Predictors Of Alcohol Usementioning

confidence: 96%

Alcohol Use and Sexual Risks for HIV/AIDS in Sub-Saharan Africa: Systematic Review of Empirical Findings

et al. 2007

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“…Approximately one quarter of men worldwide have been circumcised for various reasons including religion, culture, medical reasons and/or parental/nonmedical preference, 1 yet researchers are divided in terms of gauging the potential benefits and risks of recommending the procedure as a mechanism to prevent HIV and STIs. [2][3][4] Data from several studies have identified a higher prevalence of HIV among men who were not circumcised compared to those who were circumcised. [3][4][5][6] In addition, researchers have found that circumcision acts as a protective factor against some STIs including syphilis and gonorrhea.…”

Section: Introductionmentioning

confidence: 99%

Relations Between Circumcision Status, Sexually Transmitted Infection History, and HIV Serostatus Among a National Sample of Men Who Have Sex with Men in the United States

Rosenberger

Schick

Herbenick

et al. 2010

AIDS Patient Care and STDs

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Circumcision's potential link to HIV/sexually transmitted infections (STI) has been at the center of recent global public health debates. However, data related to circumcision and sexual health remain limited, with most research focused on heterosexual men. This study sought to assess behavioral differences among a large sample of circumcised and noncircumcised men who have sex with men (MSM) in the United States. Data were collected from 26,257 U.S. MSM through an online survey. Measures included circumcision status, health indicators, HIV/STI screening and diagnosis, sexual behaviors, and condom use. Bivariate and regression analyses were conducted to determine differences between HIV/STI status, sexual behaviors, and condom use among circumcised and noncircumcised men. Circumcision status did not significantly predict HIV testing (p > 0.05), or HIV serostatus (p > 0.05), and there were no significant differences based on circumcision status for most STI diagnosis [syphilis, gonorrhea, chlamydia, human papilloma virus (HPV)]. Being noncircumcised was predictive of herpes-2 diagnosis, however, condom use mediated this relationship. These data provide one of the first large national assessments of circumcision among MSM. While being noncircumcised did not increase the likelihood of HIV and most STI infections, results indicated that circumcision was associated with higher rates of condom use, suggesting that those who promote condoms among MSM may need to better understand condom-related behaviors and attitudes among noncircumcised men to enhance the extent to which they are willing to use condoms consistently.

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“…Although some health indicators suggest that the epidemic in Zambia may be slowing, in the absence of a vaccine, additional strategies to prevent HIV acquisition in men and women are needed. Numerous observational studies and three clinical trials have reported a protective effect of male circumcision (MC) on HIV acquisition in men (Bailey et al, 2007;Cameron et al, 1989;Gray et al, 2007;Moses et al, 1990;Urassa et al, 1997;Weiss et al, 2000;Gray et al, 2000;Quinn, et al, 2000Bailey et al, 1999Auvert et al, 2001, Auvert et al, 2005, leading some experts to propose that circumcision be considered as an additional HIV prevention strategy, especially in areas of high HIV and STI prevalence (Fink 1986;Bailey et al, 1999;Moench 2000). In 2005, results from one of three randomized controlled trials (RCTs) studying the effects of MC on risk of HIV acquisition in young men in sub-Saharan Africa showed that MC reduces the risk of HIV infection in men by 60 Á76% (Auvert et al, 2005).…”

Section: Introductionmentioning

confidence: 99%

Acceptability of male circumcision for prevention of HIV infection in Zambia

Lukobo

Bailey

2007

AIDS Care

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Numerous observational studies and three clinical trials have shown male circumcision (MC) to be partially protective against HIV acquisition in heterosexual men. This has led to consideration of introducing circumcision as an HIV prevention strategy in parts of sub-Saharan Africa. This study assesses the acceptability of male circumcision as an intervention to improve male genital hygiene and reduce sexually transmitted infections, including HIV-1 in Zambia. Thirty-four focus group discussions were conducted - 17 with men and 17 with women - in four districts chosen to represent urban and rural communities where circumcision is and is not traditionally practiced. In communities where circumcision is little practiced, the main facilitators for acceptance were improved genital hygiene, HIV/STI prevention, and low cost. The main barriers were cultural tradition, high cost, pain, and concerns for safety. If MC is proven to reduce risk for HIV and STIs, most participants reported that they would seek circumcision for themselves or their partners or their sons if it was free or at a minimal cost. Acceptability of male circumcision for STI and HIV prevention appears to be high in Zambia.

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Sexual Behaviors and Other HIV Risk Factors in Circumcised and Uncircumcised Men in Uganda

Cited by 58 publications

References 22 publications

Alcohol Use and Sexual Risks for HIV/AIDS in Sub-Saharan Africa: Systematic Review of Empirical Findings

Alcohol Use and Sexual Risks for HIV/AIDS in Sub-Saharan Africa: Systematic Review of Empirical Findings

Relations Between Circumcision Status, Sexually Transmitted Infection History, and HIV Serostatus Among a National Sample of Men Who Have Sex with Men in the United States

Acceptability of male circumcision for prevention of HIV infection in Zambia

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