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.
BACKGROUND: Circumcision reduces HIV acquisition among heterosexual men in Africa, but it is unclear if circumcision may reduce HIV acquisition among men who have sex with men (MSM) in the United States, or whether MSM would be willing to be circumcised if recommended. METHODS: We interviewed presum...
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doaj-4e5059bda9fa4f2f998012333f2a3a372020-11-25T01:58:14ZengPublic Library of Science (PLoS)PLoS ONE1932-62032008-01-0137e273110.1371/journal.pone.0002731Willingness of men who have sex with men (MSM) in the United States to be circumcised as adults to reduce the risk of HIV infection.Elin B BegleyKrishna JafaAndrew C VoetschJames D HeffelfingerCraig B BorkowfPatrick S SullivanBACKGROUND: Circumcision reduces HIV acquisition among heterosexual men in Africa, but it is unclear if circumcision may reduce HIV acquisition among men who have sex with men (MSM) in the United States, or whether MSM would be willing to be circumcised if recommended. METHODS: We interviewed presumed-HIV negative MSM at gay pride events in 2006. We asked uncircumcised respondents about willingness to be circumcised if it were proven to reduce risk of HIV among MSM and perceived barriers to circumcision. Multivariate logistic regression was used to identify covariates associated with willingness to be circumcised. RESULTS: Of 780 MSM, 133 (17%) were uncircumcised. Of these, 71 (53%) were willing to be circumcised. Willingness was associated with black race (exact odds ratio [OR]: 3.4, 95% confidence interval [CI]: 1.3-9.8), non-injection drug use (OR: 6.1, 95% CI: 1.8-23.7) and perceived reduced risk of penile cancer (OR: 4.7, 95% CI: 2.0-11.9). The most commonly endorsed concerns about circumcision were post-surgical pain and wound infection. CONCLUSIONS: Over half of uncircumcised MSM, especially black MSM, expressed willingness to be circumcised. Perceived risks and benefits of circumcision should be a part of educational materials if circumcision is recommended for MSM in the United States.http://europepmc.org/articles/PMC2443289?pdf=render |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Elin B Begley Krishna Jafa Andrew C Voetsch James D Heffelfinger Craig B Borkowf Patrick S Sullivan |
spellingShingle |
Elin B Begley Krishna Jafa Andrew C Voetsch James D Heffelfinger Craig B Borkowf Patrick S Sullivan 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. PLoS ONE |
author_facet |
Elin B Begley Krishna Jafa Andrew C Voetsch James D Heffelfinger Craig B Borkowf Patrick S Sullivan |
author_sort |
Elin B Begley |
title |
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. |
title_short |
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. |
title_full |
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. |
title_fullStr |
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. |
title_full_unstemmed |
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. |
title_sort |
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. |
publisher |
Public Library of Science (PLoS) |
series |
PLoS ONE |
issn |
1932-6203 |
publishDate |
2008-01-01 |
description |
BACKGROUND: Circumcision reduces HIV acquisition among heterosexual men in Africa, but it is unclear if circumcision may reduce HIV acquisition among men who have sex with men (MSM) in the United States, or whether MSM would be willing to be circumcised if recommended. METHODS: We interviewed presumed-HIV negative MSM at gay pride events in 2006. We asked uncircumcised respondents about willingness to be circumcised if it were proven to reduce risk of HIV among MSM and perceived barriers to circumcision. Multivariate logistic regression was used to identify covariates associated with willingness to be circumcised. RESULTS: Of 780 MSM, 133 (17%) were uncircumcised. Of these, 71 (53%) were willing to be circumcised. Willingness was associated with black race (exact odds ratio [OR]: 3.4, 95% confidence interval [CI]: 1.3-9.8), non-injection drug use (OR: 6.1, 95% CI: 1.8-23.7) and perceived reduced risk of penile cancer (OR: 4.7, 95% CI: 2.0-11.9). The most commonly endorsed concerns about circumcision were post-surgical pain and wound infection. CONCLUSIONS: Over half of uncircumcised MSM, especially black MSM, expressed willingness to be circumcised. Perceived risks and benefits of circumcision should be a part of educational materials if circumcision is recommended for MSM in the United States. |
url |
http://europepmc.org/articles/PMC2443289?pdf=render |
work_keys_str_mv |
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