Details:

Alternative Title:
PLoS ONE
Personal Author:
Begley, Elin B. ; Jafa, Krishna ; Voetsch, Andrew C. ; Heffelfinger, James D. ; Borkowf, Craig B. ; ... More +
Begley, Elin B. ; Jafa, Krishna ; Voetsch, Andrew C. ; Heffelfinger, James D. ; Borkowf, Craig B. ; Sullivan, Patrick S. ; Less -
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.
Subject:
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Adolescent
Adult
Aged
Attitude To Health
Circumcision, Male
HIV Infections
Homosexuality
Humans
Infectious Diseases
Male
Middle Aged
Odds Ratio
Questionnaires
Regression Analysis
Research Article
Risk-Taking
Sexual Behavior

Source:
PLoS ONE. 2008 ; 3(7).;
Document Type:
Journal Article ;
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:eb504ab2c92a789bd1d60db8fc6b41181d4389b019987e1250ed6387c51e7d30
File Type:

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