Prevalence of Circumcision and its Association With HIV and Sexually Transmitted Infections in a Male US Navy Population
Abstract
Objectives: To determine circumcision prevalence and its association with HIV and STI in a male United States military population. Design: Case-control study of HIV-infected U.S. military personnel (n = 232) from 7 military medical centers and male U.S. Navy controls (n = 516) from an aircraft carrier. Methods: Cases and controls completed HIV risk surveys. Case circumcision status was abstracted from medical charts while control status was reported by survey. Multiple logistic regressions were constructed evaluating the role of circumcision in the acquisition of HIV and STI. Results: Cases (84.9%) and controls (81 .8%) reported similar proportions of circumcision. Prevalence of circumcision among U.S.-born men was higher (85.0%) than those born elsewhere (58.1%). After adjustment for demographic and behavioral risk factors lack of circumcision was not found to be a risk factor for HIV (odds ratio [OR] = 0.9; 95% confidence interval [Cl], 0.51-1.7) or ST (OR = 1.08; 95% Cl, 0.52-2.26). Conclusions: Although known HIV risk factors were found to be associated with HIV in this military population, there was no significant association with male circumcision. Randomized clinical trials currently underway should shed more light on this pressing topic.
Document Details
- Document Type
- Technical Report
- Publication Date
- Jul 01, 2004
- Accession Number
- ADA458066
Entities
People
- Anne G. Thomas
- Ludmila N. Bakhireva
- Richard A. Shaffer
- Stephanie K. Brodine
Organizations
- Naval Health Research Center