Low frequency of male circumcision and unwillingness to be circumcised among MSM in Buenos Aires, Argentina: association with sexually transmitted infections

Objective The aims of this study were to investigate the frequency of male circumcision among men who have sex with men (MSM) in Buenos Aires, Argentina; the association between circumcision and sexually transmitted infections (STIs); and, among those uncircumcised, the willingness to be circumcised...

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Bibliographic Details
Published in:Journal of the International AIDS Society 2013-01, Vol.16 (1), p.18500-n/a
Main Authors: Pando, María A, Balan, Ivan C, Dolezal, Curtis, Marone, Ruben, Barreda, Victoria, Carballo‐Dieguez, Alex, Avila, María M
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adult
AIDS
AIDS/HIV
Argentina - epidemiology
Biological samples
Buenos Aires
Circumcision
Circumcision, Male - statistics & numerical data
Complications and side effects
Cross-Sectional Studies
Data collection
Disease prevention
Disease transmission
Distribution
Drug resistance
Evaluation
Forecasts and trends
Genetic aspects
Genotypes
Health aspects
Hepatitis
HIV
Homosexuality, Male
HPV
Human immunodeficiency virus
Human papillomavirus
Humans
Infections
Male
Men
men who have sex with men
Meta-analysis
Methods
MSM (Men who have sex with men)
Patient Acceptance of Health Care - statistics & numerical data
respondent‐driven sampling
Risk factors
Sexual behavior
Sexually transmitted diseases
Sexually Transmitted Diseases - epidemiology
Sexually Transmitted Diseases - prevention & control
Short Report
STD
Studies
Surveys and Questionnaires
Systematic review
Young Adult
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Summary:Objective The aims of this study were to investigate the frequency of male circumcision among men who have sex with men (MSM) in Buenos Aires, Argentina; the association between circumcision and sexually transmitted infections (STIs); and, among those uncircumcised, the willingness to be circumcised. Methods A cross‐sectional study was conducted among 500 MSM recruited through the respondent‐driven sampling (RDS) technique. Participants underwent a consent process, responded to a Web‐based survey that included questions on demographic information, sexual behaviour, and circumcision and provided biological samples. HIV, hepatitis B virus (HBV), hepatitis C virus (HCV), Treponema pallidum, and human papiloma virus (HPV) diagnoses were performed using standard methodologies. For all analyses, data were weighted based on participants’ network size. Results Only 64 (13%) of the 500 MSM in our study reported being circumcised. Among uncircumcised men (n=418), 302 (70.4%) said that they would not be willing to get circumcised even if the procedure could reduce the risk of HIV infection. When considering all participants, circumcision status was not significantly associated with HIV, HBV, HCV, T. pallidum or HPV infections. However, when we restricted the sample to men who do not practice receptive anal intercourse (RAI) and compared circumcised to uncircumcised men, the former (N=33) had no cases of HIV infection, while 34 of 231 (14.8%) uncircumcised men were HIV positive (p=0.020). Regarding HPV, uncircumcised men had a significantly larger number of different HPV types compared with circumcised men (mean 1.83 vs. 1.09, p
ISSN:1758-2652
1758-2652
DOI:10.7448/IAS.16.1.18500