Publication:
Circumcision and risk of HIV infection in Australian homosexual men
Circumcision and risk of HIV infection in Australian homosexual men
dc.contributor.author | Mao, Limin | en_US |
dc.contributor.author | Prestage, Garrett | en_US |
dc.contributor.author | Donovan, Basil | en_US |
dc.contributor.author | Imrie, John | en_US |
dc.contributor.author | Kippax, Susan | en_US |
dc.contributor.author | Kaldor, John | en_US |
dc.contributor.author | Grulich, Andrew | en_US |
dc.contributor.author | Templeton, David | en_US |
dc.contributor.author | Jin, Feng Yi | en_US |
dc.date.accessioned | 2021-11-25T15:43:20Z | |
dc.date.available | 2021-11-25T15:43:20Z | |
dc.date.issued | 2009 | en_US |
dc.description.abstract | Objective: To assess circumcision status as a risk factor for HIV seroconversion in homosexual men. Design, setting and participants: The Health in Men (HIM) study was a prospective cohort of homosexual men in Sydney, Australia. HIV-negative men (n = 1426) were recruited primarily from community-based sources between 2001 and 2004 and followed to mid-2007. Participants underwent annual HIV testing, and detailed information on sexual risk behaviour was collected every 6 months. Main outcome measure: HIV incidence in circumcised compared with uncircumcised participants, stratified by whether or not men predominantly practised the insertive role in anal intercourse. Results: There were 53 HIV seroconversions during follow-up; an incidence of 0.78 per 100 person-years. On multivariate analysis controlling for behavioural risk factors, being circumcised was associated with a nonsignificant reduction in risk of HIV seroconversion [hazard ratio 0.78, 95% confidence interval (CI) 0.42-1.45, P = 0.424]. Among one-third of study participants who reported a preference for the insertive role in anal intercourse, being circumcised was associated with a significant reduction in HIV incidence after controlling for age and unprotected anal intercourse (UAI) (hazard ratio 0.11, 95% CI 0.03-0.80, P = 0.041). Those who reported a preference for the insertive role overwhelmingly practised insertive rather than receptive UAI. Conclusions: Overall, circumcision did not significantly reduce the risk of HIV infection in the HIM cohort. However, it was associated with a significant reduction in HIV incidence among those participants who reported a preference for the insertive role in anal intercourse. Circumcision may have a role as an HIV prevention intervention in this subset of homosexual men. | en_US |
dc.identifier.issn | 0269-9370 | en_US |
dc.identifier.uri | http://hdl.handle.net/1959.4/44924 | |
dc.language | English | |
dc.language.iso | EN | en_US |
dc.rights | CC BY-NC-ND 3.0 | en_US |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/3.0/au/ | en_US |
dc.source | Legacy MARC | en_US |
dc.subject.other | CLINICAL SCIENCES (FORC:110300) | en_US |
dc.subject.other | risk factors | en_US |
dc.subject.other | homosexual men | en_US |
dc.subject.other | HIV | en_US |
dc.subject.other | circumcision | en_US |
dc.subject.other | risk behaviour | en_US |
dc.title | Circumcision and risk of HIV infection in Australian homosexual men | en_US |
dc.type | Journal Article | en |
dcterms.accessRights | metadata only access | |
dspace.entity.type | Publication | en_US |
unsw.accessRights.uri | http://purl.org/coar/access_right/c_14cb | |
unsw.description.notePublic | Published by Lippincott Williams & Wilkins, Philadelphia, PA, USA | en_US |
unsw.identifier.doiPublisher | http://dx.doi.org/10.1097/QAD.0b013e32833202b8 | en_US |
unsw.relation.faculty | Arts Design & Architecture | |
unsw.relation.faculty | Medicine & Health | |
unsw.relation.ispartofissue | 17 | en_US |
unsw.relation.ispartofjournal | AIDS | en_US |
unsw.relation.ispartofpagefrompageto | 2347-2351 | en_US |
unsw.relation.ispartofvolume | 23 | en_US |
unsw.relation.originalPublicationAffiliation | Mao, Limin, National Centre in HIV Social Research, Faculty of Arts & Social Sciences, UNSW | en_US |
unsw.relation.originalPublicationAffiliation | Prestage, Garrett, National Centre in HIV Epidemiology & Clinical Research, Faculty of Medicine, UNSW | en_US |
unsw.relation.originalPublicationAffiliation | Donovan, Basil, National Centre in HIV Epidemiology & Clinical Research, Faculty of Medicine, UNSW | en_US |
unsw.relation.originalPublicationAffiliation | Imrie, John, National Centre in HIV Social Research, Faculty of Arts & Social Sciences, UNSW | en_US |
unsw.relation.originalPublicationAffiliation | Kippax, Susan, National Centre in HIV Social Research, Faculty of Arts & Social Sciences, UNSW | en_US |
unsw.relation.originalPublicationAffiliation | Kaldor, John, National Centre in HIV Epidemiology & Clinical Research, Faculty of Medicine, UNSW | en_US |
unsw.relation.originalPublicationAffiliation | Grulich, Andrew, National Centre in HIV Epidemiology & Clinical Research, Faculty of Medicine, UNSW | en_US |
unsw.relation.originalPublicationAffiliation | Templeton, David, National Centre in HIV Epidemiology & Clinical Research, Faculty of Medicine, UNSW | en_US |
unsw.relation.originalPublicationAffiliation | Jin, Feng Yi, National Centre in HIV Epidemiology & Clinical Research, Faculty of Medicine, UNSW | en_US |
unsw.relation.school | Centre for Social Research in Health | * |
unsw.relation.school | The Kirby Institute | * |