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. 2020 Aug;32(4):356-366.
doi: 10.1521/aeap.2020.32.4.356.

The Impact of Male Partner Circumcision on Women's Health Outcomes

Jayajothi Moodley  1   2 , Sarita Naidoo  1   2 , Cliff Kelly  3 , Tarylee Reddy  4 , Gita Ramjee  1   2   5
Affiliations

The Impact of Male Partner Circumcision on Women's Health Outcomes

Jayajothi Moodley et al. AIDS Educ Prev. 2020 Aug.

Abstract

Medical male circumcision is a proven method of HIV risk reduction in men with no known direct benefit to women. We investigated the benefit of partner circumcision on women's health. We conducted a secondary analysis of 5,029 women enrolled in the Vaginal and Oral Interventions to Control the Epidemic trial across 15 African sites, to look at the impact of partner circumcision status on sexually transmitted infections, pregnancy, frequency of sex, and condom use in women. Of 4,982 participants with a baseline response, 31% had circumcised partners. Women with circumcised partners had a significantly reduced risk of syphilis acquisition, hazard ratio 0.51 (0.26, 1.00), p value = .05. Participants with uncircumcised partners were significantly less likely to have used a condom at the last sex act than the other two groups, adj. relative risk 0.86 (0.80, 0.92), adj. p value < .0001. We found no evidence of sexual risk compensation in women with circumcised partners.

Keywords: HIV; male circumcision; sexual risk compensation; women's health.

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References

    1. Auvert B, Taljaard D, Lagarde E, Sobngwi-Tambekou J, Sitta R, & Puren A. (2005). Randomized, controlled intervention trial of male circumcision for reduction of HIV infection risk: The ANRS 1265 trial. PLoS Medicine, 2, 1112–1122. 10.1371/journal.pmed.0020298 - DOI - PMC - PubMed
    1. Baeten JM, Donnell D, Kapiga SH, Ronald A, John-Stewart G, Inambao M, … Celum C. (2010). Male circumcision and risk of male-to-female HIV-1 transmission: A multinational prospective study in African HIV-1-serodiscordant couples. AIDS, 24, 737–744. 10.1097/QAD.0b013e32833616e0 - DOI - PMC - PubMed
    1. Bailey RC, Moses S, Parker CB, Agot K, Maclean I, Krieger JN, … Ndinya-Achola JO (2007). Male circumcision for HIV prevention in young men in Kisumu, Kenya: A randomised controlled trial. Lancet, 369, 643–656. 10.1016/S0140-6736(07)60312-2 - DOI - PubMed
    1. Cassell MM, Halperin DT, Shelton JD, & Stanton D. (2006). Risk compensation: The Achilles’ heel of innovations in HIV prevention? BMJ, 332, 605–607. 10.1136/bmj.332.7541.605 - DOI - PMC - PubMed
    1. Dickson KE, Tran NT, Samuelson JL, Njeuhmeli E, Reed J, Dick B, … Hankins CA (2011). Voluntary medical male circumcision: A framework analysis of policy and program implementation in Eastern and Southern Africa. PLoS Medicine, 8, e1001133. 10.1371/journal.pmed.1001133 - DOI - PMC - PubMed

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