Academic journal article International Family Planning Perspectives

Circumcision Reduces HIV Risk among Men in Kenya

Academic journal article International Family Planning Perspectives

Circumcision Reduces HIV Risk among Men in Kenya

Article excerpt

Circumcision significantly reduces a man's risk of acquiring HIV, according to findings from studies conducted in Kisumu, Kenya, (1) and Rakai, Uganda. (2) In each study, half of a sample of uncircumcised, HIV-negative men were randomly assigned to receive a circumcision, and half were assigned to the control group; all men made regular follow-up visits to receive HIV testing. Each study was stopped early because it became clear that men in the circumcision groups had a significantly reduced risk of HIV acquisition. In the Kenyan sample, two-year HIV incidence was 2.1% among circumcised men and 4.2% among men in the control group, which corresponds to a 53% reduction in the risk of HIV infection; in the Ugandan sample, HIV incidence over 24 months was 0.66 cases per 100 person-years among circumcised men and 1.33 cases per 100 person-years among men in the control group, which corresponds to a 51% reduction in risk. After the data were adjusted for men's nonadherence to treatment, the reduction in risk increased to 60% for both studies. …

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