Skip Navigation LinksHome > December 15, 2007 - Volume 46 - Issue 5 > Circumcision Status and HIV Infection Among Black and Latino...
JAIDS Journal of Acquired Immune Deficiency Syndromes:
doi: 10.1097/QAI.0b013e31815b834d
Epidemiology and Social Science

Circumcision Status and HIV Infection Among Black and Latino Men Who Have Sex With Men in 3 US Cities

Millett, Gregorio A MPH*; Ding, Helen MD, MS, MSPH*; Lauby, Jennifer PhD†; Flores, Stephen PhD*; Stueve, Ann PhD‡; Bingham, Trista MPH, MS§; Carballo-Dieguez, Alex PhD∥; Murrill, Chris PhD, MPH¶; Liu, Kai-Lih PhD, MPH¶; Wheeler, Darrell PhD, MPH#; Liau, Adrian PhD*; Marks, Gary PhD*

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Abstract

Objective: To examine characteristics of circumcised and uncircumcised Latino and black men who have sex with men (MSM) in the United States and assess the association between circumcision and HIV infection.

Methods: Using respondent-driven sampling, 1154 black MSM and 1091 Latino MSM were recruited from New York City, Philadelphia, and Los Angeles. A 45-minute computer-assisted interview and a rapid oral fluid HIV antibody test (OraSure Technologies, Bethlehem, PA) were administered to participants.

Results: Circumcision prevalence was higher among black MSM than among Latino MSM (74% vs. 33%; P < 0.0001). Circumcised MSM in both racial/ethnic groups were more likely than uncircumcised MSM to be born in the United States or to have a US-born parent. Circumcision status was not associated with prevalent HIV infection among Latino MSM, black MSM, black bisexual men, or black or Latino men who reported being HIV-negative based on their last HIV test. Further, circumcision was not associated with a reduced likelihood of HIV infection among men who had engaged in unprotected insertive and not unprotected receptive anal sex.

Conclusions: In these cross-sectional data, there was no evidence that being circumcised was protective against HIV infection among black MSM or Latino MSM.

© 2007 Lippincott Williams & Wilkins, Inc.

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