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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*

JAIDS Journal of Acquired Immune Deficiency Syndromes: 15 December 2007 - Volume 46 - Issue 5 - pp 643-650
doi: 10.1097/QAI.0b013e31815b834d
Epidemiology and Social Science

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.

From the *Centers for Disease Control and Prevention, Atlanta, GA; †Philadelphia Health Management Corporation, Philadelphia, PA; ‡Education Development Center, Inc., Boston, MA; §Los Angeles County Department of Public Health, Los Angeles, CA; ∥HIV Center for Clinical and Behavioral Studies, Columbia University, New York, NY; ¶New York City Department of Mental Health and Hygiene, New York, NY; and #Hunter College School of Social Work, New York, NY.

Received for publication August 2, 2007; accepted September 18, 2007.

The findings and conclusions in this report are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention.

Correspondence to: Gregorio A. Millett, MPH, Centers for Disease Control and Prevention, 1600 Clifton Road, Mail Stop E-37, Atlanta, GA 30333 (e-mail: gmillett@cdc.gov).

© 2007 Lippincott Williams & Wilkins, Inc.