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Hossain Mian
JAIDS Journal of Acquired Immune Deficiency Syndromes: January 2016
doi: 10.1097/01.qai.0000479715.23211.1c
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Introduction:After a series of studies that revealed the protective effect of male circumcision against HIV infection, WHO/UNAIDS in 2007 recommended the adoption of safe male circumcision as one of the effective strategies in reducing heterosexually acquired HIV. To this effect, in 2010 the Ministry of Health in Uganda developed a circumcision policy, and circumcision was added to the strategy to protect against AIDS.

Objective:This research examines the associations among circumcision status, risky sexual behaviors and HIV serostatus among men.

Data and Methods:This research uses data from the 2011 Uganda AIDS Indicator Survey, focusing on a subsample of 7,969 weighted cases of men age 15–59 who have ever had sex and who have received their HIV test results. Several weighted crude and adjusted logistic regression models were estimated in order to examine the association between circumcision and HIV status among men. Results and discussion: At the multivariate level, the research establishes the independent relationships between circumcision status and risky sexual behaviors, and HIV serostatus. Results show that 28% of men in Uganda have been circumcised. Results from the logistic regression models show that circumcised men are more likely to engage in risky sexual behaviors, while age at circumcision is not significantly associated with these behaviors. Results also show that circumcised men are significantly (P < 0.010) less likely to be HIV-positive. Because male circumcision does not provide complete protection against HIV infection, WHO, and UNAIDS recommend that the procedure be offered as part of a comprehensive package of HIV prevention services. Although it is not known whether male circumcision reduces transmission of HIV from men to women, male circumcision provides indirect protection for women by reducing their exposure to men who are infected with the virus.

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