Title |
Can Male Circumcision Have an Impact on the HIV Epidemic in Men Who Have Sex with Men?
|
---|---|
Published in |
PLOS ONE, July 2014
|
DOI | 10.1371/journal.pone.0102960 |
Pubmed ID | |
Authors |
Steven M. Goodreau, Nicole B. Carnegie, Eric Vittinghoff, Javier R. Lama, Jonathan D. Fuchs, Jorge Sanchez, Susan P. Buchbinder |
Abstract |
Three trials have demonstrated the prophylactic effect of male circumcision (MC) for HIV acquisition among heterosexuals, and MC interventions are underway throughout sub-Saharan Africa. Similar efforts for men who have sex with men (MSM) are stymied by the potential for circumcised MSM to acquire HIV easily through receptive sex and transmit easily through insertive sex. Existing work suggests that MC for MSM should reach its maximum potential in settings where sexual role segregation is historically high and relatively stable across the lifecourse; HIV incidence among MSM is high; reported willingness for prophylactic circumcision is high; and pre-existing circumcision rates are low. We aim to identify the likely public health impact that MC interventions among MSM would have in one setting that fulfills these conditions-Peru-as a theoretical upper bound for their effectiveness among MSM generally. |
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Mendeley readers
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