Bad news, good news on circumcision and HIV

AP Photo
In recent years, research studies done in three African countries have conclusively showed that being circumcised reduces a man's risk of acquiring HIV by roughly 50 percent. Could a man's circumcision also protect his partner from getting infected? The answer appears to be no.
A Ugandan study, led by Dr. Maria J. Wawer from Johns Hopkins Bloomberg School of Public Health and published in this week's issue of The Lancet, was stopped short after 2 years when it was determined that HIV-infected men who were newly circumcised were just as likely to spread the disease to their partners as those who remained uncircumcised. ...
Circumcision is catching on in Africa as a way to keep HIV transmission in check, promoted by the World Health Organization and other public health groups. Anecdotal reports from the continent, according to The Lancet, say interest in circumcision from young men is being driven by women who want circumcised partners.
Is the news all bad news for women? Not according to the study's authors. They say that more circumcision (accompanied by HIV counseling, condoms and education on HIV prevention) will mean fewer men with HIV -- fewer men to spread HIV to their women.








Comments
They say that more female circumcision will mean fewer women with HIV -- fewer women to spread HIV . Money & tradition. There is money to be made on these traditions.
Posted by: robert | July 17, 2009 1:30 PM
The studies in Africa that found circumcision decreases female-to-male HIV transmission (from 3.2% to 1.79%) have some serious issues including the cut men having less time in the study for sex (they needed to heal) they got condom advice and they were eager to avoid HIV. It is really almost meaningless given several other studies could find no HIV circ correlation (US Navy study showed HIV the same for cut and natural, US urban studies etc.). The real world study shows mostly cut USA with much higher HIV than natural EU, and JP.
ALso, there is no research to support the theory that the cells of the foreskin are especially susceptible to infection. Also there is research that shows Female circumcision FGM also lowers HIV by about 60% IN AFRICA. Who would FGM a girl for this benefit. Oh but FGM results in some men saying the sex is batter (Mostly the hygiene myth again).
And BTW, it should be kept in mind that Women are MORE likely to contract HIV from circumcised men — that is what the data shows. It is amazing how they reported their findings.
Study data indicates that nearly 75% (6) of the women in the uncircumcised group, who became infected, were infected within six months. Only 2 (25%) of the remaining 62 women became infected over the subsequent 18 months.
11 of the 94 women in the circumcised group became infected in the first six months, 5 of whom may have contracted HIV through pre-healed intercourse. Nevertheless, 6 additional women from this group became infected over the next 18 months.
Excluding those in both groups who were infected in the first six months as aberrations, whether it be because of abnormal susceptibility or dangerous sex practices, the fact remains more than double the women in the circumcised group became infected over the next 18 months. When this is considered, in addition to the fact they also had the benefit of a 6 to 8 week abstinence window, which the uncircumcised group did not, there is every reason to believe that circumcision may greatly increases the chances of transmission in women.
The bottom line is more than twice the women (17) in the circumcised group became infected than in the uncircumcised group (8), despite most having engaged in a significant abstinence period of nearly 2 months, as well. To say that these numbers are insignificant statistically is dubious. It is highly unlikely that the public health experts who undertook the study would have reached the same conclusion if the numbers had been reversed.
Posted by: JackieNO | July 24, 2009 5:14 PM
There is no research to support the theory that the cells of the foreskin are especially susceptible to infection. Also there is research that shows Female circumcision FGM also lowers HIV by about 60% IN AFRICA. Who would FGM a girl for this benefit.
Posted by: Grow Taller | July 28, 2009 6:50 AM
The studies in Africa that found circumcision decreases female-to-male HIV transmission (from 3.2% to 1.79%) have some serious issues including the cut men having less time in the study for sex (they needed to heal) they got condom advice and they were eager to avoid HIV. It is really almost meaningless given several other studies could find no HIV circ correlation (US Navy study showed HIV the same for cut and natural, US urban studies etc.). The real world study shows mostly cut USA with much higher HIV than natural EU, and JP.
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