Male Circumcision

Implications for Women as Sexual Partners and Parents

Datos Bibliográficos

ID4834600
AutoresCatherine Hankins (0000-0002-1642-8592, Joint United Nations Programme on HIV/AIDS, autor de correspondencia)
Año2007
Volumen15
Número29
Páginas62-67
Fecha de publicación2007-01-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaReproductive Health Matters (JOURNAL)
Identificadores de la revistaISSN: 0968-8080 • E-ISSN: 1460-9576
EditorialInforma UK Limited (PUBLISHER • GB)
DOI10.1016/s0968-8080(07)29311-5
PMID17512377
OpenAlexW1989907300
IdiomaEN
Citas recibidas16
Referencias citadas35

TWENTY years of observational data demonstrating an association between male circumcision and lower HIV prevalence followed the first publications in 1986 suggesting a possible role for male circumcision in HIV prevention. However randomised controlled trials were necessary to determine the level of the protective effect ascertain adverse surgical events rates and document sexual behaviour post-surgery. What do the results of these trials mean at the population level for women? Indirectly it is anticipated that women currently living in high HIV prevalence settings with low male circumcision prevalence may benefit 10-20 years hence if there is a reduction in HIV incidence among men who are circumcised in programmes achieving wide coverage. This is because women would have a lower probability of encountering a sexual partner with HIV infection. As for a direct effect on risk for women recruitment in a Rakai trial looking to confirm or disprove previous observational data suggesting an important effect of male circumcision on HIV transmission to women was stopped; it may never be known whether or not male circumcision affects the probability of sexual transmission of HIV from men to women. This paper highlights some of the implications of the results of the male circumcision trials for women as sexual partners and parents and discusses some gender-related concerns. (excerpt)

Developed country · Environmental health · Family medicine · Gynecology · Health services · Male circumcision · Observational study · Population · Demography · Female Genital Mutilation/Cutting Issues · Genital Health and Disease · Medicine · Urologic and reproductive health conditions · Internal Medicine