Abstract:
BACKGROUND:Male circumcision (MC) decreases the risk of human immunodeficiency virus (HIV) acquisition in men. We explored associations between MC of the primary sex partner and women's risk of acquisition of chlamydial (Ct), gonococcal (GC), or trichomonal (Tv) infections. METHODS:We analyzed data from a prospective study on hormonal contraception and incident human immunodeficiency virus/sexually transmitted infection (STI) among women from Uganda, Zimbabwe, and Thailand. At enrollment and each follow-up visit, we collected endocervical swabs for polymerase chain reaction identification of Ct and GC; Tv was diagnosed by wet mount. Using Cox proportional hazards models, we compared time to STI acquisition for women according to their partner's MC status. RESULTS:Among 5925 women (2180 from Uganda, 2228 from Zimbabwe, and 1517 from Thailand), 18.6% reported a circumcised primary partner at baseline, 70.8% reported an uncircumcised partner, and 9.7% did not know their partner's circumcision status. During follow-up, 408, 305, and 362 participants had a first incident Ct, GC, or Tv infection, respectively. In multivariate analysis, after controlling for contraceptive method, age, age at coital debut, and country, the adjusted hazard ratio (HR) comparing women with circumcised partners with those with uncircumcised partners for Ct was 1.25 [95% confidence interval (CI) 0.96-1.63]; for GC, adjusted HR 0.99 (95% CI 0.74-1.31); for Tv, adjusted HR 1.05 (95% CI 0.80-1.36), and for the 3 STIs combined, adjusted HR 1.02 (95% CI 0.85-1.21). CONCLUSIONS:MC was not associated with women's risk of acquisition of Ct, GC, or Tv infection in this cohort.
journal_name
Sex Transm Disjournal_title
Sexually transmitted diseasesauthors
Turner AN,Morrison CS,Padian NS,Kaufman JS,Behets FM,Salata RA,Mmiro FA,Chipato T,Celentano DD,Rugpao S,Miller WCdoi
10.1097/OLQ.0b013e31816b1fccsubject
Has Abstractpub_date
2008-07-01 00:00:00pages
689-95issue
7eissn
0148-5717issn
1537-4521journal_volume
35pub_type
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journal_title:Sexually transmitted diseases
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abstract:BACKGROUND:The Russian Federation is currently experiencing one of the fastest growing HIV epidemics worldwide. The objective was to identify sexual risk factors for recent heterosexually-acquired HIV infections. METHODS:A case-control study of recent HIV infection was conducted in the regions of Altaiskiy Krai, Krasn...
journal_title:Sexually transmitted diseases
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journal_title:Sexually transmitted diseases
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journal_title:Sexually transmitted diseases
pub_type: 杂志文章
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journal_title:Sexually transmitted diseases
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更新日期:2020-12-01 00:00:00
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journal_title:Sexually transmitted diseases
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更新日期:2012-03-01 00:00:00
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更新日期:2009-10-01 00:00:00
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更新日期:2011-09-01 00:00:00
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