Report Estimates Significant Impact Of Widespread Circumcision Effort In Botswana
Main Category: HIV / AIDSAlso Included In: Men's health; Sexual Health / STDs
Article Date: 01 Jun 2009 - 3:00 PDT
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Botswana's campaign to circumcise about 500,000 men by 2012 will prevent nearly 70,000 new HIV cases by 2025, according to a report published Thursday in the Journal of the International AIDS Society, AFP/Yahoo! News reports. The government's national campaign aims to circumcise 460,000 men over the next five years, and the country has begun airing television and radio advertisements to encourage men to be circumcised at local clinics. "Scaling up safe male circumcision has the potential to reduce the impact of HIV/AIDS in Botswana significantly," according to the study.
The report puts the estimated cost of the circumcision campaign at about $47 million. A UNAIDS report estimates that the HIV prevalence among pregnant women in Botswana was 43% in 2003, the year that antiretroviral drug access was introduced in the country (AFP/Yahoo! News, 5/28).
An abstract of the study is available online.
Reprinted with kind permission from http://www.kaisernetwork.org. You can view the entire Kaiser Daily Health Policy Report, search the archives, or sign up for email delivery at http://www.kaisernetwork.org/dailyreports/healthpolicy. The Kaiser Daily Health Policy Report is published for kaisernetwork.org, a free service of The Henry J. Kaiser Family Foundation.
© 2009 Advisory Board Company and Kaiser Family Foundation. All rights reserved.
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MLA
12 Feb. 2012. <http://www.medicalnewstoday.com/releases/152023.php>
APA
http://www.medicalnewstoday.com/releases/152023.php.
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Visitor Opinions In Chronological Order (1)
Does Not Match Real World Data - HIV and circumcision
posted by Jack on 3 Jun 2009 at 10:45 amI think they may end up increasing the HIV cases. There is little talk about the same researchers and the data that showed circumcumsied men pass HIV at a higher rate than natural men. They shut down that study and it is not reported much.
I think the new Africa study that found different STI % in the Africa men from the original studies show the original HIV studies are flawed or a fraud. People have questioned how the change is HIV risk (down about 1.8% in Africa HIV circ trials) does not show up in the real world. EU has low circ and lower HIV than high circ high HIV USA. This new study is at odds with extensive New Zealand study that shows no difference in STIs between circumcised and natural men (30 year study). Maybe that inability to have sex for part of the study period or the different condom advice given to circumcised is the results we are seeing. That is the results have nothing to do with circumcsion and everything to do with the motivation of the pro circ funders.
In any event, baby boys should not have their pleasure zones taken without their consent and male circumcision takes away male pleasure zones (about 20,00 pleasure giving nerve endings).
Abstract
Objective
To determine the impact of early childhood circumcision on sexually transmitted infection (STI) acquisition to age 32 years.
Study design
The circumcision status of a cohort of children born in 1972 and 1973 in Dunedin, New Zealand was sought at age 3 years. Information about STIs was obtained at ages 21, 26, and 32 years. The incidence rates of STI acquisition were calculated, taking into account timing of first sex, and comparisons were made between the circumcised men and uncircumcised men. Adjustments were made for potential socioeconomic and sexual behavior confounding factors where appropriate.
Results
Of the 499 men studied, 201 (40.3%) had been circumcised by age 3 years. The circumcised and uncircumcised groups differed little in socioeconomic characteristics and sexual behavior. Overall, up to age 32 years, the incidence rates for all STIs were not statistically significantly different—23.4 and 24.4 per 1000 person-years for the uncircumcised and circumcised men, respectively. This was not affected by adjusting for any of the socioeconomic or sexual behavior characteristics.
Conclusions
These findings are consistent with recent population-based cross-sectional studies in developed countries, which found that early childhood circumcision does not markedly reduce the risk of the common STIs in the general population in such countries.
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