Update on male circumcision: Prevention success and challenges ahead

Kristine Johnson, Thomas C. Quinn

Research output: Contribution to journalReview article

Abstract

This article reviews the findings of three trials of male circumcision for HIV prevention, with emphasis on the public health impact, cultural and safety concerns, implications for women, and the challenges of roll out. Three randomized trials in Africa demonstrated that adult male circumcision reduces HIV acquisition by 50% to 60%. As circumcision provides only partial protection, higher risk behaviors could nullify circumcision's effect. Additionally, circumcision among HIV-infected men does not directly reduce male-to-female HIV transmission among discordant couples, according to the results of a recent Ugandan study. The roll-out or full-scale implementation requires committed expansion into existing HIV prevention programs. Efforts should include attention to safety, implications for women, and risk compensation. Rapid, careful establishment of circumcision services is essential to optimize HIV prevention in countries with the highest prevalence.

Original languageEnglish (US)
Pages (from-to)243-251
Number of pages9
JournalCurrent Infectious Disease Reports
Volume10
Issue number3
DOIs
StatePublished - May 1 2008
Externally publishedYes

ASJC Scopus subject areas

  • Infectious Diseases

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