Circumcision Status and HIV Infection Among Black and Latino Men Who Have Sex With Men in 3 US Cities

Epidemiology and Social Science
JAIDS Journal of Acquired Immune Deficiency Syndromes. 46(5):643-650, December 15, 2007.
Millett, Gregorio A MPH *; Ding, Helen MD, MS, MSPH *; Lauby, Jennifer PhD +; Flores, Stephen PhD *; Stueve, Ann PhD ++; Bingham, Trista MPH, MS [S]; Carballo-Dieguez, Alex PhD [//]; Murrill, Chris PhD, MPH [P]; Liu, Kai-Lih PhD, MPH [P]; Wheeler, Darrell PhD, MPH #; Liau, Adrian PhD *; Marks, Gary PhD *

Abstract:
Objective: To examine characteristics of circumcised and uncircumcised Latino and black men who have sex with men (MSM) in the United States and assess the association between circumcision and HIV infection.

Methods: Using respondent-driven sampling, 1154 black MSM and 1091 Latino MSM were recruited from New York City, Philadelphia, and Los Angeles. A 45-minute computer-assisted interview and a rapid oral fluid HIV antibody test (OraSure Technologies, Bethlehem, PA) were administered to participants.

Results: Circumcision prevalence was higher among black MSM than among Latino MSM (74% vs. 33%; P < 0.0001). Circumcised MSM in both racial/ethnic groups were more likely than uncircumcised MSM to be born in the United States or to have a US-born parent. Circumcision status was not associated with prevalent HIV infection among Latino MSM, black MSM, black bisexual men, or black or Latino men who reported being HIV-negative based on their last HIV test. Further, circumcision was not associated with a reduced likelihood of HIV infection among men who had engaged in unprotected insertive and not unprotected receptive anal sex.

Conclusions: In these cross-sectional data, there was no evidence that being circumcised was protective against HIV infection among black MSM or Latino MSM.

(C) 2007 Lippincott Williams & Wilkins, Inc.

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