Advertisement

AIDS and Behavior

, Volume 20, Issue 11, pp 2538–2542 | Cite as

Circumcision Status is Not Associated with Condom Use and Prevalence of Sexually Transmitted Infections Among Young Black MSM

  • Richard A. Crosby
  • Cynthia A. Graham
  • Leandro Mena
  • William L. Yarber
  • Stephanie A. Sanders
  • Robin R. Milhausen
  • Angelica Geter
Brief Report

Abstract

This study investigated whether intact young Black MSM differed from their circumcised counterparts regarding condom use behaviors and perceptions and HIV/Chlamydia/gonorrhea. Young Black MSM completed a self-interview, including a pictorial item assessing circumcision status and measures of condom use. Twenty-seven percent of 388 participants reported not being circumcised. With one exception, no associations tested approached significance. The mean frequency of unprotected insertive anal sex for circumcised men was about twice as high compared to those intact (P = .04). Intact young Black MSM did not differ from circumcised men relative to prevalence of STIs (including HIV) or condom use behaviors as reported only by insertive partners.

Keywords

Circumcision Condoms STIs 

Notes

Acknowledgments

This study was funded by a Grant from the National Institute of Mental Health to the first author, R01MH092226.

References

  1. 1.
    Centers for Disease Control and Prevention. Monitoring selected national HIV prevention and care objectives by using HIV surveillance data—United States and 6 dependent areas—2012. HIV Surveillance Supplemental Report 2014;19(No. 3). Published November 2014.Google Scholar
  2. 2.
    Centers for Disease Control and Prevention. HIV/AIDS Surveillance, (year end edition). US Department of Health and Human Services: Atlanta, GA. 2012. http://www.cdc.gov/hiv/surveillance/resources/reports/2010report/pdf/2010_HIV_Surveillance_Report_vol_22.pdf#Page=66.
  3. 3.
    Xu F, Markowitz L, Sternberg M, Aral S. Prevalence of circumcision in men in the United States: data from the National Health and Nutrition Examination Survey (NHANES), 1999–2002. Sex Transm Dis. 2007;34(7):479–84.PubMedGoogle Scholar
  4. 4.
    Sullivan PS, Kilmarx PH, Peterman TA, Taylor AW, Nakashima AK, Kamb ML, et al. Male circumcision for prevention of HIV transmission: what the new data mean for HIV prevention in the United States. PLoS Med. 2007;4(7):e223. doi: 10.1371/journal.pmed.0040223.CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Lemos MP, Lama JR, Karuma ST, et al. The inner foreskin of healthy males at risk of HIV infection harbors epithelial CD4+ CCR5+ cells and has features of inflamed epidermal barrier. PLoS One. 2014;30:e108954.CrossRefGoogle Scholar
  6. 6.
    Kreiss JK, Hopkins SG. The association between circumcision status and human immunodeficiency virus infection among homosexual men. J Infect Dis. 1993;168(6):1404–8.CrossRefPubMedGoogle Scholar
  7. 7.
    Millett GA, Flores SA, Marks G, Reed JB, Herbst JH. Circumcision status and risk of HIV and sexually transmitted infections among men who have sex with men: a meta-analysis. J Am Med Assoc. 2008;300(14):1674–84.CrossRefGoogle Scholar
  8. 8.
    Wiysonge CS, Kongnyuy EJ, Shey M, et al. Male circumcision for prevention of homosexual acquisition of HIV in men. Cochrane Database Syst Rev. 2011;15(6):CD007496.Google Scholar
  9. 9.
    Hernández-Romieu AC, Siegler AJ, Sullivan PS, Crosby RA, Rosenberg ES. How often do condoms fail? A cross-sectional study exploring incomplete use of condoms, condom failures and other condom problems among black and white MSM in southern USA. Sex Transm Infect. 2014;90:602–7.CrossRefPubMedPubMedCentralGoogle Scholar
  10. 10.
    Frisch M, Lindholm M, Grønbæk M. Male circumcision and sexual function in men and women: a survey-based, cross-sectional study in Denmark. Int J Epidemiol. 2011;104:10–29.Google Scholar
  11. 11.
    Center for Disease Control and Prevention. Estimated HIV incidence in the United States, 2007–2010. HIV Surveillance Supplemental Report 2012;17(No. 4). Published December 2012.Google Scholar
  12. 12.
    Crosby RA, Graham CA, Milhausen RR, Sanders SA, Yarber WL. Condom use errors/problems survey. In: Fisher T, Davis C, Yarber W, Davis S, editors. Handbook of sexuality-related measures. 3rd ed. New York: Routledge; 2010.Google Scholar
  13. 13.
    Crosby RA, Charnigo R. A comparison of condom use perceptions and behaviors between circumcised and intact men attending STD clinics in the United States. Int J STD and AIDS. 2013;24:175–8.CrossRefGoogle Scholar
  14. 14.
    Doerner R, McKeown E, Nelson S, Anderson J, Low N, Elford J. Circumcision and HIV infection among men who have sex with men in Britain: the insertive sexual role. Arch Sex Behav. 2013;42(7):1319–26.CrossRefPubMedGoogle Scholar
  15. 15.
    Centers for Disease Control and Prevention. Fact Sheet: Male Circumcision. http://www.cdc.gov/hiv/pdf/prevention_research_malecircumcision.pdf.

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Richard A. Crosby
    • 1
    • 2
  • Cynthia A. Graham
    • 2
    • 3
  • Leandro Mena
    • 4
  • William L. Yarber
    • 2
    • 5
    • 6
  • Stephanie A. Sanders
    • 2
    • 5
  • Robin R. Milhausen
    • 2
    • 7
  • Angelica Geter
    • 1
  1. 1.College of Public HealthUniversity of KentuckyLexingtonUSA
  2. 2.The Kinsey Institute for Research in Sex, Gender, and ReproductionBloomingtonUSA
  3. 3.Department of PsychologyUniversity of SouthamptonSouthamptonUK
  4. 4.University of Mississippi Medical CenterJacksonUSA
  5. 5.Department of Gender StudiesIndiana UniversityBloomingtonUSA
  6. 6.Department of Applied Health ScienceIndiana UniversityBloomingtonUSA
  7. 7.Department of Family Relations and Applied NutritionUniversity of GuelphGuelphCanada

Personalised recommendations