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在英国伦敦,男男性行为者中进行割礼:预防 HIV 感染的可能性不大。

Circumcision among men who have sex with men in London, United Kingdom: an unlikely strategy for HIV prevention.

机构信息

Health Protection Agency, Centre for Infections, London, United Kingdom.

出版信息

Sex Transm Dis. 2011 Oct;38(10):928-31. doi: 10.1097/OLQ.0b013e318221562a.


DOI:10.1097/OLQ.0b013e318221562a
PMID:21934567
Abstract

OBJECTIVES: To explore attitudes toward circumcision among men who have sex with men (MSM) in London and the feasibility of conducting research into circumcision and HIV prevention in this population. METHODS: A convenience sample of MSM visiting central London gyms completed a confidential, self-administered questionnaire between May and June 2008. Information was collected on participants' demographic characteristics, self-reported HIV status, sexual behavior, circumcision status, attitudes toward circumcision, and willingness to participate in research on circumcision and HIV prevention. RESULTS: Of 653 MSM, 29.0% reported that they were circumcised. Overall, HIV prevalence was 23.3%; this did not differ significantly between circumcised and uncircumcised men (18.6% vs. 25.2%, respectively; adjusted odds ratio 0.79, 95% confidence interval: 0.50-1.26). A similar proportion of circumcised and uncircumcised men reported unprotected anal intercourse in the previous 3 months (38.8% vs. 36.7%, adjusted odds ratio 1.06, 95% confidence interval: 0.72-1.55). Uncircumcised men were less likely to think that there were benefits of circumcision than circumcised men (31.2% vs. 65.4, P < 0.001). Only 10.3% of uncircumcised men said that they would be willing to participate in research on circumcision as an HIV prevention strategy. CONCLUSIONS: Most uncircumcised MSM in this London survey were unwilling to participate in research on circumcision and HIV prevention. Only a minority of uncircumcised men thought that there were benefits of circumcision. It is unlikely that circumcision would be a feasible strategy for HIV prevention among MSM in London.

摘要

目的:探索伦敦男男性行为者(MSM)对割礼的态度,以及在该人群中开展割礼和 HIV 预防研究的可行性。

方法:2008 年 5 月至 6 月,采用便利抽样法,选取在伦敦市中心健身房的 MSM 作为研究对象,完成一份匿名、自填式问卷。收集的信息包括参与者的人口统计学特征、自我报告的 HIV 感染状况、性行为、割礼状况、对割礼的态度,以及对割礼和 HIV 预防研究的参与意愿。

结果:653 名 MSM 中,29.0%报告其接受过割礼。总体 HIV 感染率为 23.3%;割礼组和未割礼组之间差异无统计学意义(分别为 18.6%和 25.2%;调整后的比值比为 0.79,95%置信区间:0.50-1.26)。在过去 3 个月中,割礼组和未割礼组有未保护的肛交性行为的比例相似(分别为 38.8%和 36.7%,调整后的比值比为 1.06,95%置信区间:0.72-1.55)。与割礼者相比,未割礼者认为割礼有好处的可能性较小(31.2%比 65.4%,P<0.001)。仅有 10.3%的未割礼者表示愿意参与割礼作为 HIV 预防策略的研究。

结论:在这项伦敦调查中,大多数未割礼的 MSM 不愿意参与割礼和 HIV 预防研究。只有少数未割礼者认为割礼有好处。割礼不太可能成为伦敦 MSM 中预防 HIV 的可行策略。

相似文献

[1]
Circumcision among men who have sex with men in London, United Kingdom: an unlikely strategy for HIV prevention.

Sex Transm Dis. 2011-10

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[10]
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引用本文的文献

[1]
Male Circumcision and HIV Risk Compensation Among Men Who Have Sex with Men: A Systematic Review and Meta-Analysis.

AIDS Behav. 2025-8-7

[2]
Voluntary medical male circumcision and HIV infection among men who have sex with men: Implications from a systematic review.

SAGE Open Med. 2019-8-8

[3]
Circumcision to prevent HIV and other sexually transmitted infections in men who have sex with men: a systematic review and meta-analysis of global data.

Lancet Glob Health. 2019-4

[4]
Estimation of country-specific and global prevalence of male circumcision.

Popul Health Metr. 2016-3-1

[5]
Lower HIV Risk Among Circumcised Men Who Have Sex With Men in China: Interaction With Anal Sex Role in a Cross-Sectional Study.

J Acquir Immune Defic Syndr. 2016-4-1

[6]
Can male circumcision have an impact on the HIV epidemic in men who have sex with men?

PLoS One. 2014-7-30

[7]
Low frequency of male circumcision and unwillingness to be circumcised among MSM in Buenos Aires, Argentina: association with sexually transmitted infections.

J Int AIDS Soc. 2013-6-6

[8]
Review: a critical evaluation of arguments opposing male circumcision for HIV prevention in developed countries.

AIDS Care. 2012

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