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HIV 自愿医疗男性包皮环切项目对性传播感染的影响。

Effects of HIV voluntary medical male circumcision programs on sexually transmitted infections.

机构信息

UNC Project, Lilongwe, Malawi.

School of Public Health, University of the Witwatersrand.

出版信息

Curr Opin Infect Dis. 2021 Feb 1;34(1):50-55. doi: 10.1097/QCO.0000000000000696.

DOI:10.1097/QCO.0000000000000696
PMID:33315750
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7775265/
Abstract

PURPOSE OF REVIEW: Evidence of the protective effect of voluntary medical male circumcision (VMMC) against HIV is well established. However, evidence of the protective effect of VMMC against other sexually transmitted infections (STIs) has been inconsistent or scarce across different populations and settings. This review summarizes the current evidence on the effect of VMMC for HIV prevention on acquisition and transmission of other STIs in heterosexual men, women, and men who have sex with men (MSM). RECENT FINDINGS: Recent findings continue to strongly support the protective effect of male medical circumcision against acquisition and transmission of herpes simplex virus type 2 (HSV-2), human papillomavirus (HPV) and syphilis infections in heterosexual men and women, and bacterial vaginosis and trichomoniasis in women. There is emerging evidence on the protective effect of VMMC against acquisition of hepatitis B and Mycoplasma genitalium infections in heterosexual men, and HSV-2, HPV, and syphilis in MSM. SUMMARY: Evidence on the protective effect of VMMC against acquisition and transmission of common STIs is available for heterosexual men and women but more evidence is required for MSM. This review supports policy recommendations for the protective benefits of VMMC against STIs.

摘要

目的综述：自愿男性包皮环切术（VMMC）对预防 HIV 的有益作用已经得到了充分证实。然而，在不同人群和环境中，VMMC 对其他性传播感染（STIs）的有益作用的证据并不一致或缺乏。本综述总结了目前关于 VMMC 预防 HIV 感染对异性恋男性、女性和男男性接触者（MSM）中其他 STIs 获得和传播的影响的证据。

最近发现：最近的研究结果继续强烈支持男性医学包皮环切术对预防异性恋男性和女性单纯疱疹病毒 2 型（HSV-2）、人乳头瘤病毒（HPV）和梅毒感染以及女性细菌性阴道病和滴虫病的获得和传播的有益作用。有越来越多的证据表明 VMMC 可预防异性恋男性乙型肝炎和生殖支原体感染以及 MSM 中 HSV-2、HPV 和梅毒的获得。

总结：VMMC 对常见 STIs 的获得和传播的有益作用的证据可用于异性恋男性和女性，但 MSM 仍需要更多证据。本综述支持 VMMC 对 STIs 的有益作用的政策建议。

相似文献

[1]
Effects of HIV voluntary medical male circumcision programs on sexually transmitted infections.

Curr Opin Infect Dis. 2021-2-1

[2]
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

[3]
Male circumcision to reduce the risk of HIV and sexually transmitted infections among men who have sex with men.

Curr Opin Infect Dis. 2010-2

[4]
Circumcision status and risk of HIV and sexually transmitted infections among men who have sex with men: a meta-analysis.

JAMA. 2008-10-8

[5]
Prevalence of Human Papillomavirus, Human Immunodeficiency Virus, and Other Sexually Transmitted Infections Among Men Who Have Sex With Men in Togo: A National Cross-sectional Survey.

Clin Infect Dis. 2019-8-30

[6]
Topical microbicides for prevention of sexually transmitted infections.

Cochrane Database Syst Rev. 2012-6-13

[7]
Efficacy of Voluntary Medical Male Circumcision to Prevent HIV Infection Among Men Who Have Sex With Men : A Randomized Controlled Trial.

Ann Intern Med. 2024-6

[8]
Male circumcision for the prevention of acquisition and transmission of sexually transmitted infections: the case for neonatal circumcision.

Arch Pediatr Adolesc Med. 2010-1

[9]
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

[10]
The Effects of Medical Male Circumcision on Female Partners' Sexual and Reproductive Health.

Curr HIV/AIDS Rep. 2022-12

引用本文的文献

[1]
A comparative analysis of voluntary medical male circumcision before and during the COVID-19 pandemic in Gauteng province, South Africa.

S Afr Fam Pract (2004). 2025-3-26

[2]
Sexually transmitted infections and bacterial vaginosis in women of child-bearing age in Antananarivo, Madagascar: prevalence and risk factors from a cross-sectional study.

BMC Infect Dis. 2025-2-24

[3]
Acceptability, feasibility and appropriateness of intensified health education, SMS/phone tracing and transport reimbursement for uptake of voluntary medical male circumcision in a sexually transmitted infections clinic in Malawi: A mixed methods study.

PLoS One. 2025-1-24

[4]
Acceptability, feasibility and appropriateness of intensified health education, SMS/phone tracing and transport reimbursement for uptake of voluntary medical male circumcision in a sexually transmitted infections clinic in Malawi: a mixed methods study.

medRxiv. 2024-4-4

[5]
Male circumcision uptake and misperceived norms about male circumcision: Cross-sectional, population-based study in rural Uganda.

J Glob Health. 2023-12-20

[6]
Understanding the Evolving Role of Voluntary Medical Male Circumcision as a Public Health Strategy in Eastern and Southern Africa: Opportunities and Challenges.

Curr HIV/AIDS Rep. 2022-12

[7]
The Effects of Medical Male Circumcision on Female Partners' Sexual and Reproductive Health.

Curr HIV/AIDS Rep. 2022-12

[8]
Uptake of voluntary medical male circumcision among men with sexually transmitted infections in Lilongwe, Malawi: a protocol for a pre-interventional and post-interventional study.

BMJ Open. 2022-1-18

本文引用的文献

[1]
Herpes simplex virus: global infection prevalence and incidence estimates, 2016.

Bull World Health Organ. 2020-5-1

[2]
Male circumcision and the risk of gonorrhoea, syphilis, HIV and human papillomavirus among men in Tanzania.

Int J STD AIDS. 2019-12

[3]
Chlamydia, gonorrhoea, trichomoniasis and syphilis: global prevalence and incidence estimates, 2016.

Bull World Health Organ. 2019-6-6

[4]
Does voluntary medical male circumcision protect against sexually transmitted infections among men and women in real-world scale-up settings? Findings of a household survey in KwaZulu-Natal, South Africa.

BMJ Glob Health. 2019-5-30

[5]
The Prevalence of Mycoplasma genitalium and Association With Human Immunodeficiency Virus Infection in Symptomatic Patients, Johannesburg, South Africa, 2007-2014.

Sex Transm Dis. 2019-6

[6]
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

[7]
Does Male Circumcision Reduce Women's Risk of Sexually Transmitted Infections, Cervical Cancer, and Associated Conditions?

Front Public Health. 2019-1-31

[8]
Male Circumcision for HIV and STI Prevention: A Reflection.

Clin Chem. 2019-1

[9]
Sexually transmitted infections and male circumcision: a systematic review and meta-analysis.

ISRN Urol. 2013-4-16

[10]
Prevalence of herpes simplex virus type 2 infection, human immunodeficiency virus/herpes simplex virus type 2 coinfection, and associated risk factors in a national, population-based survey in Kenya.

Sex Transm Dis. 2011-11

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