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In developed countries male circumcision prevalence is inversely related to HIV prevalence

A study by Chemtob and co-workers found significantly lower prevalence of HIV amongst heterosexual men and women in Israel compared with the Netherlands and France. Risk factors for heterosexual HIV infection in these countries were similar, apart from one, namely, a strikingly higher prevalence of...

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Autores principales: Morris, Brian J., Klausner, Jeffrey D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4533798/
https://www.ncbi.nlm.nih.gov/pubmed/26269739
http://dx.doi.org/10.1186/s13584-015-0034-7
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author Morris, Brian J.
Klausner, Jeffrey D.
author_facet Morris, Brian J.
Klausner, Jeffrey D.
author_sort Morris, Brian J.
collection PubMed
description A study by Chemtob and co-workers found significantly lower prevalence of HIV amongst heterosexual men and women in Israel compared with the Netherlands and France. Risk factors for heterosexual HIV infection in these countries were similar, apart from one, namely, a strikingly higher prevalence of male circumcision (MC) in Israel compared with the Netherlands and France. It is now well established that MC protects heterosexual men against becoming infected with HIV during sexual intercourse with an infected woman. In epidemic settings, such as countries in sub-Saharan Africa, in which heterosexual contact is the primary driver for HIV infection, MC is being implemented to reduce HIV prevalence. The results of the new study by Chemtob and co-workers support the evidence and recent polices in the United States advocating MC to reduce the spread of HIV. While prevalence in developed countries is generally low, it is rising. In the long term, neonatal MC is the most desirable option, since not only is it simpler, safer, cheaper and more convenient than MC later, it provides immediate protection from infections, penile inflammation, genital cancers and physical problems. It is also cost-effective. European countries have not supported MC for its public health benefits. The new findings add to calls for European and other countries with low MC prevalence to consider developing evidence-based policies favoring MC in order to reduce HIV and other infections and diseases and at the same time reduce suffering, mortality and the cost of treating these.
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spelling pubmed-45337982015-08-13 In developed countries male circumcision prevalence is inversely related to HIV prevalence Morris, Brian J. Klausner, Jeffrey D. Isr J Health Policy Res Commentary A study by Chemtob and co-workers found significantly lower prevalence of HIV amongst heterosexual men and women in Israel compared with the Netherlands and France. Risk factors for heterosexual HIV infection in these countries were similar, apart from one, namely, a strikingly higher prevalence of male circumcision (MC) in Israel compared with the Netherlands and France. It is now well established that MC protects heterosexual men against becoming infected with HIV during sexual intercourse with an infected woman. In epidemic settings, such as countries in sub-Saharan Africa, in which heterosexual contact is the primary driver for HIV infection, MC is being implemented to reduce HIV prevalence. The results of the new study by Chemtob and co-workers support the evidence and recent polices in the United States advocating MC to reduce the spread of HIV. While prevalence in developed countries is generally low, it is rising. In the long term, neonatal MC is the most desirable option, since not only is it simpler, safer, cheaper and more convenient than MC later, it provides immediate protection from infections, penile inflammation, genital cancers and physical problems. It is also cost-effective. European countries have not supported MC for its public health benefits. The new findings add to calls for European and other countries with low MC prevalence to consider developing evidence-based policies favoring MC in order to reduce HIV and other infections and diseases and at the same time reduce suffering, mortality and the cost of treating these. BioMed Central 2015-08-13 /pmc/articles/PMC4533798/ /pubmed/26269739 http://dx.doi.org/10.1186/s13584-015-0034-7 Text en © Morris and Klausner. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Commentary
Morris, Brian J.
Klausner, Jeffrey D.
In developed countries male circumcision prevalence is inversely related to HIV prevalence
title In developed countries male circumcision prevalence is inversely related to HIV prevalence
title_full In developed countries male circumcision prevalence is inversely related to HIV prevalence
title_fullStr In developed countries male circumcision prevalence is inversely related to HIV prevalence
title_full_unstemmed In developed countries male circumcision prevalence is inversely related to HIV prevalence
title_short In developed countries male circumcision prevalence is inversely related to HIV prevalence
title_sort in developed countries male circumcision prevalence is inversely related to hiv prevalence
topic Commentary
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4533798/
https://www.ncbi.nlm.nih.gov/pubmed/26269739
http://dx.doi.org/10.1186/s13584-015-0034-7
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