ArticleJournal of acquired immune deficiency syndromes (1999)2016
Lower HIV Risk Among Circumcised Men Who Have Sex With Men in China: Interaction With Anal Sex Role in a Cross-Sectional Study.
Article in Journal of acquired immune deficiency syndromes (1999), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Circumcision for HIV Prevention in Men Who Have Sex With Men: An Updated Meta-Analysis.Journal of acquired immune deficiency syndromes (1999) · 2026Pooled it
- Management of Adult Syphilis: Key Questions to Inform the 2021 Centers for Disease Control and Prevention Sexually Transmitted Infections Treatment Guidelines.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022Pooled it
- 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.The Lancet. Global health · 2019Pooled it
- Bias Adjustment Techniques Are Underutilized in HIV Sexual Risk Estimation: A Systematic Review.International journal of environmental research and public health · 2018Pooled it
- Barriers and Facilitators to, and Experience of, Voluntary Medical Male Circumcision Among Men Who Have Sex with Men in China: A Mixed-Methods Study.Archives of sexual behavior · 2023Trial
- Predicting the long-term impact of voluntary medical male circumcision on HIV incidence among men who have sex with men in Beijing, China.AIDS care · 2020Article
- Interventions to improve the HIV continuum of care in China.Current HIV/AIDS reports · 2019Review
- Modeling economic and epidemiological impact of voluntary medical male circumcision among men who have sex with men in Beijing, China.International journal of STD & AIDS · 2019Article
- Voluntary medical male circumcision and HIV infection among men who have sex with men: Implications from a systematic review.SAGE open medicine · 2019Review
- An Empiric Risk Score to Guide PrEP Targeting Among MSM in Coastal Kenya.AIDS and behavior · 2018Article
- HIV testing and sexual risks among migrant men who have sex with men: findings from a large cross-sectional study in Beijing, China.AIDS care · 2018Article
- Subsequent Sexual Risks Among Men Who Have Sex with Men May Differ by Sex of First Partner and Age at Sexual Debut: A Cross-Sectional Study in Beijing, China.AIDS and behavior · 2017Article
- Voluntary medical male circumcision among adolescents: a missed opportunity for HIV behavioral interventions.AIDS (London, England) · 2017Article
- Seeking Male Sexual Partners via Internet and Traditional Venues among Chinese Men Who Have Sex with Men: Implications for HIV Risk Reduction Interventions.AIDS and behavior · 2016Article
- Why wait? We need to scale-up infant male circumcision for global HIV control.AIDS (London, England) · 2016Article
- Estimation of country-specific and global prevalence of male circumcision.Population health metrics · 2016Article
- Predictors of antiretroviral therapy initiation: a cross-sectional study among Chinese HIV-infected men who have sex with men.BMC infectious diseases · 2015Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
backgroundVoluntary medical male circumcision reduces the risk of HIV heterosexual transmission in men, but its effect on male-to-male sexual transmission is uncertain.
methodsCircumcision status of men who have sex with men (MSM) in China was evaluated by genital examination and self-report; anal sexual role was assessed by questionnaire interview. Serostatus for HIV and syphilis was confirmed.
resultsAmong 1155 participants (242 were seropositive and 913 with unknown HIV status at enrollment), the circumcision rate by self-report (10.4%) was higher than confirmed by genital examination (8.2%). Male circumcision (by examination) was associated with 47% lower odds of being HIV seropositive [adjusted odds ratio (aOR): 0.53; 95% confidence interval (CI): 0.27 to 1.02] after adjusting for demographic covariates, number of lifetime male sexual partners, and anal sex role. Among MSM who predominantly practiced insertive anal sex, circumcised men had 62% lower odds of HIV infection than those who were uncircumcised (aOR: 0.38; 95% CI: 0.09 to 1.64). Among those whose anal sex position was predominantly receptive or versatile, circumcised men have 46% lower odds of HIV infection than did men who were not circumcised (aOR: 0.54; 95% CI: 0.25 to 1.14). Compared to uncircumcised men reporting versatile or predominantly receptive anal sex positioning, those who were circumcised and reported practicing insertive sex had an 85% lower risk (aOR: 0.15; 95% CI: 0.04 to 0.65). Circumcision was not associated clearly with lower syphilis risk (aOR: 0.91; 95% CI: 0.51 to 1.61).
conclusionsCircumcised MSM were less likely to have acquired HIV, most pronounced among men predominantly practicing insertive anal intercourse. A clinical trial is needed.
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