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- Title
Increased Risk of Infection with Human Immunodeficiency Virus Type 1 Among Uncircumcised Men Presenting with Genital Ulcer Disease in Kenya.
- Authors
Tyndall, Mark W.; Ronald, Allan R.; Agoki, Elizabeth; Malisa, William; Bwayo, Job J.; Ndinya-Achola, J. O.; Moses, Stephen; Plummer, Francis A.
- Abstract
The factors responsible for the explosive spread of human immunodeficiency virus type 1 (HIV-1) in sub-Saharan Africa continue to be identified and debated. One of the most controversial factors has been male circumcision. This cross-sectional study was conducted to measure the association between circumcision status and infection with HIV-1 among men with genital ulcer disease. Eight hundred and ten men participated in the study, of whom 190 (23%) were HIV-1-positive. A logistic regression model adjusted for behavioral and historical factors showed that HIV-1 positivity was independently associated with being uncircumcised (adjusted odds ratio [OR], 4.8; 95% confidence interval [CI], 3.3–7.2) and with a history of urethral discharge (adjusted OR, 2.0; 95% CI, 1.4–2.8). This association could not be explained by measures of sexual exposure to HIV-1 among this population. Male circumcision should be considered as an intervention strategy for AIDS control.
- Publication
Clinical Infectious Diseases, 1996, Vol 23, Issue 3, p449
- ISSN
1058-4838
- Publication type
Article