Behavioral aspects of male circumcision for the prevention of HIV infection.

Behavioral aspects of male circumcision for the prevention of HIV infection.
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DOI:
10.1007/s11904-009-0025-9
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发表时间:
2009-11
影响因子:
4.6
通讯作者:
Kalichman, Seth C
Kalichman, Seth C
中科院分区:
医学2区
文献类型:
--
作者:
Eaton, Lisa;Kalichman, Seth C

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Male circumcision (MC) can prevent female to male HIV transmission and has the potential to significantly alter HIV epidemics. The ultimate impact of MC on HIV prevention will be determined, in part, by behavioral factors. In order to fully realize the protective benefits of MC, factors related to acceptability and sexual risk must be considered. Research shows that acceptability of MC among uncircumcised men is high and suggests that free and safe circumcision may be taken up in high-HIV prevalence places. Perceptions of adverse effects of MC may however limit uptake. Furthermore, considerable risk reduction counseling provided by MC trials limits our ability to understand the impact MC may have on behavior. There is also no evidence that MC protects women with HIV positive partners or that it offers protection during anal intercourse. Research is urgently needed to better understand and manage the behavioral implications of MC for HIV prevention.