English
Objectives: To determine circumcision prevalence and its association with HIV and STI in a male United States military population. Design: Case-control study of HIV-infected U.S. military personnel (n = 232) from 7 military medical centers and male U.S. Navy controls (n = 516) from an aircraft carrier. Methods: Cases and controls completed HIV risk surveys. Case circumcision status was abstracted from medical charts while control status was reported by survey. Multiple logistic regressions were constructed evaluating the role of circumcision in the acquisition of HIV and STI. Results: Cases (84.9%) and controls (81 .8%) reported similar proportions of circumcision. Prevalence of circumcision among U.S.-born men was higher (85.0%) than those born elsewhere (58.1%). After adjustment for demographic and behavioral risk factors lack of circumcision was not found to be a risk factor for HIV (odds ratio [OR] = 0.9; 95% confidence interval [Cl], 0.51-1.7) or ST (OR = 1.08; 95% Cl, 0.52-2.26). Conclusions: Although known HIV risk factors were found to be associated with HIV in this military population, there was no significant association with male circumcision. Randomized clinical trials
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DTIC Archive · Thomas, Anne G · NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA · *NAVAL PERSONNEL · *MALES · *INFECTIOUS DISEASES · *HUMAN IMMUNODEFICIENCY VIRUSES · CASE STUDIES · MILITARY MEDICINE · CLINICAL TRIALS