Male Circumcision in Siaya and Bondo Districts, Kenya: Prospective Cohort Study to Assess Behavioral Disinhibition Following Circumcision
January 19, 2007
Kawango Agot -- project coordinator of a collaborative research project among the University of Nairobi, University of Illinois and the University of Manitoba -- and colleagues conducted the study among 324 recently circumcised men and 324 uncircumcised men to determine the effect of circumcision on sexual behavior. The researchers compared the two groups' sexual behaviors at one, three, six, nine and 12 months following circumcision or study enrollment. They found that during the first month following circumcision, men were 63% less likely to report having 0 to 0.5 risky sexual acts weekly than uncircumcised men. The researchers also found that during the first month following circumcision, men were 61% less likely to report having more than 0.5 risky sexual acts weekly than uncircumcised men. The differences in sexual behavior disappeared during the remainder of the follow-up period, and similar results were seen for risky unprotected sexual acts, number of at-risk sexual partners and condom use, according to the researchers. The researchers concluded that during the first year following circumcision, men did not report an increased number of risky sexual acts compared with uncircumcised men -- indicating that "any protective effect of male circumcision on HIV acquisition is unlikely to be offset by an adverse behavioral impact" (Kawango et al., Journal of Acquired Immune Deficiency Syndromes, 1/1).
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This article was provided by Henry J. Kaiser Family Foundation. It is a part of the publication Kaiser Daily HIV/AIDS Report. Visit the Kaiser Family Foundation's website to find out more about their activities, publications and services.