A cut above the rest: Traditional Male Circumcision and HIV Risk Among Xhosa men in Cape Town, South Africa

 

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dc.contributor.author Maughan-Brown, Brendan
dc.contributor.author Venkataramani, Atheendar S
dc.contributor.author Nattrass, Nicoli
dc.contributor.author Seekings, Jeremy
dc.contributor.author Whiteside, Alan W
dc.date.accessioned 2016-04-25T09:17:38Z
dc.date.available 2016-04-25T09:17:38Z
dc.date.issued 2011
dc.identifier http://dx.doi.org/10.1097/QAI.0b013e31823584c1
dc.identifier.citation Maughan-Brown, B., Venkataramani, A. S., Nattrass, N., Seekings, J., & Whiteside, A. W. (2011). A cut above the rest: traditional male circumcision and HIV risk among Xhosa men in Cape Town, South Africa. JAIDS Journal of Acquired Immune Deficiency Syndromes, 58(5), 499-505. en_ZA
dc.identifier.uri http://hdl.handle.net/11427/19170
dc.description.abstract Randomized clinical trials have shown that medical male circumcision substantially reduces the risk of contracting HIV. However, relatively little is known about the relationship between traditional male circumcision and HIV risk. This article examines variations in traditional circumcision practices and their relationship to HIV status. We used data from the fifth wave of the Cape Area Panel Study (n = 473) of young adults in Cape Town, South Africa, to determine attitudes towards circumcision, whether men were circumcised, at what age, and whether their foreskin had been fully or partially removed. Probit models were estimated to determine the association between extent and age of circumcision and HIV status. RESULTS: There was strong support for traditional male circumcision. 92.5% of the men reported being circumcised, with 10.5% partially circumcised. Partially circumcised men had a 7% point greater risk of being HIV positive than fully circumcised men (P < 0.05) and equal risk compared with uncircumcised men. Most (91%) men were circumcised between the ages of 17 and 22 years (mean 19.2 years), and HIV risk increased with age of circumcision (P < 0.10). CONCLUSIONS: Efforts should be made to encourage earlier circumcisions and to work with traditional surgeons to reduce the number of partial circumcisions. Data on the extent and age of circumcision are necessary for meaningful conclusions to be drawn from survey data about the relationship between circumcision and HIV status. en_ZA
dc.language eng en_ZA
dc.publisher Lippincot Williams and Wilkins en_ZA
dc.source Journal of Acquired Immune Deficiency Syndromes (JAIDS) en_ZA
dc.source.uri http://journals.lww.com/jaids/Pages/default.aspx
dc.title A cut above the rest: Traditional Male Circumcision and HIV Risk Among Xhosa men in Cape Town, South Africa en_ZA
dc.type Journal Article en_ZA
dc.date.updated 2016-04-25T09:02:47Z
uct.type.publication Research en_ZA
uct.type.resource Article en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Humanities en_ZA
dc.publisher.department Centre for Social Science Research(CSSR) en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Maughan-Brown, B., Venkataramani, A. S., Nattrass, N., Seekings, J., & Whiteside, A. W. (2011). A cut above the rest: Traditional Male Circumcision and HIV Risk Among Xhosa men in Cape Town, South Africa. <i>Journal of Acquired Immune Deficiency Syndromes (JAIDS)</i>, http://hdl.handle.net/11427/19170 en_ZA
dc.identifier.chicagocitation Maughan-Brown, Brendan, Atheendar S Venkataramani, Nicoli Nattrass, Jeremy Seekings, and Alan W Whiteside "A cut above the rest: Traditional Male Circumcision and HIV Risk Among Xhosa men in Cape Town, South Africa." <i>Journal of Acquired Immune Deficiency Syndromes (JAIDS)</i> (2011) http://hdl.handle.net/11427/19170 en_ZA
dc.identifier.vancouvercitation Maughan-Brown B, Venkataramani AS, Nattrass N, Seekings J, Whiteside AW. A cut above the rest: Traditional Male Circumcision and HIV Risk Among Xhosa men in Cape Town, South Africa. Journal of Acquired Immune Deficiency Syndromes (JAIDS). 2011; http://hdl.handle.net/11427/19170. en_ZA
dc.identifier.ris TY - Journal Article AU - Maughan-Brown, Brendan AU - Venkataramani, Atheendar S AU - Nattrass, Nicoli AU - Seekings, Jeremy AU - Whiteside, Alan W AB - Randomized clinical trials have shown that medical male circumcision substantially reduces the risk of contracting HIV. However, relatively little is known about the relationship between traditional male circumcision and HIV risk. This article examines variations in traditional circumcision practices and their relationship to HIV status. We used data from the fifth wave of the Cape Area Panel Study (n = 473) of young adults in Cape Town, South Africa, to determine attitudes towards circumcision, whether men were circumcised, at what age, and whether their foreskin had been fully or partially removed. Probit models were estimated to determine the association between extent and age of circumcision and HIV status. RESULTS: There was strong support for traditional male circumcision. 92.5% of the men reported being circumcised, with 10.5% partially circumcised. Partially circumcised men had a 7% point greater risk of being HIV positive than fully circumcised men (P < 0.05) and equal risk compared with uncircumcised men. Most (91%) men were circumcised between the ages of 17 and 22 years (mean 19.2 years), and HIV risk increased with age of circumcision (P < 0.10). CONCLUSIONS: Efforts should be made to encourage earlier circumcisions and to work with traditional surgeons to reduce the number of partial circumcisions. Data on the extent and age of circumcision are necessary for meaningful conclusions to be drawn from survey data about the relationship between circumcision and HIV status. DA - 2011 DB - OpenUCT DP - University of Cape Town J1 - Journal of Acquired Immune Deficiency Syndromes (JAIDS) LK - https://open.uct.ac.za PB - University of Cape Town PY - 2011 T1 - A cut above the rest: Traditional Male Circumcision and HIV Risk Among Xhosa men in Cape Town, South Africa TI - A cut above the rest: Traditional Male Circumcision and HIV Risk Among Xhosa men in Cape Town, South Africa UR - http://hdl.handle.net/11427/19170 ER - en_ZA


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