March 20, 2013
Intact men more likely to use condoms
This study shows circumcised men are less likely to use condoms at all, more likely to use them rarely, and lack confidence in using them.
Int J STD AIDS. 2013 Mar 20. [Epub ahead of print]
A comparison of condom use perceptions and behaviours between circumcised and intact men attending sexually transmitted disease clinics in the United States.
Crosby R, Charnigo RJ. Source College of Public Health at the University of Kentucky, Lexington, Kentucky, USA. Abstract This investigation compared circumcised and intact (uncircumcised) men attending sexually transmitted infection (STI) clinics on condom perceptions and frequencies of use. Men (N = 316) were recruited from public clinics in two US states. Circumcision status was self-reported through the aid of diagrams. Intact men were less likely to report unprotected vaginal sex (P < 0.001), infrequent condom use (P = 0.02) or lack of confidence to use condoms (P = 0.049). The bivariate association between circumcision status and unprotected sex was moderated by age (P < 0.001), recent STD acquisition (P < 0.001) and by confidence level for condom use (P < 0.001). The bivariate association between circumcision status and infrequent condom use was also moderated by age (P = 0.002), recent STI acquisition (P = 0.02) and confidence level (P = 0.01). Multivariate findings supported the conclusion that intact men may use condoms more frequently and that confidence predicts use, suggesting that intervention programmes should focus on building men's confidence to use condoms, especially for circumcised men. PMID: 23514832 [PubMed - as supplied by publisher]
Since condoms are so much more effective than circumcision at prevening HIV acquistion and transmission (assuming the RCTs are valid) this just underlines the risk of promoting circumcision.