title: What is the potential impact of adult circumcision on the HIV epidemic among men who have sex with men in San Francisco?
abstract: With the help of a community-based survey, we assess the potential effect of circumcision on the HIV epidemic among men who have sex with men (MSM) in San Francisco. Only a small minority of MSM would both derive benefit from circumcision (i.e., were uncircumcised, HIV-negative, predominantly insertive, and reported unprotected insertive anal sex) and be willing to participate in circumcision trials (0.7%) or be circumcised if proven effective as a prevention strategy (0.9%). Circumcision would have limited public health significance for MSM in San Francisco.
authors.affiliation: Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA, USA.
authors.forename: Chongyi
authors.initials: C
authors.lastname: Wei
authors.forename: H Fisher
authors.initials: HF
authors.lastname: Raymond
authors.forename: Willi
authors.initials: W
authors.lastname: McFarland
authors.forename: Susan
authors.initials: S
authors.lastname: Buchbinder
authors.forename: Jonathan D
authors.initials: JD
authors.lastname: Fuchs
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002944:Circumcision, Male; D003625:Data Collection; D015658:HIV Infections / Q000453:epidemiology* / Q000517:prevention & control*; D018451:Homosexuality, Male / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D011634:Public Health; D012495:San Francisco / Q000453:epidemiology; D012725:Sexual Behavior; D055815:Young Adult