title: Prevalence of circumcision among men and boys aged 14 to 59 years in the United States, National Health and Nutrition Examination Surveys 2005-2010.
abstract: BACKGROUND
  In 2009, an estimated 3590 new heterosexually acquired HIV infections occurred in males in the United States. Three randomized controlled trials demonstrated that male circumcision decreased a man's risk for HIV acquisition through heterosexual sex. We describe circumcision prevalence in US males and determine circumcision prevalence among males potentially at increased risk for heterosexually acquired HIV infection.
  
  
  METHODS
  We estimated circumcision prevalence among men and boys aged 14 to 59 years using data from the National Health and Nutrition Examination Surveys 2005-2010. We defined men and boys with 2 or more female partners in the last year as potentially at increased risk for heterosexually acquired HIV infection.
  
  
  RESULTS
  Estimated circumcision prevalence was 80.5%. Prevalence varied significantly by year of birth, race/ethnicity, health insurance type, and family income. Circumcision prevalence among men and boys reporting 2 or more female partners in the last year was 80.4%, which corresponded to an estimated 3.5 million uncircumcised men and boys potentially at increased risk for heterosexually acquired HIV infection. Of these men and boys, 48.3% lacked health insurance.
  
  
  CONCLUSIONS
  Circumcision prevalence in the United States differs by demographic group, and half of uncircumcised men and boys potentially at increased risk for heterosexually acquired HIV are uninsured. These data could inform recommendations and cost analyses concerning circumcision in the United States.
authors: Division of Sexually Transmitted Disease Prevention, Centers for Disease Control and Prevention, Atlanta, GA 30329, USA. vie4@cdc.gov
authors: Camille E
authors: CE
authors: Introcaso
authors: Fujie
authors: F
authors: Xu
authors: Peter H
authors: PH
authors: Kilmarx
authors: Akbar
authors: A
authors: Zaidi
authors: Lauri E
authors: LE
authors: Markowitz
mesh_terms: D000293:Adolescent; D000328:Adult; D002944:Circumcision, Male / Q000208:ethnology / Q000706:statistics & numerical data*; D015331:Cohort Studies; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000208:ethnology / Q000517:prevention & control*; D020010:Heterosexuality; D006801:Humans; D008297:Male; D008875:Middle Aged; D009749:Nutrition Surveys; D012306:Risk; D012725:Sexual Behavior; D015229:Sexually Transmitted Diseases, Viral / Q000208:ethnology / Q000517:prevention & control*; D014481:United States / Q000453:epidemiology; D055815:Young Adult