gregor2001us -> RE: circumcised or intact is there a difference? (2/27/2007 5:14:56 PM)
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ORIGINAL: somethndif quote:
ORIGINAL: DomKen Actually the correlation of circumcision to standard of living can explain the lower risk of women with high risk partners. The same issue of early detection meaning early treatment could be the causative factor here as well. Without a longitudinal(sp?) study of a large number of women this correlation simply cannot be considered strongly supported. Also I hope you mean the value of the HPV vaccine not value of the HPV virus. The longitudinal study you ask for, was done in studying the effect of circumcision on the tranmission of HIV. Here is a quote from the report I posted the link to earlier. "Over 6,000 previously uncircumcised men ages 15–49 from Uganda and Kenya were enrolled in the study; half of the participants were randomly assigned to be circumcised and the other half acted as a control group, remaining uncircumcised. The results of the study were so significant that researchers halted the study early and offered circumcision to all participants." In other words, the study took 6,000 previously uncircumcised men, randomly assigned half to be circumcised, then studied what happened. And what happened is that the circumcised group had a much lower incidence of HIV infection than the uncircumcised group. In fact, the results were so unequivocal that the study was halted, and the uncircumcised group was offered circumsion, because not to offer it put them at greater risk. I am assuming that other potentially confounding factors, such as SES, were taken into account. And, according to the report, two other studies have reported similar results, which strongly supports the conclusion that circumcision does, in fact, reduce the risk of contracting the HIV virus and AIDS. Dan You have to be careful with these summaries and what is reported in the media. They make it sound so compelling. And they never qualify it by saying that the authors do NOT recommend it in the US. The other figure often quoted is a 50% reduction in HIV incidence. And this truley sounds like a big improvement. But, when you actually look at what the findings were, it doesn't sound so compelling. In the figures i have seen, circ’d men had a 1.6% chance of contracting aids, while the normal men had a 3.4% chance. Or if you were circ’d you had an incidence of 16 men out of a 1,000, while normal men had an incidence of 34 men out of 1,000. This doesn’t sound as compelling. Or use the number in a more familiar and less frightening context. Relate that 50% to birth control, a similar situation in which you want to be very certain that you are safe. How many people will be satisfied if their birth control method only reduces the chance of pregnacny by 50%? Flip of a coin, in other words. On top of all this, in the details they point out that, in reality, the circ'd person still has to do all the other more effective things like condom use. So in effect, all they get for their circ is a 50 50 chance of being safe when they fail to do the other stuff reliably. How many partners or times do you want to have sex if you only have a "flip of a coin" expectation of being safe? Finally, research indicates this is NOT effective in preventing anal or IV transmission, and therefor (since those are considered the main routes in the US) it will not be effective in the US. So basically, no need to circ unless you anticipate that you or your son will be going to Africa to have sex. and will be unlikely to use condoms or other methods reliably. You need to be an informed consumer of information. Don't expect the News Media to help you. Regards,
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