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Adolescent Sexual Health in Europe and the U.S. - Why the Difference?

Visit http://www.advocatesforyouth.org/index.php?option=com_content&task=view&id=419&Itemid=177

An article in Advocates of Youth that compares data between Europe and the United States.

In France, Germany, and the Netherlands, two things create greater, easier access to sexual health information and services for all people, including teens. They are: 1) societal openness and comfort in dealing with sexuality, including teen sexuality; and 2) pragmatic governmental policies. The result - better sexual health outcomes for French, German, and Dutch teens when compared to U.S. teens.

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  • Circumcision
  • Circumcision Studies
  • HIV / AIDS
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Circumcision among men who have sex with men in Scotland: limited potential for HIV prevention

Visit http://sti.bmj.com/content/early/2010/06/30/sti.2010.042895.full

A study published Sexually Transmitted Infections, doi:10.1136/sti.2010.042895, determined that there was no association between circumcision and HIV for men having sex with men. The researchers concluded that circumcision is unlikely to be a feasible HIV prevention strategy for gay men in the UK.

This study supports other studies that found no link between circumcision status and HIV infection rates among homosexual men.

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  • Circumcision Studies
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Circumcision and its potential impact on the spread of HIV among gay and bisexual men

Visit http://www.catie.ca/catienews.nsf/00a48c8905294f0b8525717f00661eb8/1dbb6bf1c2a2134185257690005abebe!OpenDocument

Banner logo for CATIE-News: Bite-sized HIV/AIDS news bulletins published by Canadian AIDS Treatement Information Exchange.CATIE-News: Bite-sized HIV/AIDS news bulletins published by Canadian AIDS Treatement Information Exchange. The page addresses many of the current studies and meta-analysis for HIV and the gay man. The results of the various studies and meta-analysis are consistent and show that there is little to no benefit in circumcising gay men to reduce HIV.

Researchers studying the increase and spread of HIV have concluded in several studies that increases in high-risk sex have overwhelmed any decrease in infectivity due to HAART (highly active antiretroviral therapy). This does not mean that current HIV prevention efforts have failedwithout these efforts, rates of new cases of HIV and STIs might be much higher. This environment of high-risk sex and STIs must be taken into account when considering the potential impact and rollout of new prevention interventions--such as male circumcision, microbicides or pre-exposure prophylaxis (PrEP)--in gay and bisexual men in high-income countries.

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Circumcision and Risk of Sexually Transmissible Infections in a Community‐Based Cohort of HIV‐Negative Homosexual Men in Sydney, Australia

Visit http://www.journals.uchicago.edu/doi/abs/10.1086/648376

Study published in The Journal of Infectious Diseases, 2009; 200:000–000. DOI: 10.1086/648376. The authors found a correlation of reduced incidence of syphilis among men who reported predominantly insertive unprotected anal intercourse.

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Circumcision in Australia: further evidence on its effects on sexual health and wellbeing

Visit http://www3.interscience.wiley.com/journal/123344442/abstract

Study published in Australian and New Zealand Journal of Public Health, Vol. 34 Issue 2, Pages 160 - 164 (April 2010).  The study concluded that "Circumcision appears to have minimal protective effects on sexual health in Australia." Translated into English, "Circumcised men do not have any additional protection against sexually transmitted diseases."

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Circumcision in HIV-infected men and its effect on HIV transmission to female partners in Rakai, Uganda: a randomised controlled trial

Visit http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)60998-3/abstract

Study published in The Lancet, Volume 374, Issue 9685, Pages 229 - 237, 18 July 2009. doi:10.1016/S0140-6736(09)60998-3.  The study assessed whether circumcision in HIV-infected men would reduce transmission of the virus to female sexual partners. Circumcision of HIV-infected men did not reduce HIV transmission to female partners over 24 months; longer-term effects could not be assessed. Condom use after male circumcision is essential for HIV prevention.  The results indicate that there is a probability of 21.7% HIV infection rate for female partners of circumcised HIV infected men, compared to 13.4% HIV infection rate for female partners of HIV infected men. Women with circumcised partners had more than a 50% increase in the infection rate of women compared to women with un-circumcised partners.

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Circumcision in the United States: Prevalence, Prophylactic Effects, and Sexual Practice

Visit http://jama.ama-assn.org/cgi/content/abstract/277/13/1052

Study published in JAMA, 1997; 277(13): 1052-1057. The objective was to assess the prevalence of circumcision across various social groups and examine the health and sexual outcomes of circumcision. The authors analyzed the National Health and Social Life Survey (NHSLS) data to determine the effects of circumcision. The results indicate, "We find no significant differences between circumcised and uncircumcised men in their likelihood of contracting sexually transmitted diseases." 

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Circumcision not enough to stop HIV, experts warn experts

Visit http://www.nation.co.ke/News/-/1056/663870/-/uneiet/-/

The Daily Nation, a Kenyan news site, reports on September 26, 2009, that recent findings show an increase in HIV infection in regions where most males are circumcised.

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Female circumcision and HIV infection in Tanzania: for better or for worse?

Visit http://www.ias-2005.org/planner/Abstracts.aspx?AID=3138

Abstract presented at 3rd IAS Conference on HIV Pathogenesis and Treatment in Rio de Janeiro, July 24-27, 2005. The Abstract noted that female circumcision has shown a decrease in the rate of HIV infection.

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Future HIV Therapy

Visit http://www.futuremedicine.com/doi/full/10.2217/17469600.2.3.193

Article published in Future Medicine, Vol. 2, No. 3, pp. 193-199 , May 2008. DOI 10.2217/17469600.2.3.193 The authors examine the three randomized clinical trials (RCTs) conducted in Africa and find them wanting. A recent commentary claims that circumcision is "at least as good as the HIV vaccine we have been waiting for, praying for and hoping to see in our lifetimes." The article provides an analysis that refutes that statement.

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HIV infection and circumcision: cutting through the hyperbole

Visit http://rsh.sagepub.com/cgi/content/abstract/125/6/259

Published in The Journal of the Royal Society for the Promotion of Health, Vol. 125, No. 6, 259-265 (2005) (DOI: 10.1177/146642400512500607). The authors conclude, "Even if effective, mass circumcision as a preventive measure for HIV in developed countries is difficult to justify."

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HIV-1 Interactions and Infection in Adult Male Foreskin Explant Cultures

Visit http://www.retroconference.org/2009/Abstracts/35027.htm

Paper from 16th Conference on Retroviruses and Opportunistic Infections (2009).  A pdf file of the paper is available on the website.

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Langerhans cells limit HIV invasion

Visit http://jcb.rupress.org/cgi/content/full/177/1/5a

Note published in The Journal of Cell Biology, Vol. 177, No. 1, 5 (March 2007), doi:10.1083/jcb.1771rr5, refers to de Witte* study in Nat. Med. doi:10.1038/nm1541. Further research shows that a suspected entry route for HIV is a dead end. Langerhans cells, rather than transmitting the virus to T cells, trap HIV-1 and thus act as a barrier to infection. The foreskin of the male penis has Langerhans cells, but they are removed, along with the foreskin, during circumcision.

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Male Circumcision and HIV: A Public Health Policy Weblog

Visit http://www.circumcisionandhiv.com/

The Male Circumcision and HIV blog presents current information on policy decisions and various actions by organizations that can affect policy.

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Michael Fumento: The Myth of Heterosexual AIDS - A Nine-Year Retrospective of Fear and (Mostly) Loathing

Visit http://fumento.com/aids/pozaids.html

A well-researched article by Michael Fumento describing the transmission vectors of AIDS, as backed up by statistics. The author notes that much dis-information is promulgated regarding heterosexual AIDS. Citing statistics, Fumento notes that there are few cases of heterosexual AIDS that withstand scrutiny.

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Prevalence and Risk Determinants of Human Immunodeficiency Virus Type 2 (HIV-2) and Human Immunodeficiency Virus Type 1 (HIV-1) in West African Female Prostitutes

Visit http://aje.oxfordjournals.org/cgi/content/abstract/136/7/895

Study published in American Journal of Epidemiology, Vol. 136, No. 7: 895-907 (1992). The authors found that "a history of excision and BCG vaccinations decreased the risk of HIV-2 infection." That is, women who had undergone female genital cutting had reduced risk of HIV infection.

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  • Female Circumcision (FGM)
  • HIV / AIDS
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Size Matters: The Number of Prostitutes and the Global HIV/AIDS Pandemic

Visit http://www.plosone.org/article/info:doi/10.1371/journal.pone.0000543

A study published at PLoS ONE 2(6): e543. doi:10.1371/journal.pone.0000543. "This paper provides strong evidence that when conducted properly, cross country regression data does not support the theory that male circumcision is the key to slowing the AIDS epidemic. Rather, it is the number of infected prostitutes in a country that is highly significant and robust in explaining HIV prevalence levels across countries." The article received several critical comments, including one by Halperin. The article's author John R. Talbott provides a very good rebuttal attacking the Africa trials' statistical analysis methodology.

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YouTube: Dr. Dean Edell AIDS - Circumcision Fallacy

Visit http://www.youtube.com/watch?v=OlsUg0sdAtE

Dr. Dean Edell discusses the misleading and unsound arguments in the current drive to circumcise Africa. See the video below.

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Restoring Tally is just an ordinary guy who had to confront his prostate and circumcision problems. This site chronicles his journey in dealing with these issues. He has had prostate surgery and he is restoring his foreskin.

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  • Circumcision among men who have sex with men in Scotland: limited potential for HIV prevention
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