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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Adult Male Circumcision Does Not Reduce Risk of Incident <italic>Neisseria gonorrhoeae, Chlamydia trachomatis, and Trichomonas vaginalis</italic>: Results from a Randomized Controlled Trial in Kenya</title><author><name sortKey="Mehta, Supriya D" sort="Mehta, Supriya D" uniqKey="Mehta S" first="Supriya D." last="Mehta">Supriya D. Mehta</name><affiliation><nlm:aff id="A1">Department of Epidemiology and Biostatistics, University of Illinois Chicago School of Public Health, Illinois, USA</nlm:aff></affiliation></author><author><name sortKey="Moses, Stephen" sort="Moses, Stephen" uniqKey="Moses S" first="Stephen" last="Moses">Stephen Moses</name><affiliation><nlm:aff id="A2">Departments of Medical Microbiology, Community Health Sciences and Medicine, University of Manitoba, Winnipeg, Canada</nlm:aff></affiliation></author><author><name sortKey="Agot, Kawango" sort="Agot, Kawango" uniqKey="Agot K" first="Kawango" last="Agot">Kawango Agot</name><affiliation><nlm:aff id="A3">UNIM Project, Kisumu, Kenya</nlm:aff></affiliation></author><author><name sortKey="Parker, Corette" sort="Parker, Corette" uniqKey="Parker C" first="Corette" last="Parker">Corette Parker</name><affiliation><nlm:aff id="A4">RTI International, Research Triangle Park, North Carolina, USA</nlm:aff></affiliation></author><author><name sortKey="Ndinya Achola, Jeckoniah O" sort="Ndinya Achola, Jeckoniah O" uniqKey="Ndinya Achola J" first="Jeckoniah O." last="Ndinya-Achola">Jeckoniah O. Ndinya-Achola</name><affiliation><nlm:aff id="A5">Department of Medical Microbiology, University of Nairobi, Nairobi, Kenya</nlm:aff></affiliation></author><author><name sortKey="Maclean, Ian" sort="Maclean, Ian" uniqKey="Maclean I" first="Ian" last="Maclean">Ian Maclean</name><affiliation><nlm:aff id="A6">Department of Medical Microbiology, University of Manitoba, Winnipeg, Canada</nlm:aff></affiliation></author><author><name sortKey="Bailey, Robert C" sort="Bailey, Robert C" uniqKey="Bailey R" first="Robert C." last="Bailey">Robert C. Bailey</name><affiliation><nlm:aff id="A1">Department of Epidemiology and Biostatistics, University of Illinois Chicago School of Public Health, Illinois, USA</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">19545209</idno><idno type="pmc">3081655</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3081655</idno><idno type="RBID">PMC:3081655</idno><idno type="doi">10.1086/600074</idno><date when="2009">2009</date><idno type="wicri:Area/Pmc/Corpus">001161</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001161</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Adult Male Circumcision Does Not Reduce Risk of Incident <italic>Neisseria gonorrhoeae, Chlamydia trachomatis, and Trichomonas vaginalis</italic>: Results from a Randomized Controlled Trial in Kenya</title><author><name sortKey="Mehta, Supriya D" sort="Mehta, Supriya D" uniqKey="Mehta S" first="Supriya D." last="Mehta">Supriya D. Mehta</name><affiliation><nlm:aff id="A1">Department of Epidemiology and Biostatistics, University of Illinois Chicago School of Public Health, Illinois, USA</nlm:aff></affiliation></author><author><name sortKey="Moses, Stephen" sort="Moses, Stephen" uniqKey="Moses S" first="Stephen" last="Moses">Stephen Moses</name><affiliation><nlm:aff id="A2">Departments of Medical Microbiology, Community Health Sciences and Medicine, University of Manitoba, Winnipeg, Canada</nlm:aff></affiliation></author><author><name sortKey="Agot, Kawango" sort="Agot, Kawango" uniqKey="Agot K" first="Kawango" last="Agot">Kawango Agot</name><affiliation><nlm:aff id="A3">UNIM Project, Kisumu, Kenya</nlm:aff></affiliation></author><author><name sortKey="Parker, Corette" sort="Parker, Corette" uniqKey="Parker C" first="Corette" last="Parker">Corette Parker</name><affiliation><nlm:aff id="A4">RTI International, Research Triangle Park, North Carolina, USA</nlm:aff></affiliation></author><author><name sortKey="Ndinya Achola, Jeckoniah O" sort="Ndinya Achola, Jeckoniah O" uniqKey="Ndinya Achola J" first="Jeckoniah O." last="Ndinya-Achola">Jeckoniah O. Ndinya-Achola</name><affiliation><nlm:aff id="A5">Department of Medical Microbiology, University of Nairobi, Nairobi, Kenya</nlm:aff></affiliation></author><author><name sortKey="Maclean, Ian" sort="Maclean, Ian" uniqKey="Maclean I" first="Ian" last="Maclean">Ian Maclean</name><affiliation><nlm:aff id="A6">Department of Medical Microbiology, University of Manitoba, Winnipeg, Canada</nlm:aff></affiliation></author><author><name sortKey="Bailey, Robert C" sort="Bailey, Robert C" uniqKey="Bailey R" first="Robert C." last="Bailey">Robert C. Bailey</name><affiliation><nlm:aff id="A1">Department of Epidemiology and Biostatistics, University of Illinois Chicago School of Public Health, Illinois, USA</nlm:aff></affiliation></author></analytic><series><title level="j">The Journal of infectious diseases</title><idno type="ISSN">0022-1899</idno><idno type="eISSN">1537-6613</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objectives</title><p id="P1">We examined the effect of male circumcision on the acquisition of three non-ulcerative sexually transmitted infections (STIs).</p></sec><sec sec-type="methods" id="S2"><title>Methods</title><p id="P2">We evaluated STI incidence among men aged 18–24 enrolled in a randomized trial of circumcision to prevent HIV infection in Kisumu, Kenya. The outcome was first incident non-ulcerative STI over two years follow-up. STIs examined were laboratory-detected <italic>Neisseria gonorrhoeae</italic> (NG), <italic>Chlamydia trachomatis</italic> (CT) and <italic>Trichomonas vaginalis</italic> (TV).</p></sec><sec id="S3"><title>Results</title><p id="P3">There were 342 incident infections among 2,655 men followed. Incidences of infection per 100 person-years (PYs) were: 3.48 for NG; 4.55 for CT; and 1.32 for TV. The combined incidence of NG or CT infection was 7.26 per 100 PYs (95% CI: 6.49 – 8.13). The incidence of these STIs, individually or combined, did not differ by circumcision status as a time-dependent variable, or fixed variable based on assignment. Risks for incident STIs in multivariable analysis included: STI at enrollment, multiple sex partners < 30 days, and sex during menses in the past 6 months; condom use was protective.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">Circumcision of men in this population did not reduce their risk of acquiring these non-ulcerative STIs. Improved STI control will require more effective STI management, including partner treatment, and behavioral risk reduction counseling.</p></sec></div></front></TEI><pmc article-type="research-article" xml:lang="en"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">0413675</journal-id><journal-id journal-id-type="pubmed-jr-id">4830</journal-id><journal-id journal-id-type="nlm-ta">J Infect Dis</journal-id><journal-title-group><journal-title>The Journal of infectious diseases</journal-title></journal-title-group><issn pub-type="ppub">0022-1899</issn><issn pub-type="epub">1537-6613</issn></journal-meta><article-meta><article-id pub-id-type="pmid">19545209</article-id><article-id pub-id-type="pmc">3081655</article-id><article-id pub-id-type="doi">10.1086/600074</article-id><article-id pub-id-type="manuscript">NIHMS287149</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Adult Male Circumcision Does Not Reduce Risk of Incident <italic>Neisseria gonorrhoeae, Chlamydia trachomatis, and Trichomonas vaginalis</italic>: Results from a Randomized Controlled Trial in Kenya</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Mehta</surname><given-names>Supriya D.</given-names></name><degrees>MHS, PhD</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Moses</surname><given-names>Stephen</given-names></name><degrees>MD, MPH</degrees><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Agot</surname><given-names>Kawango</given-names></name><degrees>MPH, PhD</degrees><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Parker</surname><given-names>Corette</given-names></name><degrees>DrPH</degrees><xref ref-type="aff" rid="A4">4</xref></contrib><contrib contrib-type="author"><name><surname>Ndinya-Achola</surname><given-names>Jeckoniah O.</given-names></name><degrees>MBCHB, MSc</degrees><xref ref-type="aff" rid="A5">5</xref></contrib><contrib contrib-type="author"><name><surname>Maclean</surname><given-names>Ian</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="A6">6</xref></contrib><contrib contrib-type="author"><name><surname>Bailey</surname><given-names>Robert C.</given-names></name><degrees>PhD, MPH</degrees><xref ref-type="aff" rid="A1">1</xref></contrib></contrib-group><aff id="A1"><label>1</label>Department of Epidemiology and Biostatistics, University of Illinois Chicago School of Public Health, Illinois, USA</aff><aff id="A2"><label>2</label>Departments of Medical Microbiology, Community Health Sciences and Medicine, University of Manitoba, Winnipeg, Canada</aff><aff id="A3"><label>3</label>UNIM Project, Kisumu, Kenya</aff><aff id="A4"><label>4</label>RTI International, Research Triangle Park, North Carolina, USA</aff><aff id="A5"><label>5</label>Department of Medical Microbiology, University of Nairobi, Nairobi, Kenya</aff><aff id="A6"><label>6</label>Department of Medical Microbiology, University of Manitoba, Winnipeg, Canada</aff><author-notes><corresp id="cor1"><bold>Corresponding Author:</bold> Dr. Supriya Mehta, 958 SPHPI M/C 923; 1603 W. Taylor St.; Chicago, IL 60622; phone: (312) 413-7485; fax (312) 996-0064; <email>supriyad@uic.edu</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>7</day><month>4</month><year>2011</year></pub-date><pub-date pub-type="ppub"><day>1</day><month>8</month><year>2009</year></pub-date><pub-date pub-type="pmc-release"><day>25</day><month>4</month><year>2011</year></pub-date><volume>200</volume><issue>3</issue><fpage>370</fpage><lpage>378</lpage><abstract><sec id="S1"><title>Objectives</title><p id="P1">We examined the effect of male circumcision on the acquisition of three non-ulcerative sexually transmitted infections (STIs).</p></sec><sec sec-type="methods" id="S2"><title>Methods</title><p id="P2">We evaluated STI incidence among men aged 18–24 enrolled in a randomized trial of circumcision to prevent HIV infection in Kisumu, Kenya. The outcome was first incident non-ulcerative STI over two years follow-up. STIs examined were laboratory-detected <italic>Neisseria gonorrhoeae</italic> (NG), <italic>Chlamydia trachomatis</italic> (CT) and <italic>Trichomonas vaginalis</italic> (TV).</p></sec><sec id="S3"><title>Results</title><p id="P3">There were 342 incident infections among 2,655 men followed. Incidences of infection per 100 person-years (PYs) were: 3.48 for NG; 4.55 for CT; and 1.32 for TV. The combined incidence of NG or CT infection was 7.26 per 100 PYs (95% CI: 6.49 – 8.13). The incidence of these STIs, individually or combined, did not differ by circumcision status as a time-dependent variable, or fixed variable based on assignment. Risks for incident STIs in multivariable analysis included: STI at enrollment, multiple sex partners < 30 days, and sex during menses in the past 6 months; condom use was protective.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">Circumcision of men in this population did not reduce their risk of acquiring these non-ulcerative STIs. Improved STI control will require more effective STI management, including partner treatment, and behavioral risk reduction counseling.</p></sec></abstract><kwd-group><kwd>circumcision</kwd><kwd>gonorrhea</kwd><kwd>chlamydia</kwd><kwd>trichomonas</kwd><kwd>Africa</kwd><kwd>Kenya</kwd></kwd-group><funding-group><award-group><funding-source country="United States">National Institute of Allergy and Infectious Diseases Extramural Activities : NIAID</funding-source><award-id>U01 AI050440-09 || AI</award-id></award-group></funding-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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