Background: Male circumcision (MC) has been shown to prevent transmission of HIV and other STD. However, the epidemiology of HIV, STD, and MC in the United States differs from that in the sub-Saharan African clinical trial settings. The CDC is drafting recommendations for MC for prevention of HIV and other adverse health outcomes in the United States, taking into account scientific evidence; review by external experts, government agencies, and professional societies; and public comment.
Objectives: To review research, surveillance data, and other information relevant to MC and the prevention of HIV, STD, and other adverse health outcomes in the
Methods: A systematic literature review on the risks and benefits of MC was undertaken. Surveys of acceptability and feasibility were conducted among medical providers, insurance payers, and consumers (parents, adult men). Policy and ethical implications of elective MC were reviewed.
Conclusions: The potential role of MC to limit HIV transmission in the
Implications for Programs, Policy, and/or Research: Future activities should ensure access to accurate information to make evidence-based individual and policy decisions about MC.
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