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A number of studies in African nations have found that circumcised heterosexual men were up to 60 percent less likely than uncircumcised men to contract HIV during the study periods. After adjusting for age and ethnicity, we found no differences between circumcised and uncircumcised men in any insertive or receptive anal intercourse, difficulty using condoms, or sexual difficulties e. Multivariate logistic regression was used to identify covariates associated with willingness to be circumcised. In this study, uncircumcised gay men were twice as likely to become infected with HIV as circumcised men. Circumcision status was obtained by self-report, which may be less accurate than ascertaining circumcision status by physical examination, although a recent study shows high concordance between self-report and actual circumcision status. Univariate and multivariate logistic regressions were performed on data from 1, HIV-negative homosexually active men. However, this was not a randomised controlled trial and, although the results were suggestive, it could not rule out differences in behaviour between circumcised and uncircumcised men as the cause.

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There is no evidence from any prospective randomized study that circumcision would have a similar protective impact on gay men.

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Annals of Epidemiology. In several high-income countries gay and bisexual men are disproportionately affected by HIV infection and other sexually transmitted infections such as syphilis. Circumcision status and risk of HIV and sexually transmitted infections among men who have sex with men. MSM who reported using non-injection drugs in the 12 months before the interview were more likely to be willing to be circumcised than MSM who did not report using non-injection drugs.

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MSM reporting non-injection drug use in the past 12 months were more likely than MSM who did not use non-injection drugs to report that they would be willing to be circumcised as an adult.

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