Circumcision and Risk of Sexually Transmitted Infections in a Birth Cohort
Received 16 May 2007; received in revised form 20 June 2007; accepted 26 July 2007. published online 22 October 2007.
Objective
To determine the impact of early childhood circumcision on sexually transmitted infection (STI) acquisition to age 32 years.
Study design
The circumcision status of a cohort of children born in 1972 and 1973 in Dunedin, New Zealand was sought at age 3 years. Information about STIs was obtained at ages 21, 26, and 32 years. The incidence rates of STI acquisition were calculated, taking into account timing of first sex, and comparisons were made between the circumcised men and uncircumcised men. Adjustments were made for potential socioeconomic and sexual behavior confounding factors where appropriate.
Results
Of the 499 men studied, 201 (40.3%) had been circumcised by age 3 years. The circumcised and uncircumcised groups differed little in socioeconomic characteristics and sexual behavior. Overall, up to age 32 years, the incidence rates for all STIs were not statistically significantly different—23.4 and 24.4 per 1000 person-years for the uncircumcised and circumcised men, respectively. This was not affected by adjusting for any of the socioeconomic or sexual behavior characteristics.
Conclusions
These findings are consistent with recent population-based cross-sectional studies in developed countries, which found that early childhood circumcision does not markedly reduce the risk of the common STIs in the general population in such countries.
Department of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand.
Reprint requests: Dr Nigel Dickson, Department of Preventive and Social Medicine, University of Otago Medical School, PO Box 913, Dunedin, New Zealand.
Supported by the Health Research Council of New Zealand.
1 Dr Nigel Dickson wrote the first draft of the manuscript and received no honorarium, grant, or other form of payment to produce the manuscript.
ABSTRACT