Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Sex with stitches: Assessing the resumption of sexual activity during the postcircumcision wound-healing period
AIDS, Volume 26, No. 6, Year 2012
Notification
URL copied to clipboard!
Description
OBJECTIVES: This study uses observational data collected as part of Zambia's male circumcision program to measure sexual behavior in the postsurgical healing period and to model its influence on HIV transmission for men and their partners. DESIGN/METHODS: From August to October 2010, 248 men about to undergo male circumcision were recruited to participate. Interviews were conducted at baseline and 6 weeks after circumcision, the recommended period of sexual abstinence for complete wound healing. Logistic and Poisson regression models were used to assess risk factors for early resumption of sex. A static-network deterministic transmission model was constructed to assess the impact of the program given early resumption of sex. RESULTS: Twenty-four percent of circumcised men reported resuming sex prior to 6 weeks after surgery. Of men having sex, 46% had sex in the first 3 weeks, 82% reported at least one unprotected sex act, and 37% reported sex with two or more partners. The model estimates that of the 61 000 men circumcised in 1 year, early resumption of sex leads to 69 extra HIV infections (32 among men, 37 among women), but it estimates a net effect of 230 fewer HIV infections in 1 year, predominantly among men. CONCLUSION: Prevalence of risky sexual behavior during wound healing is high and more likely among those reporting risky sexual behaviors at baseline. Nonetheless, the net effect of the male circumcision intervention is beneficial. The impact on women, however, is very sensitive to the prevalence of early resumption of sex. © 2012 Lippincott Williams & Wilkins, Inc.
Authors & Co-Authors
Hewett, Paul C.
Zambia, Lusaka
Population Council
Hallett, Timothy B.
United Kingdom, London
Imperial College London
Mensch, Barbara Sena
United States, New York
The Population Council, Inc.
Dzekedzeke, Kumbutso
Zambia, Lusaka
Dzekedzeke and Company
Zimba-Tembo, Susan
Zambia, Lusaka
Zambian Ministry of Health
Garnett, Geoff Peter
United Kingdom, London
Imperial College London
Todd, Petra E.
United States, Philadelphia
University of Pennsylvania
Statistics
Citations: 38
Authors: 7
Affiliations: 6
Identifiers
Doi:
10.1097/QAD.0b013e32835097ff
e-ISSN:
14735571
Research Areas
Health System And Policy
Infectious Diseases
Sexual And Reproductive Health
Study Design
Randomised Control Trial
Cross Sectional Study
Study Locations
Zambia
Participants Gender
Male
Female