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The Association Between Male Circumcision and Condom Use Behavior - a Meta-Analysis
Steven Ndugwa Kabwama1, Derrick Ssewanyana2, Gabriele Berg-Beckhoff3
1Makerere University School of Public Health, Kampala, Uganda.
Materia Socio-Medica
|April 20, 2018
Summary
Male circumcision does not alter condom use behavior in the short to medium term. This meta-analysis found no significant change in condom use following circumcision, regardless of follow-up duration.
Area of Science:
- Public Health
- Epidemiology
- Behavioral Science
Background:
- The protective effect of male circumcision against HIV transmission is scientifically established.
- Understanding behavioral risk compensation is crucial for HIV prevention strategies.
Purpose of the Study:
- To analyze the impact of male circumcision knowledge on condom use.
- To investigate behavioral risk compensation in relation to circumcision benefits.
Main Methods:
- Systematic literature search across six databases.
- Quantitative assessment of studies linking male circumcision and condom use.
- Pooled odds ratios (OR) calculated from three cohort studies and two Randomized Control Trials (RCTs).
Main Results:
- No statistically significant change in condom use was observed at 6, 12, or 24+ months post-circumcision.
- Pooled ORs at different follow-up intervals indicated no consistent effect on condom usage behavior.
Conclusions:
- Male circumcision does not appear to influence condom use behavior in the short and medium term.
- Findings suggest that knowledge of circumcision's benefits does not lead to significant behavioral risk compensation regarding condom use.
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