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Association Between Male Circumcision and Cervical Cancer Risk: A Systematic Review and Meta-Analysis of Analytical
Mariya Amin Qurieshi1, Inaamul Haq1, Tazean Zahoor Malik1
1Department of Community Medicine, Government Medical College, Srinagar, India.
Male circumcision is linked to reduced odds of cervical cancer in women. This finding suggests a potential protective effect, warranting further investigation into human papillomavirus (HPV) transmission dynamics.
Area of Science:
- Oncology
- Epidemiology
- Public Health
Background:
- Cervical cancer remains a significant global health concern, particularly for women.
- Understanding risk factors and preventive measures is crucial for public health strategies.
Purpose of the Study:
- To synthesize evidence on the association between male circumcision and cervical cancer risk in females.
- To evaluate the prophylactic potential of male circumcision against cervical lesions.
Main Methods:
- Systematic review of multiple databases including PubMed, Cochrane, and Google Scholar.
- Inclusion of 19 studies assessing male circumcision status and female cervical cancer.
- Risk-of-bias assessment using Newcastle-Ottawa scales and estimation of summary odds ratios.
Main Results:
- Male circumcision was associated with significantly decreased odds of cervical cancer (OR, 0.65).
- Reduced odds were observed for invasive cervical cancer (OR, 0.71), cervical dysplasia (OR, 0.65), and carcinoma in situ (OR, 0.67).
- The analysis included 19 studies with a generally low risk of bias.
Conclusions:
- Male circumcision demonstrates a potential prophylactic role against various cervical lesions.
- Further research on male circumcision's impact on human papillomavirus (HPV) infection is recommended.
- Understanding HPV transmission is key to elucidating cervical cancer pathogenesis.
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