Circumcision, which has helped prevent AIDS among heterosexual men in Africa, doesn't help protect gay men from the virus, according to the largest U.S. study to look at the question.
The research, presented at a conference Tuesday, is expected to influence the government's first guidance on circumcision.
Circumcision "is not considered beneficial" in stopping the spread of HIV through gay sex, said Dr. Peter Kilmarx, of the U.S. Centers for Disease Control and Prevention.
However, the CDC is still considering recommending it for other groups, including baby boys and high-risk heterosexual men.
[snip]
Previous research has suggested circumcision doesn't make a difference when anal sex is involved. The latest study, by CDC researchers, looked at nearly 4,900 men who had anal sex with an HIV-infected partner and found the infection rate, about 3.5 percent, was approximately the same whether the men were circumcised or not.
Government recommendations on circumcision are still being written and may not be final until next year, following public comment. CDC doctors and many experts believe there is a good argument for recommending that baby boys and heterosexual men at a higher risk for HIV be circumcised.
The definition of "high risk" is still being discussed, said Kilmarx, chief of the epidemiology branch in the CDC's HIV division.
I sincerely hope the CDC does not mean that they are going to start recommending circumcision for babies in the United States, despite it being CLEAR that the US epidemic is not being driven by heterosexual transmission. Ughhhhhh!
The study the CDC refers to is a meta-analysis: Gregorio A. Millett, et al., "Review: Circumcision Status and Risk of HIV and Sexually Transmitted Infections Among Men Who Have Sex With Men," JAMA, Oct. 8, 2008, 1674-1684, corrected Mar. 18, 2009, p. 1126-1129, DOI:10.1001/jama.300.14.1674
Even for heterosexuals, the supposed benefit of circumcision is marginal at best.
The same type of data could be used to justify cutting off baby girls' breasts to prevent future breast cancer, which is more common than HIV infections in the U.S.
My last two postings on the CDC bias were: Circumcision promotes promiscuity? (8/27/09) and CDC may recommend circumcision (8/24/09)