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Male circumcision reduces the risk of human immunodeficiency virus (HIV) transmission from HIV positive women to men in high risk populations. [1] [2]In 2020, the World Health Organization (WHO) reiterated that male circumcision is an efficacious intervention for HIV prevention if carried out by medical professionals under safe conditions. [3]
The CDC reported that in 2009 that male-to-male sex (MSM) accounted for 61% of all new HIV infections in the U.S. and that those who had a history of recreational drug injection accounted for an additional 3% of new infections. Among the approximately 784,701 people living with an HIV diagnosis, 396,810 (51%) were MSM.
In settings involving prostitution in low-income countries, risk of female-to-male transmission has been estimated as 2.4% per act, and of male-to-female transmission as 0.05% per act. [60] Risk of transmission increases in the presence of many sexually transmitted infections [66] and genital ulcers. [60]
[2] [5] While South Africa's large population of HIV-positive people is attributable to its high disease prevalence (17.3%, one of the highest in the world), Nigeria's is lower at 1.3%. [1] However, countries such as Nigeria with high HIV rates above 1% are classified as having Generalized HIV Epidemics (GHEs) by UNAIDS. [6]
Based on these studies, the World Health Organization and UNAIDS both recommended male circumcision as a method of preventing female-to-male HIV transmission in 2007. [28] Whether it protects against male-to-female transmission is disputed [29] [30] and whether it is of benefit in developed countries and among men who have sex with men is ...
The lowest rate of new HIV infections in 2021 occurred in the Asian American population, with a rate of 2.3 per 100,000. [103] According to CDC estimates, the most common transmission category of new HIV infections remained male-to-male sexual contact, which accounted for roughly 79% of all new infections in the United States in 2021. [103]
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