Acceptability of newborn circumcision to prevent HIV infection in the United States

Sex Transm Dis. 2011 Jun;38(6):536-42. doi: 10.1097/OLQ.0b013e318207f5b0.

Abstract

Background/purpose: To understand whether information from the African clinical trials about the partially protective effect of male circumcision against human immunodeficiency virus (HIV) infection could influence adults to circumcise a newborn son.

Methods: Using the 2008 ConsumerStyles panel survey data, multiple regression analysis was performed to identify correlates of (1) inclination toward circumcising a newborn son and (2) being influenced to have a newborn son circumcised if it would reduce the chance of becoming HIV infected later in life.

Results: Response rate was 50.6% (10,108/19,996). Approximately 12% reported not being inclined to circumcise a newborn son. Higher odds of not being inclined to circumcise a newborn son were associated with Hispanic and "other" race/ethnicity, being an uncircumcised man and a man not reporting circumcision status, postgraduate education, region, and negative health-related attitudes. Lower odds were associated with black race and less number of household members. Fifty-three percent of respondents reported that information about the protective effect of circumcision would make them more likely to have a newborn son circumcised. Higher odds of being influenced to have a newborn son circumcised were associated with being ≥45 years of age, black race, living in a household with fewer than 5 members, having high school or some college education, region, and positive health-related attitudes; lower odds were associated with being an uncircumcised man and lower income.

Conclusions: Our findings suggest that providing educational information about the HIV prevention and benefit of circumcision may increase the inclination to circumcise a newborn son for some people.

MeSH terms

  • Adolescent
  • Adult
  • Circumcision, Male / ethnology
  • Circumcision, Male / psychology*
  • Circumcision, Male / statistics & numerical data
  • Female
  • HIV Infections / prevention & control*
  • Health Care Surveys
  • Humans
  • Infant, Newborn
  • Male
  • Middle Aged
  • Patient Acceptance of Health Care*
  • United States
  • Young Adult