Assessment of Changes in Risk Behaviors During 3 Years of Posttrial Follow-up of Male Circumcision Trial Participants Uncircumcised at Trial Closure in Rakai, Uganda

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dc.contributor.authorKong, Xiangrong
dc.contributor.authorKigozi, Godfrey
dc.contributor.authorNalugoda, Fred
dc.contributor.authorMusoke, Richard
dc.contributor.authorKagaayi, Joseph
dc.contributor.authorLatkin, Carl
dc.contributor.authorSsekubugu, Robert
dc.contributor.authorLutalo, Tom
dc.contributor.authorNantume, Betty
dc.contributor.authorIga, Boaz
dc.contributor.authorWawer, Maria
dc.contributor.authorSerwadda, David
dc.contributor.authorGray, Ronald
dc.date.accessioned2022-03-07T15:11:41Z
dc.date.available2022-03-07T15:11:41Z
dc.date.issued2012
dc.description.abstractRisk compensation associated with male circumcision has been a concern for male circumcision scale-up programs. Using posttrial data collected during 2007–2011 on 2,137 male circumcision trial participants who were uncircumcised at trial closure in Rakai, Uganda, the authors evaluated their sexual behavioral changes during approximately 3 years’ follow-up after trial closure. Eighty-one percent of the men self-selected for male circumcision during the period, and their sociodemographic and risk profiles were comparable to those of men remaining uncircumcised. Linear models for marginal probabilities of repeated outcomes estimate that 3.3% (P < 0.0001) of the male circumcision acceptors reduced their engagement in nonmarital relations, whereas there was no significant change among men remaining uncircumcised. Significant decreases in condom use occurred in both male circumcision acceptors (−9.2% with all partners and −7.0% with nonmarital partners) and nonacceptors (−12.4% and −13.5%, respectively), and these were predominantly among younger men. However, the magnitudes of decrease in condom use were not significantly different between the 2 groups. Additionally, significant decreases in sex-related alcohol consumption were observed in both groups (−7.8% in male circumcision acceptors and −6.1% in nonacceptors), mainly among older men. In summary, there was no evidence of risk compensation associated with male circumcision among this cohort of men during 3 years of posttrial follow-up.en_US
dc.identifier.citationKong, X., Kigozi, G., Nalugoda, F., Musoke, R., Kagaayi, J., Latkin, C., ... & Gray, R. (2012). Assessment of changes in risk behaviors during 3 years of posttrial follow-up of male circumcision trial participants uncircumcised at trial closure in Rakai, Uganda. American journal of epidemiology, 176(10), 875-885.en_US
dc.identifier.urihttps://academic.oup.com/aje/article-abstract/176/10/875/93396
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/2528
dc.language.isoenen_US
dc.publisherAmerican journal of epidemiologyen_US
dc.subjectRisk Behaviorsen_US
dc.subjectMale circumcisionen_US
dc.subjectUncircumciseden_US
dc.titleAssessment of Changes in Risk Behaviors During 3 Years of Posttrial Follow-up of Male Circumcision Trial Participants Uncircumcised at Trial Closure in Rakai, Ugandaen_US
dc.typeArticleen_US
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