       Document 0826
 DOCN  M9440826
 TI    Circumcision and sexually transmitted diseases.
 DT    9404
 AU    Cook LS; Koutsky LA; Holmes KK; Department of Epidemiology, School of
       Public Health, University; of Washington, Seattle.
 SO    Am J Public Health. 1994 Feb;84(2):197-201. Unique Identifier : AIDSLINE
       MED/94127625
 AB    OBJECTIVES. New evidence linking lack of circumcision with sexually
       transmitted human immunodeficiency virus revives concerns about
       circumcision and other sexually transmitted diseases. This study was
       undertaken to assess the relationship between circumcision and syphilis,
       gonorrhea, chlamydial infection, genital herpes, nongonococcal
       urethritis, and exophytic genital warts. METHODS. A cross-sectional
       study of 2776 heterosexual men attending a sexually transmitted disease
       clinic in 1988 was used to investigate the relationship between
       circumcision and sexually transmitted diseases. Subjects with specific
       sexually transmitted diseases and those without such diseases were
       compared after adjustment for age, race, zip code of residence, other
       sexually transmitted diseases, and number of sexual partners. RESULTS. A
       positive relationship was observed between uncircumcised status and both
       syphilis and gonorrhea. A negative relationship was found between warts
       and lack of circumcision. No apparent relationship was noted between
       uncircumcised status and genital herpes, chlamydial infection, or
       nongonococcal urethritis. CONCLUSIONS. Uncircumcised men were more
       likely than circumcised men to have syphilis and gonorrhea and were less
       likely to have visible warts.
 DE    Adolescence  Adult  *Circumcision  Cross-Sectional Studies  Human  Male
       Odds Ratio  Prevalence  Risk Factors  Sexually Transmitted
       Diseases/EPIDEMIOLOGY/*TRANSMISSION  Support, U.S. Gov't, P.H.S.
       Washington/EPIDEMIOLOGY  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

