A prospective study of risk compensation following male circumcision as an HIV prevention method in Nyanza Province, Kenya: interim results Presented by:

Slides:

Advertisements

Similar presentations

MICS4 Survey Design Workshop Multiple Indicator Cluster Surveys Survey Design Workshop Questionnaire for Individual Women: Sexual Behaviour.

Advertisements

Sexual behaviour Additional module for inclusion in countries where HIV/AIDS is a potential concern (includes MDG indicator 19a) Womens questionnaire (ages.

What women think about male circumcision: Perceptions of the female partners of recently circumcised men in Nyanza Province, Kenya Timothy Okeyo 1, Nelli.

ASSESSING RISK COMPENSATION POST-VOLUNTARY MEDICAL MALE CIRCUMCISION IN ZAMBIA Paul C. Hewett a, Petra Todd b, Nicolas Grau c, Erica Soler- Hampejsek c,

Research activities in Orange Farm Bertran Auvert INSERM University of Versailles, France Country update meeting on scaling - up of male circumcision programmes.

Behavioural data collection: Analysis and interpretation issues Public Health Conference, 15 May 2006 Gauteng Department of Health, the University of the.

Behavioral Intention and Partner Type on Condom Use Among Men in Drug Treatment Yong S. Song, PhD, University of California, San Francisco Donald Calsyn,

Characteristics of clients undergoing repeat HIV counseling and testing compared to clients newly-tested for HIV in Nyanza Province Oyaro P, Owuor K, Ng’eno.

National Family Health Survey (NFHS-3) HIV/AIDS: Knowledge, Stigma, and Behaviour.

High Risk Sharing Behaviors: The Effect of Sex within Injecting Partnerships Meghan D. Morris, PhD, MPH Postdoctoral Research Fellow Department of Epidemiology.

Clinician Practices in Assessing Risk Behavior in US HIV Clinics Carol Dawson Rose, Grant Colfax, Lisa Metsch, David Mc Kirnan and Cari Courtenay-Quirk.

HIV INTERVENTION FOR PROVIDERS (HIP) Principal Investigators:  Carol Dawson Rose, RN, Ph.D. and Grant Colfax, MD. Co-Investigators:  Cynthia Gomez, Ph.D.,

High Sexual Risk But Low HIV Prevalence Among Asian And Pacific Islander (API) Men Who Have Sex With Men (MSM) Kyung-Hee Choi Center for AIDS Prevention.

A Randomized Controlled Trial of Male Circumcision to Reduce HIV Incidence in Kisumu Robert C. BaileyJ.O. Ndiny-Achola Univ. of Illinois at ChicagoUniv.

Trial Intervention of Male Circumcision Services in Nyanza Province, Kenya Tom Onyango MatindeRobert Bailey Kenya Ministry of HealthUniv of Illinois at.

Kenya’s Youth Today From the 2003 Kenya Demographic and Health Survey.

By Rosemary Uside Kongani National Bureau of Statistics KENYA Integrating a Gender Perspective into Statistics 4 th -7 th December 2012 Kampala, Uganda.

Monitoring the effects of ARV treatment programmes on prevention Gabriel Mwaluko 1, Mark Urassa,2, John Changalucha,2, Ties Boerma 3 1 TANESA Project,

Factors associated with post-operative follow-up after voluntary medical male circumcision in Nyanza Province, Kenya Arbogast Oyanga Monitoring and Evaluation(M&E)

Impact of a male centered rapid results initiative approach on PMTCT services in FACES supported MOH facilities in Nyanza Province Akama.

Adolescent Sexual Risk Behaviors From the 2011 SC YRBS Delores Pluto, PhD SC Healthy Schools The SC Youth.

A random household survey of male circumcision and HIV in Kisumu, Kenya Circumcision Impact Study (CIRCIS) Matthew Westercamp University of Illinois at.

Male Circumcision and HIV prevention, the Evidence and potential Impact on HIV incidence in Zimbabwe Karin Hatzold, MD, MPH Director HIV Services PSI Zimbabwe.

HIV/AIDS BI-ANNUAL REVIEW 2008 Prevention -Goal, Indicators and Targets TACAIDS.

EVENT LEVEL: Sex obtained through aggression will frequently be unprotected GLOBAL LEVEL: Men who have perpetrated sexual aggression will be more likely.

HIV CENTER for Clinical and Behavioral Studies at NY State Psychiatric Institute and Columbia University USE OF A RAPID HIV HOME TEST TO SCREEN POTENTIAL.

HIV Prevention in Kenya: Lessons Learned from the 2007 Kenya AIDS Indicator Survey Carol Ngare KAIS TWG Member, NASCOP-MOH Prevention Summit 2008 HIV Prevention.

HIV/AIDS Education Impact on Risky Adolescent Sexual Behaviors across Racial Groups Seventh National Conference on Quality Health Care for Culturally Diverse.

Lexington High School Youth Risk Behavior Survey Results Ten Year Trends.

National roll-out of database for HIV prevention programmes among civil society organizations in Ukraine Olga Varetska ICF “International HIV/AIDS Alliance.

MEN WHO HAVE SEX WITH MEN (MSM) AND RISK FACTORS ASSOCIATED WITH CONDOM USE AT LAST SEXUAL INTERCOURSE WITH A MAN AND A WOMAN IN SENEGAL ELIHoS Project.

1 HIV and AIDS Data Hub for Asia-Pacific Review in slides Bangladesh.

FBO Engagement in Male Circumcision May 25, 2009 CCIH Annual Conference.

Gendered sexual risk patterns and polygamy among HIV sero-discordant couples in Uganda Sarah Khanakwa, 1 Moses Ngolobe, 2,3 David Moore, 4 Robert Mwesigwa,

Sexual Risk Behaviors. Percentage of High School Students Who Ever Had Sexual Intercourse, by Type of Grades Earned (Mostly A’s, B’s, C’s or D’s/F’s),

2007 Youth Risk Behavior Survey Results Alaska High School Survey Grades 9-12 Alaska Division of Public Health Weighted Data Sexual Behaviors.

Dr. E. Odoyo-June Early Infant male circumcision in Nyanza Province, Kenya UNIM Project Nyanza Reproductive Health Society.

Preventing HIV/AIDS transmission on Historically Black Colleges and Universities (HBCUs) Peter Thomas, PhD, MPH Division of HIV/AIDS Prevention, Division.

Measuring Anal Intercourse in Vaginal Microbicide Studies/Trials

Venkatesan C, et al. 24th National IASSTD & AIDS & 11th SEAWP IUSTI Conference, India, 2000 CONSISTENCY OF CONDOM USE AMONG MEN WHO HAVE SEX WITH MEN (MSM)

HIV/STD Risk Reduction Skills- Building Intervention for Women Presented at the 2010 SCAADAC Conference, Charleston, SC Beverly W. Holmes, MSW Beatrice.

The Influence of Dyadic Partnerships on Condom Use among Male to Female Transgender (Waria) in Yogyakarta Indonesia Ignatius Praptoraharjo, Judith A. Levy,

Adolescents & HIV/AIDS Kenya % of 15,16,17,18 and 19 year olds who already have had sexual intercourse DHS,1998.

Status of HIV in Kenya DR Nicholas Muraguri MBChB, MPH, PGC epidemiology Head, National Aids and STI Control Program.

Background  Substance abusers are at risk for HIV and other STIs.  Anal intercourse (AI) is riskier than vaginal intercourse.  Studies of AI have focused.

Results from the STEAM Survey Elizabeth Barash, MPH.

Ethiopia Demographic and Health Survey 2011 HIV/AIDS Knowledge, Attitudes, and Behaviour.

HIV Prevalence and Incidence Estimates Among Women with High Risk Indicators in Addis Ababa, Ethiopia Asfawesen G-Yohanes 1, Stephanie Combes 2, Abraham.

2014 Kenya Demographic and Health Survey (KDHS) Key Indicators.

Figure 1. Food voucher given to VMMC clients H. Thirumurthy 1,2, E. Evens 3, S. Rao 4, M. Lanham 3, E. Omanga 4, K. Agot 4 1 Dept. of Health Policy and.

Behavioral Health and HIV/HCV Risk Behavior Among Young African American IDUs Patricia M Morse, LCSW, PhD, Edward V, Morse, PhD, Samuel Burgess, MA, MPH.

How much risky sex are people in Oregon with HIV having?

Elijah Odoyo-June 1,3, John Rogers 2, Walter Jaoko 1,3, Robert C. Bailey 1, 2 1 Nyanza Reproductive Health Society 2 University of Illinois at Chicago.

Kawango Agot, Omanga E, Kabare M, Ayieko B, Odeny R, Ohaga S. Impact Research & Development Organization, Kisumu, Kenya We too are shareholders: Why Women.

Associations Between Recent Gender- Based Violence and Pregnancy, Sexually Transmitted Infections, Condom Use Practices, and Negotiation of Sexual Practices.

Trends in HIV-Related Risk Behaviors Among U.S. Adolescents: Is Progress Stalling? Laura Kann, Ph.D. Lexi Balaji, Ph.D. Richard Lowry, M.D. Nancy Brener,

Trends in HIV-Related Risk Behaviors Among U.S. Adolescents: 15 Years of Progress Laura Kann, Ph.D. Richard Lowry, M.D. Nancy Brener, Ph.D. Danice Eaton,

HIV Knowledge, Attitudes, and Behaviors

Follow along on Malaria Follow along on

Attachment style and condom use across and within dating relationships

Kimberly Jeffries Leonard, Ph.D.

WEPDC0104 Barriers to and facilitators of VMMC uptake among older men aged years in Nyanza Region, Western Kenya (the TASCO study) Kawango Agot1,

HIV knowledge, sexual behaviours and risk perceptions of high school learners in Gauteng and North West Provinces- South Africa. Mathildah Mokgatle (MPH,

Conclusions & Implications

The Male Circumcision Project

Holly S. Ruch-Ross, Sc.D. and Suzanne G. McLone, M.P.H.

Analysis of trends among 15–24-year-olds in high prevalence countries

Male Circumcision & HIV Prevention

Are condoms a contraceptive method

VACS Scientific Meeting Houston, TX February 2004

Presentation transcript:

A prospective study of risk compensation following male circumcision as an HIV prevention method in Nyanza Province, Kenya: interim results Presented by: Robert C. Bailey PhD, MPH - University of Illinois Investigators: Robert C. Bailey, PhD, MPH - University of Illinois Kawango Agot, PhD, MPH - IRDO, Kisumu, Kenya Nelli Westercamp, PhDc, MPH - University of Illinois

Circumcised men Change in behavior before and after MC Baseline visit 6-month follow up Ever had sex82% Had sex in the past 6 months *59%65% Used condoms last time had sex * (sexually active only) 49%52% mean (median; IQR) Number of partners in past 6 months (sexually active in the past 6 months) 1.5 (1; 0-2)1.6 (1; 0-2) Acts of intercourse in the last 30 days * (sexually active in the past 6 months) 1.5 (0; 0-2)2.0 (0; 0-2) * p<0.05

Circumcised men vs. controls Change in behavior before and after MC G = Group effect p value T = Time effect p value Circumcision Control Proportion of men reporting ever having sex G=0.46 T=0.01 Proportion of men reporting having sex in the past 6 months G=0.62 T=0.001 Proportion of men reporting using condoms at last sex G=0.85 T=0.10 Mean number of partners in the past 6 months G=0.69 T=0.02 Mean frequency of sex in the past 30 days G=0.93 T=0.01

Summary and conclusions When comparing circumcised men to themselves before MC it appears they have sex more often, but with the same number of partners and with increased condom use. The control group has similar trends over time, indicating that changes in behavior are unlikely to be related to circumcision Based on these results, we found no evidence of risk compensation 6 months after the circumcision among young Kenyan men In the future, we will report results from 24 months of follow-up on the approximately 3200 men in this prospective study.