Author: Toby Marotta, Ph.D.
Tue Apr 22 00:44:49 2008

Continuing failure to acknowledge that washing genitals with clean water after sex -- post-sex hygiene -- is a way of reducing risk of AIDS makes this argument seem blind to cutting-edge prevention research in this field. See the following:

JAIDS Journal of Acquired Immune Deficiency Syndromes:Volume 43(1)September 2006pp 117-118 Independent Association of Hygiene, Socioeconomic Status, and Circumcision With Reduced Risk of HIV Infection Among Kenyan Men [Epidemiology and Social Science] Meier, Amalia S. PhD*∥; Bukusi, Elizabeth A. MBChB, M Med(ObGyn), MPH†§¶; Cohen, Craig R. MD, MPH#; Holmes, King K. MD, PhD‡§

From the Departments of *Laboratory Medicine, †Gynecology, and ‡Medicine, and the §Center for AIDS and STD, University of Washington, Seattle; the ∥Program in Biostatistics, Fred Hutchinson Cancer Research Center, Seattle; the ¶Center for Microbiology Research, Kenya Medical Research Institute, Nairobi, Kenya; and the #Department of Obstetrics, Gynecology, and Reproductive Science, University of California, San Francisco.

Received for publication November 23, 2005; accepted April 18, 2006.

Supported by the University of Washington Center for AIDS Research (AI 27757), STI-Topical Microbicide Cooperative Research Center (AI 31448), and AIDS International Research & Training Program (NIH FIC D43 TW00007).

Reprints: King K. Holmes, MD, PhD, Harborview Medical Center, Box 359931, 325 9th Ave, Seattle, WA 98104 (e-mail: worthy@u.washington.edu).

Article Outline Abstract METHODS RESULTS DISCUSSION ACKNOWLEDGMENTS REFERENCES Citing Articles Figures/Tables Table 1 Abstract TOP Summary: Among Kenyan men recruited as sex partners of women with genital symptoms, 22 of 150 were HIV seropositive. Because male HIV infection and male hygiene were unexpectedly found to be associated with each other, we examined the relationship of 5 hygiene variables with HIV infection in the men in a principal components analysis, controlling for socioeconomic status and other potential confounders. By multivariate analyses, HIV infection in men was not only independently associated with previous illness (odds ratio [OR], 5.1; 95% confidence interval [CI], 1.4-19.1) and inversely associated with being circumcised (OR, 0.12; 95% CI, 0.02-0.91), but also independently associated with a combined measure of hygiene (OR, 0.41; 95% CI, 0.19-0.90).




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