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Male circumcision, religion, and infectious diseases: an ecologic analysis of 118 developing countries

Author(s): Drain Paul | Halperin Daniel | Hughes James | Klausner Jeffrey | Bailey Robert

Journal: BMC Infectious Diseases
ISSN 1471-2334

Volume: 6;
Issue: 1;
Start page: 172;
Date: 2006;
Original page

Abstract Background Both religious practices and male circumcision (MC) have been associated with HIV and other sexually-transmitted infectious diseases. Most studies have been limited in size and have not adequately controlled for religion, so these relationships remain unclear. Methods We evaluated relationships between MC prevalence, Muslim and Christian religion, and 7 infectious diseases using country-specific data among 118 developing countries. We used multivariate linear regression to describe associations between MC and cervical cancer incidence, and between MC and HIV prevalence among countries with primarily sexual HIV transmission. Results Fifty-three, 14, and 51 developing countries had a high (>80%), intermediate (20–80%), and low (

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