Long-term Effects of Male Circumcision on Risky Sexual Behaviors and STD Infections: Evidence from Malawian Schools

Title
Long-term Effects of Male Circumcision on Risky Sexual Behaviors and STD Infections: Evidence from Malawian Schools
Authors
Kim, Booyuel
Issue Date
2016-10
Series/Report no.
Working Paper Series;WP16-08
Abstract
The introduction of risk-reducing technology can lead to unintended consequences, especially when risk compensation can be one of potential operating mechanism to o set the positive impact. For male circumcision, its preventive e ect against HIV infection might diminish if circumcised men engage in riskier sexual behaviors. The purpose of this study is to investigate risk-compensating behavior after medical male circumcision in the long run. We randomly pro- vided free male circumcision surgery to 2,667 adolescent male students at secondary schools in Malawi and conducted long-term follow-up survey after about four years. We nd that male students who received the o er more intensively were 35 percent more likely to be infected with HSV-2 than the other students, suggesting riskier sexual behavior after circumcision. Self- reported sexual behavior, meanwhile, are showing little-to-no evidence of practicing riskier sex after circumcision, except for the inconsistent use of condom.
URI
https://www.kdischool.ac.kr/#/www/content/faculty_and_research/research/working_paper_series?contentId=27333 http://hdl.handle.net/11125/21807
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