Is There a Link Between Circumcision and AIDS?

Foreskin circumcision is one of the AIDS bio-prevention intervention technologies, and it is of great significance to control the spread of AIDS. The World Health Organization and UNAIDS recommend it as an important supplementary strategy for AIDS prevention. The circumcision rate of male circumcision in China is very low, and the public has little knowledge about circumcision to prevent the spread of AIDS. Under the funding of the National Science and Technology Major Project of the "Eleventh Five-Year Plan", this book comprehensively elaborates the origin, development of circumcision, the biological mechanism and epidemiological research of AIDS prevention, the feasibility of its promotion in China, and the circumcision. The relevant ethics, psychology, and health policy analysis, etc., are intended to provide a reading book for the general public to popularize circumcision-related AIDS prevention knowledge, and also provide reference and reference for AIDS prevention and control workers and researchers in China.

Foreskin circumcision and HIV prevention

Under the funding of the National Science and Technology Major Project of the "Eleventh Five-Year Plan", this book comprehensively elaborates the origin, development of circumcision, the biological mechanism and epidemiological research of AIDS prevention, the feasibility of its promotion in China, and the circumcision. The relevant ethics, psychology, and health policy analysis, etc., are intended to provide a reading book for the general public to popularize circumcision-related AIDS prevention knowledge, and also provide reference and reference for AIDS prevention and control workers and researchers in China.

Liang Hao: Male, born in January 1965, native of Pubei, Guangxi, member of the Communist Party of China. Doctor of Huazhong University of Science and Technology, postdoctoral fellow of the University of Pennsylvania. Currently Professor of Epidemiology and Health Statistics, Doctoral Supervisor, Guangxi Medical University, Secretary of the Party Committee of the School of Public Health, Guangxi Medical University, and Deputy Dean, Director of the Guangxi Key Laboratory of AIDS Prevention Research Cultivation Base, and Director of Guangxi Major Infectious Disease Prevention and Research Laboratory . Guangxi One Hundred Thousand Talents in the New Century project candidate, outstanding scientific and technological talents in Guangxi universities, Bagui scholars in Guangxi universities, top 100 young and middle-aged subject leaders in Guangxi universities, and outstanding experts in epidemiology in Guangxi. He has been engaged in epidemiological teaching and scientific research for a long time. His research focuses on AIDS / HIV molecular epidemiology, biomedical intervention technology, and viral immunology.

Chapter 1 Introduction to the Preamble Chapter 1 Introduction 1

1 1 Overview of AIDS 1

1 2 The relationship between circumcision and AIDS prevention ... 3

1 3 Prospects for Promoting Circumcision for AIDS Prevention 4


Chapter 2 Status of the AIDS epidemic 8



2 1 The status of the global AIDS epidemic 8

2 2 The current status of the AIDS epidemic in China ... 12


Chapter 3 Commonly Used AIDS Prevention Measures 18



31 Promotion and application of condoms ... 18

32 methadone maintenance treatment ... 19

33Cleaning Needle Exchange 21

3 4 Mother and child block HIV transmission ... 24


Chapter 4 Biomedical Preventive Techniques for AIDS Prevention 27



4 1 Definition of Biomedical Preventive Technology and Its Main Types ... 27

4 2 HIV vaccine 27

4 3 Male circumcision and AIDS prevention ... 32

4 4 Microbicides and AIDS Prevention ... 33




4 5 Pre-exposure medications ... 36
Chapter 5 Introduction to Relevant Knowledge about Male Foreskin Circumcision ... 42

5 1 Origin and development of circumcision ... 42

5 2 The significance of circumcision for health ...

5 3 Foreskin circumcision standard, common operation methods and common complications and management 46

Research progress of 54 foreskin circumcision ... 50
Chapter 6 Epidemiological Study on Circumcision for Prevention of AIDS 52

6 1 Epidemiological research design for circumcision prevention of AIDS 52

6 Evidence of epidemiological study on circumvention of AIDS prevention in different populations at home and abroad 57

6 3 meta-analysis of circumcision to prevent AIDS 60
Chapter 7 The biological mechanism of circumcision to prevent AIDS 63

7 1 Biological mechanism of HIV infecting host through reproductive tract 63

7 2 The biological mechanism that the foreskin is too long increases the probability of AIDS infection ...

7 3 The mechanism of circumcision to reduce the risk of HIV sexual transmission 71


Chapter 8 Ethical and Psychological Issues in Promoting Circumcision ... 74

8 1 Basic Ethical Problems Facing in the Process of Study 74

8 2 Choice of Public Ethics Policy for HIV / AIDS Prevention 77


Chapter 9 Related Psychological Features and Interventions of the Foreskin to Promote the Population ... 82



Psychological characteristics of 91 circumcision patients ... 82

9 2 Psychological problems encountered in the implementation of circumcision and intervention measures ... 84

Chapter 10 Health Policy Analysis and Health Economics Evaluation to Promote Circumcision ... 90

10 1 Overview of the health policies that promote circumcision in different policy-making bodies ... 90

10 2 Analysis of China's health policies to promote circumcision ... 93

10 3 Evaluation of health economics of foreign circumcision promotion 94