Clinical Study

Association of Low-Risk Human Papillomavirus Infection with Male Circumcision in Young Men: Results from a Longitudinal Study Conducted in Orange Farm (South Africa)

Table 2

Intention-to-treat (ITT) and As-treated (AT) Poisson Mean Ratios (PMRs) of the number of low-risk HPV (LR-HPV) genotypes among the 1753 participants.

Number of participants (LR-HPV infected)Mean of LR-HPV genotypesPMR (95% CI)ITT aPMR (1)
(95% CI)
AT aPMR (1)
(95% CI)

Circumcision status
 Randomization group
  Control
   Intervention
863 (136)
890 (76)
0.33
0.18
1
0.53 (0.44–0.64)
1
0.54 (0.44–0.66)
not applicable
 Circumcision status
  Uncircumcised
   Circumcised
855 (136)
898 (76)
0.35
0.16
1
0.45 (0.37–0.55)
not applicable1
0.46 (0.37–0.56)

Background characteristics
 Ethnic group
  Sotho
  Zulu
  Other
941 (116)
538 (66)
274 (30)
0.24
0.27
0.26
1
1.12 (0.91–1.37)
1.05 (0.80–1.37)
1
1.05 (0.86–1.30)
1.00 (0.76–1.30)
1
1.04 (0.84–1.28)
1.06 (0.81–1.39)
 Age
  Under 21
  21 and older
831 (82)
922 (130)
0.20
0.30
1
1.53 (1.26–1.85)
1
1.08 (0.88–1.32)
1
1.10 (0.90–1.35)
 Primary level of education
  Uncompleted
  Completed
28 (6)
1725 (206)
0.54
0.25
1
0.47 (0.28–0.78)
1
0.50 (0.30–0.84)
1
0.48 (0.29–0.81)

Reported sexual behaviour
 Number of lifetime sexual partners
  two or less
  more than two
586 (49)
1167 (163)
0.14
0.31
1
2.24 (1.76–2.84)
1
1.68 (1.30–2.16)
1
1.69 (1.31–2.18)
 Condom use in the past 12 months(2)
  Inconsistent
  Consistent
695 (99)
223 (19)
0.32
0.15
1
0.48 (0.33–0.68)
1
0.66 (0.46–0.95)
1
0.68 (0.47–0.99)

Sexually transmitted infection prevalence at the 21-month visit
 HIV
  negative
  positive
1650 (175)
103 (37)
0.21
1.05
1
5.10 (4.11−6.34)
1
3.29 (2.57–4.22)
1
3.20 (2.49–4.10)
 HSV-2
  negative
  positive
1585 (173)
168 (39)
0.22
0.59
1
2.68 (2.15−3.36)
1
1.49 (1.15–1.93)
1
1.52 (1.17–1.96)

(1) Adjusted for ethnic group, age, education, number of lifetime sexual partners, condom use in the past 12 months, and HIV and HSV2 statuses at the 21-month visit;
(2) among those having at least one sexual intercourse in the past 12 months.