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Evidence of Behavioural Compensation in Internal Replication Study of Male Circumcision Trial to Reduce HIV Acquisition in Kisumu, Kenya

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  • Jeffrey E. Korte
  • Eric W. Djimeu
  • Flor A. Calvo

Abstract

We replicated the study ‘Male circumcision for HIV prevention in young men in Kisumu, Kenya: a randomised controlled trial’ using an epidemiological approach as well as an econometric approach. Both approaches confirmed the 60 per cent protective effect of circumcision reported in the original paper. Similar to the original paper, we found no evidence of heterogeneous treatment effects by age. Contrary to the original study, we found evidence of risk compensation, with circumcised men less likely to stay abstinent (odds ratio 0.79 [95% CI: 0.64, 0.99]) and more likely to have had unprotected intercourse (OR 1.2 [1.1, 1.4]). These findings reinforce the impact of circumcision but highlight behavioural risk.

Suggested Citation

  • Jeffrey E. Korte & Eric W. Djimeu & Flor A. Calvo, 2019. "Evidence of Behavioural Compensation in Internal Replication Study of Male Circumcision Trial to Reduce HIV Acquisition in Kisumu, Kenya," Journal of Development Studies, Taylor & Francis Journals, vol. 55(5), pages 1034-1041, May.
    • Handle: RePEc:taf:jdevst:v:55:y:2019:i:5:p:1034-1041
    DOI: 10.1080/00220388.2018.1506580
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    1. Male circumcision and HIV acquisition: Reinvestigating the evidence from young men in Kisumu, Kenya (JDS 2019) in ReplicationWiki

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