Thomas Odeny|Robert C. Bailey|Elizabeth A. Bukusi|Jane M. Simoni|Kenneth Tapia|Krista Yuhas|King K. Holmes|R. Scott McClelland
Effect of Text Messaging to Deter Early Resumption of Sexual Activity After Male Circumcision for HIV Prevention
University of Washington|Kenya Medical Research Institute|University of Illinois at Chicago|University of Illinois at Chicago|Beijing Obstetrics and Gynecology Hospital|Kenya Medical Research Institute|University of Washington|AIDS United|University of Washington|AIDS United|University of Washington|University of Washington|AIDS United|University of Washington|AIDS United
resumption sex complete wound healing male circumcision may increase risk postoperative surgical complications hiv acquisition transmission aimed determine effect text messaging deter resumption sex 42 days postcircumcisionwe conducted randomized trial men older than18 years owned mobile phones undergone circumcision randomized receive series text messages n 600 usual care n 600 primary outcome selfreported resumption sex 42 dayssex 42 days reported 139 491 283 men intervention group 124 493 252 men control group relative risk 113 95 confidence interval ci 091 138 p 03 men likely resume early married livein sexual partner adjusted relative risk arr 157 95 ci 118 208 p 001 month circumcision 1 arr 150 95 ci 107 212 p 002 1 arr 181 95 ci 124 266 p 001 sexual partners primary school lower education arr 162 95 ci 133 197 p 0001 employed arr 135 95 ci 105 172 p 002 2130 years old arr 158 95 ci 101 247 p 005 3140 years old arr 191 95 ci 118 309 p 001 older 40 years arr 176 95 ci 104 297 p 003 compared younger 21 yearstext messaging used trial reduce early resumption sex circumcision identified key risk factors early resumption need considered circumcision programs