{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T03:02:43Z","timestamp":1789354963621,"version":"build-2803163510"},"reference-count":45,"publisher":"CSIRO Publishing","issue":"5","license":[{"start":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T00:00:00Z","timestamp":1788480000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,20]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To investigate the safety and satisfaction of circumcision among men who have sex with men (MSM), as voluntary male medical circumcision (VMMC) may be an innovative and acceptable tool for HIV prevention among this population in the future.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Participants who voluntarily underwent VMMC between August 2020 and April 2022 were recruited from eight cities in China. Weekly online follow-up assessments were conducted for six consecutive weeks postoperatively to evaluate safety, and satisfaction was assessed at 6 and 12\u00a0months. Between-group comparisons were performed using Mann\u2013Whitney U, chi-squared or Fisher\u2019s exact tests, as appropriate. For satisfaction outcomes, effect sizes were quantified using Cram\u00e9r\u2019s V with 95% bootstrap confidence intervals. Repeated ordinal adverse event (AE) levels were analyzed using a cumulative link mixed model with random intercept, adjusting for age, lifetime male anal intercourse partners and follow-up time. Multivariable logistic regression identified factors associated with early resumption of sex. Time to complete wound healing was compared using Kaplan\u2013Meier analysis with the log-rank test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 118 MSM underwent circumcision, with 59 using a disposable circumcision suture device and 59 receiving conventional circumcision. Postoperative AEs were predominantly mild. Moderate-to-severe events were rare, limited to edema (15.3%) and exudation (5.9%), and decreased to 0.0% by Week 3. No significant differences in overall AE level were observed between groups in adjusted analyses (OR\u00a00.86, 95% CI: 0.29\u20132.57; P\u00a0=\u00a00.786). By Week 6, 93.2% reported complete wound healing, with no between-group difference (P\u00a0=\u00a00.379). During the abstinence period, 61% resumed sex early, with most (88.9%) occurring after Week 4. Multivariable regression identified no significant predictors. A total of 115 participants completed the satisfaction assessment. Overall satisfaction was high at 6\u00a0months and 12\u00a0months (median scores 8 and 9), with appearance satisfaction being the lowest among all dimensions (62.7%). Effect sizes for between-group satisfaction differences were uniformly small (Cram\u00e9r\u2019s V 0.07\u20130.27).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>VMMC showed favorable safety and satisfaction among MSM. However, two key issues cannot be overlooked, including frequent early resumption of sex during abstinence periods and consistently low appearance satisfaction. Future VMMC programs should strengthen integrated guidance throughout the care pathway, with particular emphasis on preoperative communication regarding aesthetic expectations and postoperative reinforcement of abstinence adherence, to maximize health benefits.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh26133","type":"journal-article","created":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T02:06:32Z","timestamp":1789351592000},"source":"Crossref","is-referenced-by-count":0,"title":["Safety and satisfaction of voluntary medical male circumcision among men who have sex with men in China"],"prefix":"10.1071","volume":"23","author":[{"given":"Weijie","family":"Zhang","sequence":"first","affiliation":[{"name":"ANanshan District Center for Disease Control and Prevention (Nanshan District Institute of Health Inspection), Shenzhen, China."},{"name":"BSchool of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, 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China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sten H.","family":"Vermund","sequence":"additional","affiliation":[{"name":"LCollege of Public Health, University of South Florida, Tampa, FL, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bin","family":"Su","sequence":"additional","affiliation":[{"name":"DBeijing Youan Hospital, Capital Medical University, Beijing, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8161-7576","authenticated-orcid":true,"given":"Huachun","family":"Zou","sequence":"additional","affiliation":[{"name":"MShanghai Institute of Infectious Disease and Biosecurity, School of Public Health, Fudan University, 130 Dongan Road, Xuhui District, Shanghai 200032, People\u2019s Republic of China."},{"name":"NCenter for AIDS Research (CFAR), School of Public Health, Key Laboratory of Public Health Safety, Ministry of Education, Fudan University, Shanghai, 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