Nationwide Circumcision Trends: 2003 to 2016

Jacobson, Deborah L.; Balmert, Lauren C.; Holl, Jane L.; Rosoklija, Ilina; Davis, Matthew M.; Johnson, Emilie K.

doi:10.1097/ju.0000000000001316

Cited by 25 publications

(10 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Neonatal male circumcision (NMC) and MC in older boys without anesthetic can cause acute pain 3 . In the United States, most circumcisions are performed in the first week of life 4 . A study determined that 6.5% of neonates exceeded a “neonatal/infant circumcision pain score” of 2/7, compared with 100% after age 4 weeks 5 .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Critical evaluation of contrasting evidence on whether male circumcision has adverse psychological effects: A systematic review

Morris

Moreton²,

Bailis³

et al. 2022

J Evidence Based Medicine

View full text Add to dashboard Cite

Objective: To conduct the first systematic review critically examining evidence on whether early male circumcision has short-and long-term adverse psychological effects. Methods:We searched PubMed, EMBASE, SCOPUS, Cochrane Library, and Google Scholar. Results:Twenty-four studies with original data met the inclusion criteria. These comprised 11,173 total males, 4340 circumcised in infancy and 6908 uncircumcised.Nineteen were rated 1+, 2++ or 2+, and 5 were rated 2-by SIGN criteria. Neonatal circumcision, particularly without anesthetic, increased vaccination pain response, but had little effect on breastfeeding or cognitive ability. Studies reporting associations with sudden infant death syndrome, autism, alexithymia and impaired sexual function and pleasure had design flaws and were rated 2-. Sexual arousal, touch, pain, and warmth thresholds measured by quantitative sensory testing were not diminished in neonatally circumcised men. Neonatal circumcision was not associated with empathy in men, contradicting the hypothesis that procedural pain causes central nervous system changes. After correcting all associations with socioaffective processing parameters for multiple testing only higher sociosexual desire, dyadic sexual libido/drive, and stress remained significant. The relatively greater sexual activity found in circumcised men might reflect reduced sexual activity in uncircumcised men overall owing to pain and psychological aversion in those with foreskin-related medical conditions (reverse causality). Most studies employed case-control designs with limited follow-up. Studies beyond childhood were prone to confounding. Conclusion:The highest quality evidence suggest that neonatal and later circumcision has limited or no short-term or long-term adverse psychological effects.

show abstract

Section: Introductionmentioning

confidence: 99%

“…3 In the United States, most circumcisions are performed in the first week of life. 4 A study determined that 6.5% of neonates exceeded a "neonatal/infant circumcision pain score" of 2/7, compared with 100% after age 4 weeks. 5 Local anesthetic (ring-block) reduced but did not eliminate pain scores during clamp NMCs.…”

Section: Introductionmentioning

confidence: 99%

Critical evaluation of contrasting evidence on whether male circumcision has adverse psychological effects: A systematic review

Morris

Moreton²,

Bailis³

et al. 2022

J Evidence Based Medicine

View full text Add to dashboard Cite

show abstract

“…Over half of boys in the United States undergo circumcision (1), a procedure that has its greatest health benefits and lowest risks when performed during the newborn period under local anesthesia (2). The COVID-19 pandemic has affected delivery of patient care in many ways and likely has also influenced the provision of newborn circumcisions.…”

Section: Introductionmentioning

confidence: 99%

COVID-19 Pandemic Adversely Affects the Provision of Desired Newborn Circumcision: Perinatal Physician Perspectives

et al. 2022

Self Cite

View full text Add to dashboard Cite

Over half of boys in the United States undergo circumcision, which has its greatest health benefits and lowest risks when performed during the newborn period under local anesthesia. The COVID-19 pandemic has affected delivery of patient care in many ways and likely also influenced the provision of newborn circumcisions. Prior to the pandemic, we planned to conduct a qualitative study to ascertain physician perspectives on providing newborn circumcision care. The interviews incidentally coincided with the onset of the pandemic and thus, pandemic-related changes emerged as a theme. We elected to analyze this theme in greater detail. Semi-structured interviews were conducted with perinatal physicians in a large urban city from 4/2020 to 7/2020. Physicians that perform or counsel regarding newborn circumcision and physicians with knowledge of or responsibility for hospital policies were eligible. Interviews were transcribed verbatim and qualitative coding was performed. Twenty-three physicians from 11 local hospitals participated. Despite no specific COVID-19 related questions in the interview guide, nearly half of physicians identified that the pandemic affected delivery of newborn circumcision care with 8 pandemic-related sub-themes. The commonest sub-themes included COVID-19 related changes in: (1) workflow processes, (2) staffing and availability of circumcision proceduralists, and (3) procedural settings. In summary, this qualitative study revealed unanticipated COVID-19 pandemic-related changes with primarily adverse effects on the provision of desired newborn circumcisions. Some of these changes may become permanent resulting in broad implications for policy makers that will likely need to adapt and redesign the processes and systems for the delivery of newborn circumcision care.

show abstract

“…Additionally, boys from lower-income families have lower rates of circumcision in comparison to boys from families with higher income. [11] This suggests that there are barriers in access underlying the differing rates of neonatal circumcision. Indeed, a study of free-standing children's hospitals found that 28% of boys undergoing delayed surgical circumcisions were Black/African-American, and 68% of boys had public insurance.…”

Section: Introductionmentioning

confidence: 99%