Why Are We Cutting? A Survey of Cultural Views on Circumcision in the Texas Panhandle

Spense, Jerrod; Meller, Janet L.; Abbey, James D.; Foster, Kayla L.; Sirri, Cynthia; Naqvi, Mubariz

doi:10.1177/2333794x17711767

Cited by 7 publications

(5 citation statements)

References 6 publications

(15 reference statements)

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“…While a relationship between advanced parental education and higher MC rates has been reported within the literature, it remains unclear what specifically may be contributing to this preference, and what impact parental education may have with regards to MC appearance. 12 As aforementioned, our study demonstrated a preference for shorter collars in respondents with a graduate degree. Similarly, certain faiths (i.e., Judaism and Islam) have institutionalized the practice of circumcision, yet do not distinctly identify a preferred appearance for MC.…”

Section: Callegari Et Al Preferences In Mucosal Collar Length Post-ci...supporting

confidence: 71%

“…The strongest known reported influence on MC rates has been the circumcision status of the father. 12,13 Rediger et al demonstrated this within a prospective review of expecting parents, noting that amongst children born to circumcised fathers, 82% were likely to undergo circumcision as compared to only 15% of children born to uncircumcised fathers. 13 Analysis from our survey corroborates this finding in that 78% of circumcised fathers had their son circumcised compared to only 18% of sons of uncircumcised males (P<0.05).…”

Section: Callegari Et Al Preferences In Mucosal Collar Length Post-ci...mentioning

confidence: 98%

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Where to draw the line? Understanding preferences in mucosal collar length after circumcision: A crowdsourced survey from the U.S. general population

Callegari

Muncey

Kim

et al. 2022

CUAJ

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Introduction: Male circumcision is a polarizing and prevalent procedure. Little understanding exists regarding patient preferences for circumcision appearance. Our objective was to elicit how mucosal collar length may be perceived in terms of overall cosmesis and desirability among adults. Methods: A questionnaire using REDCap was created and distributed through Amazon Mechanical Turk. Respondents provided demographic information and circumcision status before being challenged with artistic representations of circumcised penises with increasing lengths of mucosal collar. Participants were asked to select the most and least esthetically pleasing image, as well as rate the “importance of appearance” from 0–100. Responses were analyzed with ordinal regression models. Results: Preference for shorter mucosal collars were seen in respondents with a postgraduate education (p=0.013) and no religious affiliation (p=0.034). In contrast, participants reporting a religious affiliation preferred longer mucosal collars (p=0.034). Circumcised males rated appearance as being more important (p=0.001) in contrast to uncircumcised males who did not (p=0.001). Circumcised fathers were more likely to circumcise their sons relative to uncircumcised fathers (p<0.05) and women preferred circumcision (p<0.05). Conclusions: Our study revealed polarized esthetic preferences in the sample as a whole, with large proportions of respondents selecting the longest or shortest collar length. Preferences regarding mucosal collar length appear to be most influenced by education and religion. Overall, our study did not observe a predominant preference for mucosal collar length following circumcision. Surgeons should engage patients and/or caregivers/parents preoperatively in discussions regarding preferences and desired cosmetic outcomes.

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Section: Callegari Et Al Preferences In Mucosal Collar Length Post-ci...supporting

confidence: 71%

Section: Callegari Et Al Preferences In Mucosal Collar Length Post-ci...mentioning

confidence: 98%

Where to draw the line? Understanding preferences in mucosal collar length after circumcision: A crowdsourced survey from the U.S. general population

Callegari

Muncey

Kim

et al. 2022

CUAJ

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“…It was in accordance with several studies which established that the circumcision status of the father was the most significant factor associated with the decision. [ 12 13 ] It seemed that some of them still thought that circumcision is an unsafe procedure. [ 13 ]…”

Section: Discussionmentioning

confidence: 99%

Parental Perspectives Regarding Circumcision during the Coronavirus Disease 2019 Pandemic in Indonesia

Daryanto¹,

Kurniawan²,

Nurhadi³

et al. 2023

African Journal of Paediatric Surgery

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Background: Coronavirus disease 2019 (COVID-19) pandemic has rapidly spread worldwide and affected the healthcare system, including the deferral of surgical practice. There are various reactions regarding delayed surgeries, but parental viewpoints towards circumcision remain scarce. In light of the pandemic, this study aimed to evaluate how parents feel about circumcision and the probable determining variables. Materials and Methods: This study is a cross-sectional study based on an online questionnaire available from March to April 2022. The factors affecting the decision were analysed using logistic regression. Results: Of 1,218 (26.28%) parents who completed the survey, 879 (18.96%) met the inclusion criteria and were included in this study. Among them, 615 (70.00%) parents agreed to delay circumcision during the COVID-19 pandemic. These respondents were more likely to be non-Muslim (P = 0.01), have no relatives whose work is related to medicine or paramedicine (P = 0.02) and have monthly income equal to or below the regional minimum wage (P = 0.03). After adjusting the potential confounder, non-Muslim religion (odds ratios, 2.87; 95% confidence interval, 1.27–6.49; P = 0.012) was found to be the only independent predictor for agreeing to the deferral of circumcision amid the pandemic. Conclusion: Most parents agreed to postpone circumcision due to the fear of COVID-19 exposure. In order to help them feel less apprehensive about this matter, it is important to educate them about the medical benefits of circumcision and the safety of this procedure.

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“…Many other studies have investigated the factors that influence a guardian's decision for circumcision, and have shown health, hygiene, and cosmetic appearance among the most important [7][8][9][10][11][12]. A study by Williamson and Williamson showed that Midwestern mothers surveyed on their decision to circumcise their sons identified hygiene and appearance as the two major decision-making factors [13].…”

Section: Discussionmentioning

confidence: 99%

Neonatal Circumcision: What Are the Factors Affecting Parental Decision?

Guevara¹,

Achua²,

Blachman‐Braun³

et al. 2021

Cureus

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Introduction: The American Academy of Pediatrics (AAP) guidelines state that the health benefits of circumcision outweigh the risks, but these benefits are not enough to recommend universal newborn circumcision. Therefore, it is the guardians’ decision to circumcise their son. In this study, we assess the factors that influence the decision-making process for newborn circumcision. Methods: A prospective study was done from January to April 2020 for newborn circumcision. AAP guidelines were used as an educational tool and given to the parents on the day of patient circumcision assessment. On procedure day, a self-reported survey regarding the reasons for circumcision and the usefulness of the guideline as an educational resource was given to guardians. Results: A total of 265 parents completed the survey. Of the study variables, the future health of the child and the circumcision status of the father were considered extremely important factors influencing the decision-making process for 168 (63.4%) and 90 (34%) guardians, respectively. The study showed that 226 (85.3%) of the parents found the AAP guidelines helpful whereas 39 (14.7%) did not. Conclusion: Overall results suggest that the health of the child and the father of the child being circumcised are the primary factors that influence the guardians’ decision to circumcise their child. In addition, providing parents with an educational resource such as the AAP guidelines policy statement prior to circumcision may serve as a way to supplement the discussion between parents and providers.

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Why Are We Cutting? A Survey of Cultural Views on Circumcision in the Texas Panhandle

Cited by 7 publications

References 6 publications

Where to draw the line? Understanding preferences in mucosal collar length after circumcision: A crowdsourced survey from the U.S. general population

Where to draw the line? Understanding preferences in mucosal collar length after circumcision: A crowdsourced survey from the U.S. general population

Parental Perspectives Regarding Circumcision during the Coronavirus Disease 2019 Pandemic in Indonesia

Neonatal Circumcision: What Are the Factors Affecting Parental Decision?

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