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Parents' rationale for male circumcision.

Chris Rediger¹, Andries J Muller

¹University of Saskatchewan, 204 Brookside Ct, Warman, SK S0K 0A1. a.muller@usask.ca

Canadian Family Physician Medecin De Famille Canadien

|February 19, 2013

Summary

Parental decisions about elective newborn male circumcision are significantly influenced by the father's circumcision status. Factors like hygiene and perceived medical benefits also play a role, but paternal circumcision remains a strong predictor.

Area of Science:

Pediatrics
Public Health
Medical Sociology

Background:

Elective newborn male circumcision is a common procedure with varying rates globally.
Parental decision-making regarding circumcision is influenced by a complex interplay of cultural, personal, and medical factors.
Recent medical information and updated guidelines from professional associations aim to inform these decisions.

Purpose of the Study:

To identify the primary factors influencing parental decisions regarding elective circumcision for newborn males.
To assess the impact of paternal circumcision status on parental preferences for infant circumcision.
To understand the perceived benefits and risks associated with infant circumcision from a parental perspective.

Main Methods:

A prospective survey was conducted among 230 participants attending prenatal classes.

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Data collected included parents' plans for circumcision, personal/family circumcision history, and decision-making factors.

Statistical analysis, including regression, was used to evaluate the influence of various factors.

Main Results:

Hygiene (61.9%), prevention of infection/cancer (44.8%), and father's circumcision status (40.9%) were key reasons supporting circumcision.
Perceived lack of medical necessity (32.0%) and concerns about bleeding/infection (15.5%) were primary reasons against it.
Paternal circumcision status showed a statistically significant association with parental support for elective infant circumcision (P < .001).

Conclusions:

Parental decisions on newborn male circumcision remain strongly correlated with the father's circumcision status.
Despite updated medical information, traditional and familial factors continue to heavily influence circumcision choices.
Understanding these influences is crucial for public health initiatives and parental counseling.