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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.
- 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.
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