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

To determine the factors that may contribute to parents' decision to circumcise their son in the Texas Panhandle region, voluntary surveys were distributed to all mothers with term male newborns during the mandatory discharge planning class. The father being circumcised (P < .0001), Caucasian (P < .05), and some graduate school of the caregiver (P < .011) were factors most correlated with newborns being circumcised. Newborns of Hispanic origin, those having Medicaid insurance, and a Catholic affiliation were less likely to be circumcised. No significant correlations were found between circumcision and other ethnic affiliations, caregiver's age, father's involvement, and medical counseling. Of note, one third of caregivers were not counseled by a medical professional about circumcision. While the American Academy of Pediatrics Circumcision Policy Statement is clear that a neutral position must be maintained, this does not preclude having a discussion of the benefits versus the risks of circumcision.