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Early childhood circumcision in Australia: Trends over 20 years and interrupted time series analysis

Kirby R Qin1,2,3, Jessica A Paynter4, Luke C Wang1

  • 1Department of Surgery, Austin Health, Heidelberg, Victoria, Australia.

ANZ Journal of Surgery
|May 13, 2021
PubMed

Insights

Childhood circumcision rates in Australia significantly increased and then decreased in the early 21st century. Medical and surgical guidelines appear to have influenced this trend, leading to fewer procedures in recent years.

Area of Science:

  • Public Health
  • Pediatric Surgery
  • Medical Trends

Background:

  • Male circumcision is a common surgical procedure in Australia.
  • This study investigates trends in childhood circumcisions during the early 21st century.

Purpose of the Study:

  • To examine the incidence of circumcisions among preschool-aged boys in Australia from 2000 to 2019.
  • To analyze the impact of policy changes and professional recommendations on circumcision rates.

Main Methods:

  • Utilized Medicare Benefits Schedule data for circumcisions in Australian boys aged 0-4 years (2000-2019).
  • Employed interrupted time series analyses to assess trends across three phases: pre-ban (2000-2007), post-ban (2007-2010), and reversal (2010-2019).
  • Data analyzed quarterly for Victoria and South Australia, considering public sector bans and professional body recommendations.

Main Results:

  • Over 478,000 circumcisions were performed on preschool-aged boys.
  • Incidence rates varied, with a peak in 2008 and a decline by 2019.
  • Both Victoria and South Australia showed significant increases in circumcision rates post-ban, followed by substantial decreases during the reversal phase, with statistically significant p-values.

Conclusions:

  • Childhood circumcision incidence in Australia exhibited a notable rise and fall in the early 21st century.
  • Medical and surgical authorities likely played a key role in the observed reduction in procedures over the past decade.
Abstract

Keywords:
childhood circumcisioninterrupted time series analysisprivate sectorroutine circumcision

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