新生儿男性割礼:显然有利于公共健康还是道德困境? 一个系统的审查
Brian Morris1, Beth E Rivin2,3, Mark Sheldon4
1Faculty of Medicine and Health, The University of Sydney, Sydney, AUS.
Cureus
|February 26, 2024
概括
新生儿男性割礼 (NMC) 是一种安全的程序,具有显著的健康益处,减少了未来的医疗问题. 阻止NMC是不道德的,并且与法律先例和公共卫生证据相矛盾.
科学领域:
- 医学伦理 医学伦理
- 公共卫生政策 公共卫生政策
- 儿科手术 儿科手术
背景情况:
- 关于新生儿男性割礼 (NMC) 的伦理和法律辩论.
- 需要进行系统审查,以解决这些对比的论点.
- 之前的研究缺乏对NMC进行全面的伦理和法律分析.
研究的目的:
- 系统地审查有关NMC的伦理和法律论据.
- 评估NMC安全性和益处的医学证据.
- 为公共卫生政策提供NMC的信息.
主要方法:
- 在多个数据库 (PubMed,EMBASE,SCOPUS,LexisNexis) 中进行符合PRISMA的关键词搜索.
- 包含了61篇文章,并从书目中确定了58篇额外的文章.
- 法律案例法和国际公约 (联合国儿童权利公约) 的分析.
主要成果:
- 高质量的证据表明,NMC具有低风险,具有立即和终身的健康益处.
- 对性功能或性快乐的不良影响是罕见的.
- 对NMC的伦理论点经常误解医学证据;法律论点支持其实践.
结论:
- 新生儿男性割礼 (NMC) 被认为是合法的和道德的,只要经验丰富的从业者采取安全预防措施进行.
- 阻止NMC与健康权和基于证据的公共卫生利益相矛盾.
- NMC是一种有益的公共卫生干预措施,可以减少痛苦,死亡率和医疗保健成本.
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