Ahaghotu Chiledum, Okafor Henry, Igiehon Enaruna, Gray Ekwenzi
Division of Urology, Howard University Hospital Washington, DC 20001, USA.
J Natl Med Assoc. 2009 Apr;101(4):325-30. doi: 10.1016/s0027-9684(15)30879-8.
The most recent policy statement by the American Academy of Pediatrics suggests there are insufficient data to recommend routine newborn circumcision. Nevertheless, circumcision rates have not declined in the United States. Some studies suggest that African Americans are less likely to be circumcised. In blacks that choose to circumcise their males, we sought to examine the factors that drive parents to favor circumcision.
The Parental Attitudes on Circumcision questionnaire was utilized to obtain demographic information and attitudinal responses to circumcision during urology clinic sessions at Howard University Hospital, a major teaching hospital located in an urban setting. Parents and caregivers of male children aged 3 months to 7 years participated. Valid responses from 146 participants were collected.
Ninety-six percent of our respondents believe that circumcision is healthy. Forty-one percent indicated health reasons as the most important influencing factor for choosing to circumcise their child, while 25% selected maternal preference. Eighty-one percent of all respondents indicated that 1 or more health care providers asked about their decision to circumcise their child. The mother was 12 times more likely than the father to make the final decision for circumcision, especially when her personal preference played a role. Eighty-eight percent of respondents felt that circumcision is painful, but 87% considered the procedure safe, and another 72% believe that it is a necessary procedure.
African American parents strongly believe that circumcision is essential for a healthy state and are willing to opt for the procedure despite the belief that it may be painful for the child. The mother primarily made the final decision to circumcise her child, largely based on the perceived health and hygiene benefits. In blacks, the mother yields considerable influence in the decision to circumcise the child, with maternal preference as the main reason for seeking circumcision in as much as a quarter of cases.
美国儿科学会最新的政策声明表明，尚无足够数据支持常规新生儿包皮环切术。然而，美国的包皮环切率并未下降。一些研究表明，非裔美国人接受包皮环切术的可能性较小。在选择为男性进行包皮环切术的黑人中，我们试图探究促使父母倾向于包皮环切术的因素。
在位于城市环境中的主要教学医院霍华德大学医院的泌尿外科门诊期间，使用《父母对包皮环切术的态度》问卷来获取人口统计学信息以及对包皮环切术的态度回应。3个月至7岁男童的父母及照料者参与其中。收集了146名参与者的有效回复。
96%的受访者认为包皮环切术有益健康。41%的人指出健康原因是选择为孩子进行包皮环切术的最重要影响因素，而25%的人选择母亲的偏好。81%的受访者表示有1名或更多医疗保健提供者询问过他们为孩子进行包皮环切术的决定。母亲做出包皮环切术最终决定的可能性是父亲的12倍，尤其是当她的个人偏好起作用时。88%的受访者认为包皮环切术会带来疼痛，但87%的人认为该手术安全，另有72%的人认为这是一项必要手术。
非裔美国父母坚信包皮环切术对健康状况至关重要，尽管认为这可能会给孩子带来痛苦，但仍愿意选择该手术。母亲主要做出为孩子进行包皮环切术的最终决定，很大程度上是基于对健康和卫生益处的认知。在黑人中，母亲在决定为孩子进行包皮环切术方面具有相当大的影响力，在多达四分之一的案例中，母亲的偏好是寻求包皮环切术的主要原因。
