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美国新生儿男性包皮环切术的医学风险与益处:医生观点

Medical risks and benefits of newborn male circumcision in the United States: physician perspectives.

作者信息

Matar Lea, Zhu Julia, Chen Robert T, Gust Deborah A

机构信息

Rollins School of Public Health, Emory University, Atlanta, GA, USA.

Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.

出版信息

J Int Assoc Provid AIDS Care. 2015 Jan-Feb;14(1):33-9. doi: 10.1177/2325957414535975. Epub 2014 Jun 4.

DOI:10.1177/2325957414535975
PMID:24899259
Abstract

INTRODUCTION

In 2012, the American Academy of Pediatrics (AAP) and the American Congress of Obstetricians and Gynecologists (ACOG) published recommendations that physicians should discuss with parents the benefits and risks of newborn male circumcision. Our objective was to assess physicians' perspectives of newborn male circumcision.

METHODS

A self-administered, cross-sectional electronic survey of US physicians was conducted in 2008 (N = 1500).

RESULTS

Approximately one-third (33.2%) of the respondents reported that their current perspective was that the medical benefits outweigh the risks associated with newborn male circumcision and less than one-third (31.1%) reported they would recommend the procedure when counseling parents.

CONCLUSIONS

In 2008, only about one-third of the physicians surveyed thought that the benefits of male circumcision outweighed the risks and recommended it to parents of newborn sons. These attitudes may be relevant to the declining circumcision rates in the United States. Repeat surveys may be useful, given the new AAP and ACOG recommendations.

摘要

引言

2012年,美国儿科学会(AAP)和美国妇产科学院(ACOG)发布建议,医生应与家长讨论新生儿男性包皮环切术的益处和风险。我们的目的是评估医生对新生儿男性包皮环切术的看法。

方法

2008年对美国医生进行了一项自填式横断面电子调查(N = 1500)。

结果

约三分之一(33.2%)的受访者表示,他们目前的看法是,新生儿男性包皮环切术的医疗益处大于相关风险,不到三分之一(31.1%)的受访者表示,在为家长提供咨询时会推荐该手术。

结论

2008年,接受调查的医生中只有约三分之一认为男性包皮环切术的益处大于风险,并向新生男婴的家长推荐该手术。这些态度可能与美国包皮环切率下降有关。鉴于AAP和ACOG的新建议,重复调查可能会有用。

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