Zou Bing, Tan Chunlin, Deng Rui, Chen Qiang, Peng Qiu, Xu Dong, Gou Yunpeng, Du Yong, Li Kangming, Chen Zhili, Yang Ping
Department of Pediatric Surgery, Suining Central Hospital, Suining, China.
Department of Urology, Affiliated Hospital of North Sichuan Medical College, Nanchong, China.
Front Pediatr. 2025 Apr 24;13:1465998. doi: 10.3389/fped.2025.1465998. eCollection 2025.
This cross-sectional study aimed to explore parents' knowledge, attitudes, and practices (KAP) regarding male circumcision (MC) for their children.
A cross-sectional study was conducted among parents of male children under 18 years old in the central region of Sichuan, China, between September 2023 and January 2024 Questionnaires were distributed to collect demographic information and KAP scores.
A total of 497 valid questionnaires were collected. The average knowledge score was 6.66 ± 2.34 (range: 0-10), attitude score was 38.04 ± 4.52 (range: 12-60), and practice score was 24.81 ± 3.49 (range: 6-30). Parents demonstrated highest awareness regarding the positive effects of MC on penis health, but showed lowest understanding of MC benefits for children with redundant prepuce or phimosis. Notably, 75% of parents indicated a willingness to have the procedure performed in the future. Multivariate analysis identified knowledge, attitude, and residence as independent factors associated with consent for childhood circumcision. Path analysis revealed positive influences from knowledge to attitude, knowledge to practice, and attitude to practice.
The study highlights the importance of targeted educational interventions to enhance parental understanding and decision-making regarding childhood MC. Educational programs can empower parents to make well-informed decisions considering both cultural and medical contexts.
本横断面研究旨在探讨父母对其子女进行男性包皮环切术（MC）的知识、态度和行为（KAP）。
于2023年9月至2024年1月在中国四川省中部地区对18岁以下男童的父母进行了一项横断面研究。发放问卷以收集人口统计学信息和KAP得分。
共收集到497份有效问卷。知识平均得分为6.66±2.34（范围：0 - 10），态度得分为38.04±4.52（范围：12 - 60），行为得分为24.81±3.49（范围：6 - 30）。父母对MC对阴茎健康的积极影响认知最高，但对MC对包皮过长或包茎儿童的益处了解最少。值得注意的是，75%的父母表示愿意在未来进行该手术。多因素分析确定知识、态度和居住地是与同意儿童包皮环切术相关的独立因素。路径分析显示从知识到态度、从知识到行为以及从态度到行为的积极影响。
该研究强调了针对性教育干预对于增强父母对儿童MC的理解和决策的重要性。教育项目可以使父母在考虑文化和医学背景的情况下做出明智的决策。
