Abstract
Introduction
There is an increasing movement to suggest the practice of newborn circumcision causes significant physical and emotional harm. Previous studies have provided evidence that circumcision can decrease the transmission of certain sexually transmitted infections, though there is limited research on satisfaction and regret pertaining to circumcision status. We aim to examine personal comfort, regret, overall, and sexual satisfaction of males based on their circumcision status.
Methods
We utilized Amazon.com “Mechanical Turk” survey marketplace on July 2018 to survey men age > 17 years regarding their circumcision status. We then analyzed the data using bivariate statistics and linear logistic regression models. The outcomes of this survey were regret towards circumcision status, the desire to change one’s status, perceived sexual pleasure and satisfaction, medical complications related to one’s status, and comfort with others seeing one’s penis.
Results
A total of 406 men were surveyed, and 332 were circumcised. No significant difference between circumcised and uncircumcised men pertaining to regret, desire to change their status, and sexual satisfaction was identified. On average, uncircumcised men believed their status conferred a mild increase in sexual pleasure, and circumcised men felt more comfortable with sexual partners and others seeing their penis. There was no difference in medical complications between the groups.
Conclusions
This study provides objective data to incorporate into counseling parents regarding circumcision to facilitate shared decision-making. This is the first study to look closely at attitudes towards circumcision status in men circumcised before adulthood in the USA.
Policy Implications
These findings should be incorporated into shared decision-making between parents and health care providers, as well as taken into consideration when developing professional guidance regarding circumcision in newborn males.
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Availability of Data and Material
Raw data is submitted as a supplemental file.
Code Availability
We utilized Stata 16.1 for data analysis.
References
Adler, R., Ottaway, S., & Gould, S. (2001). Circumcision: We have heard from the experts; now let’s hear from the parents. Pediatrics, 107(2), e20–e20.
Alanis, M. C., & Lucidi, R. S. (2004). Neonatal circumcision: A review of the world’s oldest and most controversial operation. Obstetrical & Gynecological Survey, 59(5), 379–395.
American Academy of Pediatrics Task Force on Circumcision. (2012). Circumcision policy statement. Pediatrics, 130(3), 585–586.
American Urological Association. (2017, May) AUA policy statements: Circumcision. AUA. http://www.auanet.org/guidelines/circumcision.
Auvert, B., Buve, A., Ferry, B., Carael, M., Morison, L., Lagarde, E., ... & Study Group on the Heterogeneity of HIV Epidemics in African Cities. (2001). Ecological and individual level analysis of risk factors for HIV infection in four urban populations in sub-Saharan Africa with different levels of HIV infection. Aids, 15, S15-S30
Bossio, J. A., & Pukall, C. F. (2018). Attitude toward one’s circumcision status is more important than actual circumcision status for men’s body image and sexual functioning. Archives of Sexual Behavior, 47(3), 771–781.
Cameron, D. W., D’Costa, L., Maitha, G., Cheang, M., Piot, P., Simonsen, J. N., ... & Plummer, F. (1989). Female to male transmission of human immunodeficiency virus type 1: Risk factors for seroconversion in men. The Lancet, 334(8660), 403–407.
Castellsagué, X., Bosch, F. X., Muñoz, N., Meijer, C. J., Shah, K. V., De Sanjosé, S., ... & Franceschi, S. (2002). Male circumcision, penile human papillomavirus infection, and cervical cancer in female partners. New England Journal of Medicine, 346(15), 1105–1112.
Drain, P. K., Halperin, D. T., Hughes, J. P., Klausner, J. D., & Bailey, R. C. (2006). Male circumcision, religion, and infectious diseases: An ecologic analysis of 118 developing countries. BMC Infectious Diseases, 6(1), 1–10.
El Bcheraoui, C., Zhang, X., Cooper, C. S., Rose, C. E., Kilmarx, P. H., & Chen, R. T. (2014). Rates of adverse events associated with male circumcision in US medical settings, 2001 to 2010. JAMA Pediatrics, 168(7), 625–634.
Freeman, J. J., Spencer, A. U., Drongowski, R. A., Vandeven, C. J., Apgar, B., & Teitelbaum, D. H. (2014). Newborn circumcision outcomes: Are parents satisfied with the results? Pediatric Surgery International, 30(3), 333–338.
Hammond, T., & Carmack, A. (2017). Long-term adverse outcomes from neonatal circumcision reported in a survey of 1,008 men: An overview of health and human rights implications. The International Journal of Human Rights, 21(2), 189–218.
Introcaso, C. E., Xu, F., Kilmarx, P. H., Zaidi, A., & Markowitz, L. E. (2013). Prevalence of circumcision among men and boys aged 14 to 59 years in the United States, National Health and Nutrition Examination Surveys 2005–2010. Sexually Transmitted Diseases, 40(7), 521–525.
Jacobson, D. L., Balmert, L. C., Holl, J. L., Rosoklija, I., Davis, M. M., & Johnson, E. K. (2021). Nationwide circumcision trends: 2003 to 2016. The Journal of Urology, 205(1), 257–263.
Lavreys, L., Rakwar, J. P., Thompson, M. L., Jackson, D. J., Mandaliya, K., Chohan, B. H., ... & Kreiss, J. K. (1999). Effect of circumcision on incidence of human immunodeficiency virus type 1 and other sexually transmitted diseases: A prospective cohort study of trucking company employees in Kenya. The Journal of Infectious Diseases, 180(2), 330–336.
Many, B. T., Rizeq, Y. K., Vacek, J., Cheon, E. C., Johnson, E., Hu, Y. Y., ... & Goldstein, S. D. (2020). A contemporary snapshot of circumcision in US children’s hospitals. Journal of Pediatric Surgery, 55(6), 1134–1138.
Morris, B. J., & Krieger, J. N. (2013). Does male circumcision affect sexual function, sensitivity, or satisfaction?—a systematic review. The Journal of Sexual Medicine, 10(11), 2644–2657.
Morris, B. J., & Krieger, J. N. (2020). The contrasting evidence concerning the effect of male circumcision on sexual function, sensation, and pleasure: A systematic review. Sexual Medicine, 8(4), 577–598.
Morris, B. J., Wamai, R. G., Henebeng, E. B., Tobian, A. A., Klausner, J. D., Banerjee, J., & Hankins, C. A. (2016). Estimation of country-specific and global prevalence of male circumcision. Population Health Metrics, 14(1), 1–13.
Navia, M. Z., Jacobson, D. L., Balmert, L. C., Rosoklija, I., Holl, J. L., Davis, M. M., & Johnson, E. K. (2020). State-level public insurance coverage and neonatal circumcision rates. Pediatrics, 146(5), e20201475.
Sardi, L., & Livingston, K. (2015). Parental decision making in male circumcision. MCN. The American journal of maternal child nursing, 40(2), 110.
Stern, M.J. (2013, September 18). How circumcision broke the internet. Slate. http://www.slate.com/articles/health_and_science/medical_examiner/2013/09/intactivists_online_a_fringe_group_turned_the_internet_against_circumcision.html.
Warner, L., Cox, S., Whiteman, M., Jamieson, D. J., Macaluso, M., Bansil, P., ... & Barfield, W. D. (2015). Impact of health insurance type on trends in newborn circumcision, United States, 2000 to 2010. American Journal of Public Health, 105(9), 1943–1949.
Weiss, H., Polonsky, J., Bailey, R., Hankins, C., Halperin, D., & Schmid, G. (2007). Male circumcision: Global trends and determinants of prevalence, safety and acceptability. World Health Organization and the Joint United Nations Programme on HIV/AIDS (UNAIDS).
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TJM, KW, and RS assisted with data interpretation and drafted, reviewed, and revised the manuscript. CAL and EY conceptualized and contributed to study design, data collection, and reviewed and revised the manuscript. NSW-L contributed to study design, supervised data collection, carried out data analyses, and reviewed and revised the manuscript. All authors approved the final manuscript as submitted and agree to be accountable for all aspects of the work.
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Maloney, T.J., Loeb, C.A., Waisanen, K. et al. Circumcision Status Regret and Satisfaction: Findings of a US National Survey. Sex Res Soc Policy 20, 793–798 (2023). https://doi.org/10.1007/s13178-022-00727-6
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DOI: https://doi.org/10.1007/s13178-022-00727-6