Tags

Type your tag names separated by a space and hit enter

Neonatal male circumcision after delisting in Ontario. Survey of new parents.
Can Fam Physician. 1997 Jul; 43:1241-7.CF

Abstract

OBJECTIVE

To determine the prevalence of neonatal circumcision immediately following delisting of the procedure in Ontario and to examine parents' knowledge, attitudes, and behaviours regarding circumcision.

DESIGN

Cross-sectional survey.

SETTING

Perinatal tertiary care centre in southwestern Ontario.

PARTICIPANTS

Of the 151 mothers approached, three were excluded because they did not speak English and two declined participation; 112 of 146 mothers of healthy male newborns responded for a response rate of 77%.

MAIN OUTCOME MEASURES

Circumcision status of infant and parents' knowledge, attitudes, and behaviour.

RESULTS

The circumcision rate before delisting had been 56.2%; in the months immediately after, the rate was 59.8% (95% confidence interval was 51%, 69%). Mothers of infants in the outcome groups did not differ significantly in any demographic feature other than education, where the group deciding against circumcision reported higher education levels (Wilcoxon nonparametic two-sample test: zeta = 2.29, P = 0.02). Mothers who chose circumcision listed medical (59%) and sociocultural considerations (40%) a most important to their decision. Father's circumcision status was strongly associated with the infant's (chi 2[df 1] = 25.13, P = 0.0001). Although 74% discussed circumcision with their family physicians, many parents were not well informed about risks or benefits. Anesthetic use during circumcision was reported by 29%, but 48% did not know whether any had been used.

CONCLUSIONS

The prevalence of neonatal circumcision did not change after delisting. Informed consent was often lacking. Sociocultural issues are important to some parents and need to be addressed in the consultation process.

Links

PMC Free PDF
PMC Free Full Text

Authors+Show Affiliations

Walton RE
Department of Epidemiology and Biostatistics, University of Western Ontario, London. ruth@biostats.uwo.ca
Ostbye T
No affiliation info available
Campbell MK
No affiliation info available

MeSH

AdultCircumcision, MaleCross-Sectional StudiesDecision MakingFemaleHealth Knowledge, Attitudes, PracticeHumansInfant, NewbornLogistic ModelsMaleMothersOntarioStatistics, Nonparametric

Pub Type(s)

Journal Article

Language

eng

PubMed ID

9241462

Citation

Walton, R E., et al. "Neonatal Male Circumcision After Delisting in Ontario. Survey of New Parents." Canadian Family Physician Medecin De Famille Canadien, vol. 43, 1997, pp. 1241-7.
Walton RE, Ostbye T, Campbell MK. Neonatal male circumcision after delisting in Ontario. Survey of new parents. Can Fam Physician. 1997;43:1241-7.
Walton, R. E., Ostbye, T., & Campbell, M. K. (1997). Neonatal male circumcision after delisting in Ontario. Survey of new parents. Canadian Family Physician Medecin De Famille Canadien, 43, 1241-7.
Walton RE, Ostbye T, Campbell MK. Neonatal Male Circumcision After Delisting in Ontario. Survey of New Parents. Can Fam Physician. 1997;43:1241-7. PubMed PMID: 9241462.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Neonatal male circumcision after delisting in Ontario. Survey of new parents. AU - Walton,R E, AU - Ostbye,T, AU - Campbell,M K, PY - 1997/7/1/pubmed PY - 1997/7/1/medline PY - 1997/7/1/entrez SP - 1241 EP - 7 JF - Canadian family physician Medecin de famille canadien JO - Can Fam Physician VL - 43 N2 - OBJECTIVE: To determine the prevalence of neonatal circumcision immediately following delisting of the procedure in Ontario and to examine parents' knowledge, attitudes, and behaviours regarding circumcision. DESIGN: Cross-sectional survey. SETTING: Perinatal tertiary care centre in southwestern Ontario. PARTICIPANTS: Of the 151 mothers approached, three were excluded because they did not speak English and two declined participation; 112 of 146 mothers of healthy male newborns responded for a response rate of 77%. MAIN OUTCOME MEASURES: Circumcision status of infant and parents' knowledge, attitudes, and behaviour. RESULTS: The circumcision rate before delisting had been 56.2%; in the months immediately after, the rate was 59.8% (95% confidence interval was 51%, 69%). Mothers of infants in the outcome groups did not differ significantly in any demographic feature other than education, where the group deciding against circumcision reported higher education levels (Wilcoxon nonparametic two-sample test: zeta = 2.29, P = 0.02). Mothers who chose circumcision listed medical (59%) and sociocultural considerations (40%) a most important to their decision. Father's circumcision status was strongly associated with the infant's (chi 2[df 1] = 25.13, P = 0.0001). Although 74% discussed circumcision with their family physicians, many parents were not well informed about risks or benefits. Anesthetic use during circumcision was reported by 29%, but 48% did not know whether any had been used. CONCLUSIONS: The prevalence of neonatal circumcision did not change after delisting. Informed consent was often lacking. Sociocultural issues are important to some parents and need to be addressed in the consultation process. SN - 0008-350X UR - https://www.unboundmedicine.com/medline/citation/9241462/Neonatal_male_circumcision_after_delisting_in_Ontario__Survey_of_new_parents_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/9241462/ DB - PRIME DP - Unbound Medicine ER -