Ignoring Evidence of Circumcision Benefits

Abstract

The American public remains resolute in its support of newborn circumcision despite negative recommendations from the American Academy of Pediatrics (AAP).1 The great majority of males in the United States are circumcised: prevalence of circumcision is 80% to 85%2 as measured by published values from Georgia, Texas, California, Colorado, Alaska, Wisconsin, and Missouri.3–9 Circumcision prevalence not only is high but seems to be increasing.10 Between 1988 and 2000, the US newborn circumcision rate increased by 12.8%, an increase that has been attributed to “an increased recognition of the potential medical benefits of circumcision” by the general public.10(p978) The increase in circumcisions is most apparent in mid-America states with the fewest immigrants,6,10,11 because most immigrants, particularly Hispanics, are not circumcised. The 80% to 85% US circumcision rate observed in practice contrasts with the 55% to 65% rate reported in statistics collected from birth centers across the nation.6,10 The explanation for this difference is that the published results of national statistical surveys represent only coded diagnoses obtained from birth centers; the reported figures do not include males who are circumcised at a later date for religious, medical, or personal reasons or who received newborn circumcision that was not coded.5,7 The original position of the AAP was established with an erroneous … Address correspondence to Edgar J. Schoen, MD, Departments of Pediatrics and Genetics, Kaiser Permanente Medical Center, 280 W MacArthur Blvd, Oakland, CA 94611. E-mail: edgar.schoen{at}kp.org