Infant male circumcision: healthcare provider knowledge and associated factors.

BACKGROUND AND OBJECTIVES:The emerging science demonstrates various health benefits associated with infant male circumcision and adult male circumcision; yet rates are declining in the United States. The American Academy of Pediatrics and the Centers for Disease Control and Prevention recommend that...

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Main Authors: Erin J Starzyk, Michele A Kelley, Rachel N Caskey, Alan Schwartz, Joan F Kennelly, Robert C Bailey
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2015-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4312077?pdf=render
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author Erin J Starzyk
Michele A Kelley
Rachel N Caskey
Alan Schwartz
Joan F Kennelly
Robert C Bailey
author_facet Erin J Starzyk
Michele A Kelley
Rachel N Caskey
Alan Schwartz
Joan F Kennelly
Robert C Bailey
author_sort Erin J Starzyk
collection DOAJ
description BACKGROUND AND OBJECTIVES:The emerging science demonstrates various health benefits associated with infant male circumcision and adult male circumcision; yet rates are declining in the United States. The American Academy of Pediatrics and the Centers for Disease Control and Prevention recommend that healthcare providers present evidence-based risk and benefit information for infant male circumcision to parent(s) and guardian(s). The purpose of this study was to assess providers' level of infant male circumcision knowledge and to identify the associated characteristics. METHODS:An online survey was administered to healthcare providers in the family medicine, obstetrics, and pediatrics medical specialties at an urban academic health center. To assess infant male circumcision knowledge, a 17 point summary score was constructed to identify level of provider knowledge within the survey. RESULTS:Ninety-two providers completed the survey. Providers scored high for the following knowledge items: adverse event rates, protects against phimosis and urinary tract infections, and does not prevent hypospadias. Providers scored lower for items related to more recent research: protection against cervical cancer, genital ulcer disease, bacterial vaginosis, and reduction in HIV acquisition. Two models were constructed looking at (1) overall knowledge about male circumcision, and (2) knowledge about male circumcision reduction in HIV acquisition. Pediatricians demonstrated greater overall infant male circumcision knowledge, while obstetricians exhibited significantly greater knowledge for the HIV acquisition item. CONCLUSION:Providers' knowledge levels regarding the risks and benefits of infant male circumcision are highly variable, indicating the need for system-based educational interventions.
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spelling doaj.art-689c54f43ce04db388ea151f1619495c2022-12-22T00:01:17ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-01101e011589110.1371/journal.pone.0115891Infant male circumcision: healthcare provider knowledge and associated factors.Erin J StarzykMichele A KelleyRachel N CaskeyAlan SchwartzJoan F KennellyRobert C BaileyBACKGROUND AND OBJECTIVES:The emerging science demonstrates various health benefits associated with infant male circumcision and adult male circumcision; yet rates are declining in the United States. The American Academy of Pediatrics and the Centers for Disease Control and Prevention recommend that healthcare providers present evidence-based risk and benefit information for infant male circumcision to parent(s) and guardian(s). The purpose of this study was to assess providers' level of infant male circumcision knowledge and to identify the associated characteristics. METHODS:An online survey was administered to healthcare providers in the family medicine, obstetrics, and pediatrics medical specialties at an urban academic health center. To assess infant male circumcision knowledge, a 17 point summary score was constructed to identify level of provider knowledge within the survey. RESULTS:Ninety-two providers completed the survey. Providers scored high for the following knowledge items: adverse event rates, protects against phimosis and urinary tract infections, and does not prevent hypospadias. Providers scored lower for items related to more recent research: protection against cervical cancer, genital ulcer disease, bacterial vaginosis, and reduction in HIV acquisition. Two models were constructed looking at (1) overall knowledge about male circumcision, and (2) knowledge about male circumcision reduction in HIV acquisition. Pediatricians demonstrated greater overall infant male circumcision knowledge, while obstetricians exhibited significantly greater knowledge for the HIV acquisition item. CONCLUSION:Providers' knowledge levels regarding the risks and benefits of infant male circumcision are highly variable, indicating the need for system-based educational interventions.http://europepmc.org/articles/PMC4312077?pdf=render
spellingShingle Erin J Starzyk
Michele A Kelley
Rachel N Caskey
Alan Schwartz
Joan F Kennelly
Robert C Bailey
Infant male circumcision: healthcare provider knowledge and associated factors.
PLoS ONE
title Infant male circumcision: healthcare provider knowledge and associated factors.
title_full Infant male circumcision: healthcare provider knowledge and associated factors.
title_fullStr Infant male circumcision: healthcare provider knowledge and associated factors.
title_full_unstemmed Infant male circumcision: healthcare provider knowledge and associated factors.
title_short Infant male circumcision: healthcare provider knowledge and associated factors.
title_sort infant male circumcision healthcare provider knowledge and associated factors
url http://europepmc.org/articles/PMC4312077?pdf=render
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AT alanschwartz infantmalecircumcisionhealthcareproviderknowledgeandassociatedfactors
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