Situating parents’ circumcision decision-making within health research, knowledge, and experience

This research analyses the narratives of 33 parents in the United States concerning their decisions to circumcise or not circumcise their children. The United States differs from other nations in the Global North due to its comparatively high rates of male neonatal circumcision, a procedure that is...

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Main Authors: Karli M. Reeves, Joanna Mishtal
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:SSM: Qualitative Research in Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2667321522000944
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author Karli M. Reeves
Joanna Mishtal
author_facet Karli M. Reeves
Joanna Mishtal
author_sort Karli M. Reeves
collection DOAJ
description This research analyses the narratives of 33 parents in the United States concerning their decisions to circumcise or not circumcise their children. The United States differs from other nations in the Global North due to its comparatively high rates of male neonatal circumcision, a procedure that is performed as preventative surgery, rather than for cultural or religious indications. However, in recent years, rates of circumcision have begun to decline. This study sought to gain a nuanced understanding of these trends by examining the factors that influenced the parents in our sample. The results show that parents' circumcision decisions were affected by their evaluations of the procedure's medical risks and benefits, their considerations of the relationship between being circumcised, hygiene, and health, as well as their interactions with healthcare providers. Also relevant to their decision were their experiences circumcising previous children. Interviews with five key informants, including medical providers and trained childbirth assistants, offer further context to findings regarding the sometimes-unequal power dynamics between providers and parents. The results in this study also raise questions about the extent of informed consent for this procedure. Overall, the findings in this research offer valuable insights into parents' decision-making processes about male circumcision.
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spelling doaj.art-bbd8cdddf3864b6b9ef5854c9500806a2022-12-22T03:53:42ZengElsevierSSM: Qualitative Research in Health2667-32152022-12-012100132Situating parents’ circumcision decision-making within health research, knowledge, and experienceKarli M. Reeves0Joanna Mishtal1Department of Anthropology, University of Central Florida, Orlando, FL, USA; Department of Population Health Sciences, College of Medicine, University of Central Florida, Orlando, FL, USA; Corresponding author. University of Central Florida College of Medicine, 6900 Lake Nona Blvd., BBS 121, USA.Department of Anthropology, University of Central Florida, Orlando, FL, USAThis research analyses the narratives of 33 parents in the United States concerning their decisions to circumcise or not circumcise their children. The United States differs from other nations in the Global North due to its comparatively high rates of male neonatal circumcision, a procedure that is performed as preventative surgery, rather than for cultural or religious indications. However, in recent years, rates of circumcision have begun to decline. This study sought to gain a nuanced understanding of these trends by examining the factors that influenced the parents in our sample. The results show that parents' circumcision decisions were affected by their evaluations of the procedure's medical risks and benefits, their considerations of the relationship between being circumcised, hygiene, and health, as well as their interactions with healthcare providers. Also relevant to their decision were their experiences circumcising previous children. Interviews with five key informants, including medical providers and trained childbirth assistants, offer further context to findings regarding the sometimes-unequal power dynamics between providers and parents. The results in this study also raise questions about the extent of informed consent for this procedure. Overall, the findings in this research offer valuable insights into parents' decision-making processes about male circumcision.http://www.sciencedirect.com/science/article/pii/S2667321522000944Male circumcisionNeonatal circumcisionInformed consentMedical authorityUnited States
spellingShingle Karli M. Reeves
Joanna Mishtal
Situating parents’ circumcision decision-making within health research, knowledge, and experience
SSM: Qualitative Research in Health
Male circumcision
Neonatal circumcision
Informed consent
Medical authority
United States
title Situating parents’ circumcision decision-making within health research, knowledge, and experience
title_full Situating parents’ circumcision decision-making within health research, knowledge, and experience
title_fullStr Situating parents’ circumcision decision-making within health research, knowledge, and experience
title_full_unstemmed Situating parents’ circumcision decision-making within health research, knowledge, and experience
title_short Situating parents’ circumcision decision-making within health research, knowledge, and experience
title_sort situating parents circumcision decision making within health research knowledge and experience
topic Male circumcision
Neonatal circumcision
Informed consent
Medical authority
United States
url http://www.sciencedirect.com/science/article/pii/S2667321522000944
work_keys_str_mv AT karlimreeves situatingparentscircumcisiondecisionmakingwithinhealthresearchknowledgeandexperience
AT joannamishtal situatingparentscircumcisiondecisionmakingwithinhealthresearchknowledgeandexperience