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Author:
Frisch, Morten (Department of Epidemiology Research, Statens Serum Institut, Copenhagen and Center for Sexology Research, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark)
Aigrain, Yves (Department of Pediatric Surgery, Hôpital Necker Enfants Malades, Université Paris Descartes, Paris, France)
Barauskas, Vidmantas (Lithuanian Society of Paediatric Surgeons, Kaunas, Lithuania)
Bjarnason, Ragnar (Department of Pediatrics, Landspitali University Hospital, Reykjavik, Iceland)
Czauderna, Piotr (Polish Association of Pediatric Surgeons, Gdansk, Poland)
de Gier, Robert P. E. (Working Group for Pediatric Urology, Dutch Urological Association, Utrecht, Netherlands)
de Jong, Tom P. V. M. (Departments of Pediatric Urology, University Children's Hospitals UMC Utrecht and AMC Amsterdam, Netherlands)
Fasching, Günter (Austrian Society of Pediatric and Adolescent Surgery, Klagenfurt, Austria)
Fetter, Willem (Paediatric Association of the Netherlands, Utrecht, Netherlands)
Gahr, Manfred (German Academy of Paediatrics and Adolescent Medicine, Berlin, Germany)
Graugaard, Christian (Center for Sexology Research, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark)
Greisen, Gorm (Department of Pediatrics, Rigshospitalet Copenhagen, Denmark)
Gunnarsdottir, Anna (Departments of Pediatric Surgery, Landspitali University Hospital, Reykjavik, Iceland, and Karolinska University Hospital, Stockholm, Sweden)
Hartmann, Wolfram (German Association of Pediatricians, Cologne, Germany)
Havranek, Petr (Department of Pediatric Surgery, Thomayer Hospital, Charles University, Prague, Czech Republic)
Hitchcock, Rowena (British Association of Paediatric Urologists, London, United Kingdom)
Huddart, Simon (British Association of Paediatric Surgeons, London, United Kingdom)
Janson, Staffan (Committee on Ethics and Children's Rights, Swedish Paediatric Society, Stockholm, Sweden)
Jaszczak, Poul (Ethics Committee of the Danish Medical Association, Copenhagen, Denmark)
Kupferschmid, Christoph (Ethics Committee of the German Academy of Pediatrics and Adolescent Medicine, Berlin, Germany)
Title:
Cultural Bias in AAP's 2012 Technical Report and Policy Statement on Male Circumcision
Publication type:
Article in journal (Refereed)
Language:
English
Status:
Published
In:
Pediatrics(ISSN 0031-4005)
Volume:
131
Issue:
4
Pages:
796-800
Year of publ.:
2013
URI:
urn:nbn:se:kau:diva-15677
Permanent link:
http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-15677
Subject category:
Public Health, Global Health, Social Medicine and Epidemiology
Research subject:
Public Health Science
Keywords(en) :
urinary tract infection
Abstract(en) :

The American Academy of Pediatrics recently released its new Technical Report and Policy Statement on male circumcision, concluding that current evidence indicates that the health benefits of newborn male circumcision outweigh the risks. The technical report is based on the scrutiny of a large number of complex scientific articles. Therefore, while striving for objectivity, the conclusions drawn by the 8 task force members reflect what these individual physicians perceived as trustworthy evidence. Seen from the outside, cultural bias reflecting the normality of nontherapeutic male circumcision in the United States seems obvious, and the report's conclusions are different from those reached by physicians in other parts of the Western world, including Europe, Canada, and Australia. In this commentary, a different view is presented by non-US-based physicians and representatives of general medical associations and societies for pediatrics, pediatric surgery, and pediatric urology in Northern Europe. To these authors, only 1 of the arguments put forward by the American Academy of Pediatrics has some theoretical relevance in relation to infant male circumcision; namely, the possible protection against urinary tract infections in infant boys, which can easily be treated with antibiotics without tissue loss. The other claimed health benefits, including protection against HIV/AIDS, genital herpes, genital warts, and penile cancer, are questionable, weak, and likely to have little public health relevance in a Western context, and they do not represent compelling reasons for surgery before boys are old enough to decide for themselves.

Available from:
2012-11-20
Created:
2012-11-20
Last updated:
2013-04-03
Statistics:
67 hits