Cultural bias in the AAP's 2012 Technical Report and Policy Statement on male circumcision

dc.contributor.authorFrisch, Morten
dc.contributor.authorAigrain, Yves
dc.contributor.authorBarauskas, Vidmantas
dc.contributor.authorBjarnason, Ragnar
dc.contributor.authorBoddy, Su Anna
dc.contributor.authorCzauderna, Piotr
dc.contributor.authorDe Gier, Robert P.E.
dc.contributor.authorDe Jong, Tom P.V.M.
dc.contributor.authorFasching, Günter
dc.contributor.authorFetter, Willem
dc.contributor.authorGahr, Manfred
dc.contributor.authorGraugaard, Christian
dc.contributor.authorGreisen, Gorm
dc.contributor.authorGunnarsdottir, Anna
dc.contributor.authorHartmann, Wolfram
dc.contributor.authorHavranek, Petr
dc.contributor.authorHitchcock, Rowena
dc.contributor.authorHuddart, Simon
dc.contributor.authorJanson, Staffan
dc.contributor.authorJaszczak, Poul
dc.contributor.authorKupferschmid, Christoph
dc.contributor.authorLahdes-Vasama, Tuija
dc.contributor.authorLindahl, Harry
dc.contributor.authorMacDonald, Noni
dc.contributor.authorMarkestad, Trond
dc.contributor.authorMärtson, Matis
dc.contributor.authorNordhov, Solveig Marianne
dc.contributor.authorPälve, Heikki
dc.contributor.authorPētersons, Aigars
dc.contributor.authorQuinn, Feargal
dc.contributor.authorQvist, Niels
dc.contributor.authorRosmundsson, Thrainn
dc.contributor.authorSaxen, Harri
dc.contributor.authorSöder, Olle
dc.contributor.authorStehr, Maximilian
dc.contributor.authorVon Loewenich, Volker C.H.
dc.contributor.authorWallander, Johan
dc.contributor.authorWijnen, Rene
dc.date.accessioned2022-01-06T12:15:01Z
dc.date.available2022-01-06T12:15:01Z
dc.date.issued2013-04
dc.description.abstractThe 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.en
dc.description.statusPeer reviewed
dc.format.extent5
dc.format.extent2161562
dc.identifier.citationFrisch, M, Aigrain, Y, Barauskas, V, Bjarnason, R, Boddy, S A, Czauderna, P, De Gier, R P E, De Jong, T P V M, Fasching, G, Fetter, W, Gahr, M, Graugaard, C, Greisen, G, Gunnarsdottir, A, Hartmann, W, Havranek, P, Hitchcock, R, Huddart, S, Janson, S, Jaszczak, P, Kupferschmid, C, Lahdes-Vasama, T, Lindahl, H, MacDonald, N, Markestad, T, Märtson, M, Nordhov, S M, Pälve, H, Pētersons, A, Quinn, F, Qvist, N, Rosmundsson, T, Saxen, H, Söder, O, Stehr, M, Von Loewenich, V C H, Wallander, J & Wijnen, R 2013, 'Cultural bias in the AAP's 2012 Technical Report and Policy Statement on male circumcision', Pediatrics, vol. 131, no. 4, pp. 796-800. https://doi.org/10.1542/peds.2012-2896
dc.identifier.doi10.1542/peds.2012-2896
dc.identifier.issn0031-4005
dc.identifier.urihttps://dspace.rsu.lv/jspui/handle/123456789/7178
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=84875967918&partnerID=8YFLogxK
dc.language.isoeng
dc.relation.ispartofPediatrics
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAIDS
dc.subjectHIV infection
dc.subjectMale circumcision
dc.subjectPenile carcinoma
dc.subjectSexually transmitted disease
dc.subjectUrinary tract infection
dc.subject3.2 Clinical medicine
dc.subject1.1. Scientific article indexed in Web of Science and/or Scopus database
dc.subjectPediatrics, Perinatology, and Child Health
dc.subjectSDG 3 - Good Health and Well-being
dc.titleCultural bias in the AAP's 2012 Technical Report and Policy Statement on male circumcisionen
dc.type/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article

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