Determinants and Policy Implications of Male Circumcision in the United States

Bibliographic Data

ID11019155
AuthorsArleen Leibowitz (0000-0001-6970-0564, Arleen A. Leibowitz is with the Department of Public Policy, School of Public Affairs, and the Center for HIV Identification, Prevention and Treatment Services, University of California, Los Angeles. Katherine Desmond is with the Center for HIV Identification, Prevention and Treatment Services, University of California, Los Angeles. Thomas Belin is with the Department of Biostatistics, School of Public Health, and the Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine,...), Arleen A Leibowitz, Katherine A Desmond (University of California, Los Angeles), Katherine Desmond (Arleen A. Leibowitz is with the Department of Public Policy, School of Public Affairs, and the Center for HIV Identification, Prevention and Treatment Services, University of California, Los Angeles. Katherine Desmond is with the Center for HIV Identification, Prevention and Treatment Services, University of California, Los Angeles. Thomas Belin is with the Department of Biostatistics, School of Public Health, and the Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine,...), Thomas R Belin (0000-0003-4283-2676, University of California, Los Angeles), Thomas Belin (Arleen A. Leibowitz is with the Department of Public Policy, School of Public Affairs, and the Center for HIV Identification, Prevention and Treatment Services, University of California, Los Angeles. Katherine Desmond is with the Center for HIV Identification, Prevention and Treatment Services, University of California, Los Angeles. Thomas Belin is with the Department of Biostatistics, School of Public Health, and the Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine,...)
Year2009
Volume99
Issue1
Pages138-145
Publication date2009-01-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2008.134403
PMID19008503
PMCIDPMC2636604
OpenAlexW2136717460
LanguageEN
Citations received9
References cited21

Objective. We sought to determine whether lack of state Medicaid coverage for infant male circumcision correlates with lower circumcision rates. Methods. We used data from the Nationwide Inpatient Sample on 417 282 male newborns to calculate hospital-level circumcision rates. We used weighted multiple regression to correlate hospital circumcision rates with hospital-level predictors and state Medicaid coverage of circumcision. Results. The mean neonatal male circumcision rate was 55.9%. When we controlled for other factors, hospitals in states in which Medicaid covers routine male circumcision had circumcision rates that were 24 percentage points higher than did hospitals in states without such coverage (P Conclusions. Lack of Medicaid coverage for neonatal male circumcision correlated with lower rates of circumcision. Because uncircumcised males face greater risk of HIV and other sexually transmitted infections, lack of Medicaid coverage for circumcision may translate into future health disparities for children born to poor families covered by Medicaid

Environmental health · Family medicine · Health care · Health services · Male circumcision · Medicaid · Population · Demography · Female Genital Mutilation/Cutting Issues · Genital Health and Disease · Medicine · Urological Disorders and Treatments

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