Determinants and Policy Implications of Male Circumcision in the United States

We sought to determine whether lack of state Medicaid coverage for infant male circumcision correlates with lower circumcision rates. 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 cor...

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Bibliographic Details
Published in:American journal of public health (1971) 2009-01, Vol.99 (1), p.138-145
Main Authors: Leibowitz, Arleen A, Desmond, Katherine, Belin, Thomas
Format: Article
Language:English
Subjects:
Analysis of Variance
Biological and medical sciences
Births
Children & youth
Circumcision
Circumcision, Male - economics
Circumcision, Male - statistics & numerical data
Clinical trials
Databases as Topic
Datasets
Discharge
Ethnicity
Health Policy - economics
Health Status Disparities
Hispanic people
HIV
Hospitals
Human immunodeficiency virus
Humans
Income distribution
Infant, Newborn
Insurance coverage
Length of stay
Male
Males
Medicaid
Medicaid - economics
Medicaid - statistics & numerical data
Medical sciences
Minority & ethnic groups
Miscellaneous
Missing data
Newborn babies
Patients
Public health
Public Health - economics
Public Health - statistics & numerical data
Public health. Hygiene
Public health. Hygiene-occupational medicine
Race
Regression Analysis
Research and Practice
Risk Factors
Sexually Transmitted Diseases - economics
Sexually Transmitted Diseases - epidemiology
Sexually Transmitted Diseases - prevention & control
Studies
United States - epidemiology
Variables
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Summary:We sought to determine whether lack of state Medicaid coverage for infant male circumcision correlates with lower circumcision rates. 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. 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
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.2008.134403