Comments by opponents on the British Medical Association’s guidance on non-therapeutic male circumcision of children seem one-sided and may undermine public health

作     者：Stephen Moreton Guy Cox Mark Sheldon Stefan A Bailis Jeffrey D Klausner Brian J Morris 

作者机构：CircFactsWarrington WA51HYCheshireUnited Kingdom Australian Centre for Microscopy&Microanalysis and School of AeronauticalMechanical and Mechatronic EngineeringUniversity of SydneySydney 2006New South WalesAustralia Medical Humanities and Bioethics ProgramFeinberg School of MedicineNorthwestern UniversityChicagoIL 60661United States Cornerstone Therapy&Recovery CenterSt.PaulMN 55101United States Department of MedicinePopulation and Public Health SciencesKeck School of MedicineUniversity of Southern CaliforniaLos AngelesCA 90089United States School of Medical SciencesUniversity of SydneySydney 2006New South WalesAustralia 

出 版 物：《World Journal of Clinical Pediatrics》 (世界临床儿科杂志)

年 卷 期：2023年第12卷第5期

页      面：244-262页

学科分类：1002[医学-临床医学] 100202[医学-儿科学] 10[医学] 

基　　金：U.S. National Institutes of Health Center of Biomedical Research Excellence  (1P20GM125526-01A1) 

主　　题：Circumcision,Male Child Infections Risk Policy Public health 

摘      要：The British Medical Association(BMA)guidance on non-therapeutic circumcision(NTMC)of male children is limited to ethical,legal and religious *** we evaluate criticisms of the BMA’s guidance by Lempert et *** their arguments promoting autonomy and consent might be superficially appealing,their claim of high procedural risks and negligible benefits seem one-sided and contrast with high quality evidence of low risk and lifelong *** literature reviews by the American Academy of Pediatrics and the United States Centers for Disease Control and Prevention in developing evidence-based policies,as well as risk-benefit analyses,have found that the medical benefits of infant NTMC greatly exceed the risks,and there is no reduction in sexual function and *** BMA’s failure to consider the medical benefits of early childhood NTMC may partly explain why this prophylactic intervention is discouraged in the United *** consequence is higher prevalence of preventable infections,adverse medical conditions,suffering and net costs to the UK’s National Health Service for treatment of *** of the issues and contradictions in the BMA guidance identified by Lempert et al stem from the BMA’s guidance not being sufficiently ***,that document called for a review by others of the medical issues surrounding *** societal factors apply,ultimately,NTMC can only be justified rationally on scientific,evidence-based *** are entitled to an accurate presentation of the medical evidence so that they can make an informed *** decision either for or against NTMC should then be respected.