Rwanda journal of medicine and health sciences · 2026
Evaluation of the Knowledge Level and Attitudes of Family Physicians Regarding Circumcision: A Cross-sectional Study.
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Yüzbaşıoğlu Merve, Bilgili Y Doruk, Öztürk Güzin Zeren
Аннотация
INTRODUCTION: Male circumcision is more common in countries where Islam and Judaism are widely practiced. Despite its high prevalence, misinformation and misconceptions persist. This study aimed to assess family physicians' (FPs) knowledge and attitudes regarding circumcision.
METHODS: This descriptive-analytical cross-sectional study included 369 FPs. A 36-item questionnaire, assessed sociodemographic characteristics, attitudes, knowledge. Knowledge was evaluated using six items scored as correct (1), incorrect/undecided (0), yielding a total score of 0-6. Data were analyzed using SPSS Statistics with descriptive statistics, Pearson's chi-square, Mann-Whitney U, and Kruskal-Wallis tests.
RESULTS: The mean age of participants was 38.5±9.3, 62.1% were female. Most FPs (73.3%) recommended circumcision before two years of age, while 9.9% favored circumcision during the phallic stage. Twelve percent opposed circumcision without medical indication, and 27.9% believed that anesthesia was unnecessary for newborn circumcision. Awareness of medical benefits varied: 65.9% recognized the association with reduced urinary tract infections, whereas fewer identified associations with sexually transmitted diseases (45.4%) or hydronephrosis-related indications (33.1%). The mean circumcision knowledge score was 4.04±1.24, being higher among physicians with ≥3 children and among those with circumcised sons.
CONCLUSION: Although most FPs demonstrated moderate knowledge, important misconceptions remain. Structured training programs may improve evidence-based counseling provided to parents.
METHODS: This descriptive-analytical cross-sectional study included 369 FPs. A 36-item questionnaire, assessed sociodemographic characteristics, attitudes, knowledge. Knowledge was evaluated using six items scored as correct (1), incorrect/undecided (0), yielding a total score of 0-6. Data were analyzed using SPSS Statistics with descriptive statistics, Pearson's chi-square, Mann-Whitney U, and Kruskal-Wallis tests.
RESULTS: The mean age of participants was 38.5±9.3, 62.1% were female. Most FPs (73.3%) recommended circumcision before two years of age, while 9.9% favored circumcision during the phallic stage. Twelve percent opposed circumcision without medical indication, and 27.9% believed that anesthesia was unnecessary for newborn circumcision. Awareness of medical benefits varied: 65.9% recognized the association with reduced urinary tract infections, whereas fewer identified associations with sexually transmitted diseases (45.4%) or hydronephrosis-related indications (33.1%). The mean circumcision knowledge score was 4.04±1.24, being higher among physicians with ≥3 children and among those with circumcised sons.
CONCLUSION: Although most FPs demonstrated moderate knowledge, important misconceptions remain. Structured training programs may improve evidence-based counseling provided to parents.