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Articles that met the inclusion criteria were rated for quality using the SIGN system.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Database searches identified 29 publications with original data for inclusion, including 22 for aim (i) and 4 of these and 7 others pertaining to aim (ii). In the overwhelming majority of studies, women expressed a preference for the circumcised penis. The main reasons given for this preference were better appearance, better hygiene, reduced risk of infection, and enhanced sexual activity, including vaginal intercourse, manual stimulation, and fellatio. In studies that assessed mothers\u2019 preference for MC of sons, health, disease prevention, and hygiene were cited as major reasons for this preference. Cultural differences in preference were evident among some of the studies examined. Nevertheless, a preference for a circumcised penis was seen in most populations regardless of the frequency of MC in the study setting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Women\u2019s preferences generally favor the circumcised penis for sexual activity, hygiene, and lower risk of infection. The findings add to the already well-established health benefits favoring MC and provide important sociosexual information on an issue of widespread interest.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.esxm.2019.03.003","type":"journal-article","created":{"date-parts":[[2019,4,25]],"date-time":"2019-04-25T21:15:35Z","timestamp":1556226935000},"page":"145-161","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":24,"title":["Sex and Male Circumcision: Women\u2019s Preferences Across Different Cultures and Countries: A Systematic Review"],"prefix":"10.1093","volume":"7","author":[{"given":"Brian J.","family":"Morris","sequence":"first","affiliation":[{"name":"School of Medical Sciences and Bosch Institute , Sydney, NSW \u00a0 Australia"},{"name":"University of Sydney , Sydney, NSW \u00a0 Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine A.","family":"Hankins","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Biostatistics and Occupational Health , Montreal, QC \u00a0 Canada"},{"name":"Faculty of Medicine , Montreal, QC \u00a0 Canada"},{"name":"McGill University , Montreal, QC \u00a0 Canada"},{"name":"London School of Hygiene and Tropical Medicine , London , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eugenie R.","family":"Lumbers","sequence":"additional","affiliation":[{"name":"School of Biomedical Sciences and Pharmacy , Callaghan, NSW \u00a0 Australia"},{"name":"Faculty of Health and Medicine and Priority Research Centre for Reproductive Science , Callaghan, NSW \u00a0 Australia"},{"name":"University of Newcastle , Callaghan, NSW \u00a0 Australia"},{"name":"Mothers and Babies Research Centre , New Lambton, NSW \u00a0 Australia"},{"name":"Hunter Medical Research Institute , New Lambton, NSW \u00a0 Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrian","family":"Mindel","sequence":"additional","affiliation":[{"name":"School of Medical Sciences and Bosch Institute , Sydney, NSW \u00a0 Australia"},{"name":"University of Sydney , Sydney, NSW \u00a0 Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey D.","family":"Klausner","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases and the Program in Global Health , Los Angeles, CA \u00a0 USA"},{"name":"Fielding School of Public Health , Los Angeles, CA \u00a0 USA"},{"name":"University of California Los Angeles Care Center , Los Angeles, CA \u00a0 USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John N.","family":"Krieger","sequence":"additional","affiliation":[{"name":"Department of Urology , Seattle, WA \u00a0 USA"},{"name":"University of Washington School of Medicine , Seattle, WA \u00a0 USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guy","family":"Cox","sequence":"additional","affiliation":[{"name":"School of Medical Sciences and Bosch Institute , Sydney, NSW \u00a0 Australia"},{"name":"University of Sydney , Sydney, NSW \u00a0 Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2019,4,25]]},"reference":[{"key":"2023012006090198400_bib1","doi-asserted-by":"crossref","first-page":"784","DOI":"10.1038\/31689","article-title":"Comparative evidence for the evolution of genitalia by sexual selection","volume":"393","author":"Arnquvist","year":"1998","journal-title":"Nature"},{"key":"2023012006090198400_bib2","doi-asserted-by":"crossref","first-page":"6925","DOI":"10.1073\/pnas.1219361110","article-title":"Penis size interacts with body shape and height to influence male attractiveness","volume":"110","author":"Mautz","year":"2013","journal-title":"Proc Natl Acad Sci U S A"},{"key":"2023012006090198400_bib3","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1007\/978-1-4471-2858-8_21","article-title":"Why circumcision: From pre-history to the twenty-first century","author":"Cox","year":"2012","journal-title":"Surgical guide to circumcision"},{"key":"2023012006090198400_bib4","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1016\/j.urology.2009.01.010","article-title":"Male genital representation in Paleolithic art: Erection and circumcision before history","volume":"74","author":"Angulo","year":"2009","journal-title":"Urology"},{"key":"2023012006090198400_bib5","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1016\/0306-9877(95)90248-1","article-title":"De virginibus, puerisque. 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