{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T17:54:31Z","timestamp":1767117271734},"reference-count":25,"publisher":"American Public Health Association","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[2009,1]]},"abstract":"<jats:p> Objective. We sought to determine whether lack of state Medicaid coverage for infant male circumcision correlates with lower circumcision rates. <\/jats:p><jats:p> 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. <\/jats:p><jats:p> 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 &lt; .001). Hospitals serving greater proportions of Hispanic patients had lower circumcision rates; this was not true of hospitals serving more African Americans. Medicaid coverage had a smaller effect on circumcision rates when a hospital had a greater percentage of Hispanic births. <\/jats:p><jats: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. <\/jats:p>","DOI":"10.2105\/ajph.2008.134403","type":"journal-article","created":{"date-parts":[[2008,11,14]],"date-time":"2008-11-14T02:40:19Z","timestamp":1226630419000},"page":"138-145","source":"Crossref","is-referenced-by-count":61,"title":["Determinants and Policy Implications of Male Circumcision in the United States"],"prefix":"10.2105","volume":"99","author":[{"given":"Arleen A.","family":"Leibowitz","sequence":"first","affiliation":[{"name":"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,..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine","family":"Desmond","sequence":"additional","affiliation":[{"name":"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,..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Belin","sequence":"additional","affiliation":[{"name":"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,..."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"844","reference":[{"key":"bib1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)60313-4"},{"key":"bib2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)60312-2"},{"key":"bib3","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0020298"},{"key":"bib4","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2005.017442"},{"key":"bib5","volume":"12","author":"Quinn TC","year":"2000","journal-title":"Hopkins HIV Rep"},{"key":"bib6","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/168.6.1404"},{"key":"bib7","doi-asserted-by":"publisher","DOI":"10.1097\/01.qai.0000134740.41585.f4"},{"key":"bib8","unstructured":"Centers for Disease Control and Prevention (CDC). CDC HIV\/AIDS Science Facts: Male Circumcision and Risk for HIV Transmission and Other Health Conditions: Implications for the United States. Atlanta, GA: CDC; 2008."},{"key":"bib13","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000145758.80937.7d"},{"key":"bib16","doi-asserted-by":"publisher","DOI":"10.1198\/016214505000001375"},{"key":"bib17","unstructured":"Snedecor GW, Cochran WG. Statistical Methods. 7th ed. Ames: Iowa State University Press; 1980."},{"key":"bib19","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0040223"},{"key":"bib20","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)60323-7"},{"key":"bib21","doi-asserted-by":"publisher","DOI":"10.1086\/421246"},{"key":"bib22","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0b013e31815b834d"},{"key":"bib24","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2004.049353"},{"key":"bib25","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa011688"},{"key":"bib26","doi-asserted-by":"publisher","DOI":"10.1136\/sti.74.5.368"},{"key":"bib27","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2006-1175"},{"key":"bib29","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0030262"},{"key":"bib30","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1097\/01.olq.0000253335.41841.04","volume":"34","author":"Xu F","year":"2007","journal-title":"Sex Transm Dis"},{"key":"bib32","unstructured":"Health, United States, 2006 With Chartbook on Trends in the Health of Americans. Hyattsville, MD: National Center for Health Statistics; 2006."},{"key":"bib35","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.var.81"},{"key":"bib36","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000248132.15231.fe"},{"key":"bib38","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-199504000-00005"}],"container-title":["American Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ajph.aphapublications.org\/doi\/pdf\/10.2105\/AJPH.2008.134403","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,9]],"date-time":"2022-05-09T21:02:05Z","timestamp":1652130125000},"score":1,"resource":{"primary":{"URL":"https:\/\/ajph.aphapublications.org\/doi\/full\/10.2105\/AJPH.2008.134403"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,1]]},"references-count":25,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2009,1]]}},"alternative-id":["10.2105\/AJPH.2008.134403"],"URL":"https:\/\/doi.org\/10.2105\/ajph.2008.134403","relation":{},"ISSN":["0090-0036","1541-0048"],"issn-type":[{"value":"0090-0036","type":"print"},{"value":"1541-0048","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,1]]}}}