Circumcision in Australia : further evidence on its effects on sexual health and wellbeing

Ferris, Jason, Richters, Juliet, Pitts, Marian, Shelley, Julia, Simpson, Judy M, Ryall, Richard and Smith, Anthony 2010, Circumcision in Australia : further evidence on its effects on sexual health and wellbeing, Australian and New Zealand journal of public health, vol. 34, no. 2, pp. 160-164, doi: 10.1111/j.1753-6405.2010.00501.x.

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Title Circumcision in Australia : further evidence on its effects on sexual health and wellbeing
Author(s) Ferris, Jason
Richters, Juliet
Pitts, Marian
Shelley, Julia
Simpson, Judy M
Ryall, Richard
Smith, Anthony
Journal name Australian and New Zealand journal of public health
Volume number 34
Issue number 2
Start page 160
End page 164
Total pages 5
Publisher Wiley-Blackwell Publishing Asia
Place of publication Richmond, Vic.
Publication date 2010-04
ISSN 1326-0200
Keyword(s) circumcision
sexually transmitted diseases
sexual behaviour
sexual dysfunctions
psychological sexual dysfunction
Summary Objective: To report on the prevalence and demographic variation in circumcision in Australia and examine sexual health outcomes in comparison with earlier research.
Methods: A representative household sample of 4,290 Australian men aged 16–64 years completed a computer-assisted telephone interview including questions on circumcision status, demographic variables, reported lifetime experience of selected sexually transmissible infections (STIs), experience of sexual difficulties in the previous 12 months, masturbation, and sexual practices at last heterosexual encounter.
Results: More than half the men (58%) were circumcised. Circumcision was less common (33%) among men under 30 and more common (66%) among those born in Australia. After adjustment for age and number of partners, circumcision was unrelated to STI history except for non-specific urethritis (higher among circumcised men, OR=2.11, p<0.001) and penile candidiasis (lower among circumcised men, OR=0.49, p<0.001).
Circumcision was unrelated to any of the sexual difficulties we asked about (after adjusting for age) except that circumcised men were somewhat less likely to have worried during sex about whether their bodies looked unattractive (OR=0.77, p=0.04). No association between lack of circumcision and erection difficulties was detected. After correction for age, circumcised men were somewhat more likely to have masturbated alone in the previous 12 months (OR=1.20, p=0.02).
Conclusions: Circumcision appears to have minimal protective effects on sexual health in Australia.
Language eng
DOI 10.1111/j.1753-6405.2010.00501.x
Field of Research 110312 Nephrology and Urology
Socio Economic Objective 920119 Urogenital System and Disorders
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2010, The Authors, Journal Compilation 2010, Public Health Association of Australia
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Document type: Journal Article
Collections: Faculty of Health
School of Health and Social Development
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