Annelerin sünnet hakkındaki bilgi ve tutumları ile ebeveyn demografisinin etkisi: retrospektif bir çalışma

Abstract

Introduction and Aim: Circumcision is a surgical procedure performed on nearly all males in our society. This study aimed to evaluate mothers’ knowledge and attitudes regarding circumcision and to raise awareness of common misconceptions that may lead to adverse outcomes. Materials and Methods: This retrospective study was conducted between February 17 and April 17, 2014, among mothers whose children had previously undergone circumcision and who presented to the pediatric outpatient clinic for any reason. A total of 540 mothers were included. A structured questionnaire assessing socioeconomic status, educational background, and knowledge about circumcision was administered. Results: The study included 540 mothers. The mean age at circumcision was 3.7 ± 2.6 years. Circumcision was performed during the neonatal period in 13.8% (n=75), at 1–2 years in 24.9% (n=135), at 3–6 years in 44.3% (n=240), and after 6 years in 17% (n=92) of cases. Mothers with lower socioeconomic and educational levels had significantly less knowledge regarding circumcision. Conclusion: The majority of circumcisions were performed between the ages of 3 and 6, a developmentally sensitive period. The findings suggest that families were generally unaware of the potential psychological and medical risks associated with circumcision at this age. Mothers with low income and education levels should be included in educational programs to improve awareness about the benefits and possible complications of circumcision.

Supporting Institution

Bu çalışma herhangi bir kurum veya kuruluş tarafından desteklenmemiştir.

Ethical Statement

Ethics Committee Approval: This study was approved by the Istanbul Okmeydanı Training and Research Hospital Ethics Committee (Date: 11.02.2014, Decision No: 161). Informed Consent: Written informed consent was obtained from all participating mothers. Referee Evaluation Process: Externally peer-reviewed. Conflict of Interest Statement: The authors have no conflicts of interest to declare. Financial Disclosure: The authors declared that this study has received no financial support. Author Contributions: All authors contributed equally to the design, data collection, analysis, and writing of the manuscript. Acknowledgement: Not applicable.

Mothers’ knowledge and attitudes regarding circumcision and the influence of parental demographics: a retrospective study

Abstract

Aims: Circumcision is a surgical procedure performed on nearly all males in our society. This study aimed to evaluate mothers’ knowledge and attitudes regarding circumcision and to raise awareness of common misconceptions that may lead to adverse outcomes. Methods: This retrospective, cross-sectional study was conducted between February 17 and April 17, 2014, among mothers whose children had previously undergone circumcision and who presented to the pediatric outpatient clinic for any reason. A total of 540 mothers were included. A structured questionnaire assessing socioeconomic status, educational background, and knowledge about circumcision was administered. Results: The study included 540 mothers. The mean age at circumcision was 3.7±2.6 years. Circumcision was performed during the neonatal period in 13.8% (n=75), at 1-2 years in 24.9% (n=135), at 3-6 years in 44.3% (n=240), and after 6 years in 17% (n=92) of cases. Mothers with lower socioeconomic and educational levels had significantly less knowledge regarding circumcision. Conclusion: The majority of circumcisions were performed between the ages of 3 and 6, a developmentally vulnerable period. The findings suggest that families were generally unaware of the potential psychological effects and medical risks associated with circumcision at this age. Mothers with low income and education levels should be included in educational programs to improve awareness about the benefits and possible complications of circumcision.

Keywords

• Circumcision
• level of knowledge
• complications
• maternal attitude

References

1. Levine LA, Holzbeierlein JM. Surgery of the Penis and Urethra. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Vol 1. Elsevier; 2021:992-1022.
2. Zeitler M, Rayala B. Neonatal circumcision. Prim Care. 2021;48(4):597-611. doi:10.1016/j.pop.2021.08.002
3. Barthold JS. Anomalies of the penis and urethra. In: Kliegman RM, St. Geme JW, Blum NJ, et al, eds. Nelson Textbook of Pediatrics. 22nd ed. Elsevier; 2023. Chapter 559.
4. Karaman Mİ. Her yönüyle sünnet. Pediatrik Üroloji Bülteni. 2018;1(1):1-4.
5. Dekkers W. Routine (non-religious) neonatal circumcision and bodily integrity: a transatlantic dialogue. Kennedy Inst Ethics J. 2009;19(2):125-146. doi:10.1353/ken.0.0279
6. Schoen EJ, Colby CJ, Ray GT. Newborn circumcision decreases incidence and costs of urinary tract infections during the first year of life. Pediatrics. 2000;105(4 Pt 1):789-793. doi:10.1542/peds.105.4.789
7. Omole F, Smith W, Carter-Wicker K. Newborn circumcision techniques. Am Fam Physician. 2020;101(11):680-685.
8. Yazıcı M, Etensel B, Gürsoy H. Sünnet komplikasyonları. Adnan Menderes Üniversitesi Tıp Fakültesi Dergisi. 2003;4(3):5-7.

9. Iacob SI, Feinn RS, Sardi L. Systematic review of complications arising from male circumcision. BJUI Compass. 2021;3(2):99-123. doi:10.1002/bco2.123
10. Uprak TK. Recommendation versus current status: retrospective analysis of age to circumcise in a district hospital. Istanbul Med J. 2023; 24(1):1-6.
11. Yavuz F, Kobya Bulut H. The effect of circumcision age on anxiety and self-perception in boys. Compr Child Adolesc Nurs. 2024;47(3):214-223. doi:10.1080/24694193.2024.2389420
12. Sılay MS. Male circumcision during phallic period and psychological perspective. Turk Clin J Urol Spec Topics. 2018;11(1):45-48.
13. Yılmaz Y, Özsoy SA, Ardahan M. Annelerin sünnet hakkındaki davranış ve bilgi düzeylerinin incelenmesi. Ege Tıp Dergisi. 2008;47:93-101.
14. Özkan H. Annelerin sünnet hakkındaki bilgi düzeylerinin belirlenmesi. In: 3. Uluslararası, 4. Ulusal Ebelik Kongresi; May 2017; Ankara, Türkiye.
15. Hutson JM. Male circumcision complications: a systematic review, meta-analysis and meta-regression. J Urol. 2021;205(5):1234-1240.
16. Task Force on Circumcision, Blank S, Brady M, et al. American Academy of Pediatrics Task Force on Circumcision. Circumcision policy statement. Pediatrics. 2012;130(3):585-586.
17. Appiah Boakye S, Obeng F. Clinical outcomes of circumcisions and prevalence of complications: a five-year retrospective analysis at a teaching hospital in Ghana. PLOS Glob Public Health. 2025;5(2): e0003788. doi:10.1371/journal.pgph.0003788
18. Benli E, Koca O. Bingöl ilinde sünnet araştırması. Yeni Ürol Derg. 2011; 6:22-25.
19. Geçit I, Benli E. Bölgemizdeki sünnet komplikasyonları. Van Tıp Derg. 2011;18(18):155-158.
20. Ferhatoğlu MF, Kartal A, Gürkan A. Evaluation of male circumcision: retrospective analysis of one hundred and ninety-eight patients. Cureus. 2019;11(4):e4555. doi:10.7759/cureus.4555
21. Özkan A, Özorak A, Oruç M. Bin dokuz yüz sünnet olgusunda komplikasyonların retrospektif incelenmesi. Konuralp Tıp Derg. 2012; 4(1):8-12.
22. Yapanoğlu T, Aksoy Y, Atmaca AF, et al. Bölgemizdeki sünnet komplikasyonları. Türk Ürol Derg. 2004;30(4):441-445.
23. Çataklı T, Yazarlı E, Yener F, Bilge YD. Bir hastaneye başvuran annelerin sünnet hakkındaki bilgi düzeyleri. Erciyes Med J. 2012;34(3):116-120. doi:10.5152/etd.2012.35
24. Öztürk O, Samut Bülbül S, Durmuşoğlu K. Ebeveynlerin çocuklarda sünnet operasyonuna yönelik bilgi ve tutumlarının değerlendirilmesi. J Med Clin. 2024;7(1):11-19.