Impact of health insurance type on trends in newborn circumcision, United States, 2000 to 2010

L. Warner, S. Cox, M. Whiteman, D.J. Jamieson, M. Macaluso, P. Bansil, E. Kuklina, A.P. Kourtis, S. Posner and W.D. Barfield

American Journal of Public Health, 2015, vol. 105, issue 9, 1943-1949

Abstract: Objectives. We explored how changes in insurance coverage contributed to recent nationwide decreases in newborn circumcision. Methods. Hospital discharge data from the 2000-2010 Nationwide Inpatient Sample were analyzed to assess trends in circumcision incidence among male newborn birth hospitalizations covered by private insurance or Medicaid. We examined the impact of insurance coverage on circumcision incidence. Results. Overall, circumcision incidence decreased significantly from 61.3% in 2000 to 56.9% in 2010 in unadjusted analyses (P for trend = .008), but not in analyses adjusted for insurance status (P for trend = .46) and other predictors (P for trend = .55). Significant decreases were observed only in the South, where adjusted analyses revealed decreases in circumcision overall (P for trend = .007) and among hospitalizations with Medicaid (P for trend = .005) but not those with private insurance (P for trend = .13). Newborn male birth hospitalizations covered by Medicaid increased from 36.0% (2000) to 50.1% (2010; P for trend

Keywords: circumcision; health insurance; hospital; human; incidence; insurance; male; medicaid; newborn; statistics and numerical data; United States, Circumcision, Male; Hospitals; Humans; Incidence; Infant, Newborn; Insurance Coverage; Insurance, Health; Male; Medicaid; United States (search for similar items in EconPapers)
Date: 2015
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2015.302629_9

DOI: 10.2105/AJPH.2015.302629

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