Parents' Knowledge, Attitude and Practice regarding Childhood Circumcision: A Cross-Sectional Study in the central region of Sichuan, China

Bing Zou¹Chunlin Tan²Rui Deng¹Qiang Chen¹Qiu Peng¹Dong Xu¹Yunpeng Gou¹Yong Du¹Kangming Li¹Zhili Chen¹Ping Yang^1*

• ¹Suining Central Hospital, Suining, China
• ²Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan Province, China

Introduction: This cross-sectional study aimed to explore parents' knowledge, attitudes, and practices (KAP) regarding male circumcision (MC) for their children.Methods: A cross-sectional study was conducted among parents of male children under 18 years old in the central region of Sichuan, China, between September 2023 and January 2024 Questionnaires were distributed to collect demographic information and KAP scores. Results: A total of 497 valid questionnaires were collected. The average knowledge score was 6.66 ± 2.34 (range: 0–10), attitude score was 38.04 ± 4.52 (range: 12–60), and practice score was 24.81 ± 3.49 (range: 6–30). Parents demonstrated highest awareness regarding the positive effects of MC on penis health, but showed lowest understanding of MC benefits for children with redundant prepuce or phimosis. Notably, 75% of parents indicated a willingness to have the procedure performed in the future. Multivariate analysis identified knowledge, attitude, and residence as independent factors associated with consent for childhood circumcision. Path analysis revealed positive influences from knowledge to attitude, knowledge to practice, and attitude to practice.The average knowledge score was 6.66 ± 2.34, attitude score was 38.04 ± 4.52, and practice score was 24.81 ± 3.49. Factors such as knowledge, attitude, and residence were independently associated with consent for childhood circumcision. Path analysis revealed a positive influence of knowledge on attitude and practice, and attitude on practice.Conclusions: The study highlights the importance of targeted educational interventions to enhance parental understanding and decision-making regarding childhood MC. The high parental support for MC underscores its practical significance. Educational programs can empower parents to make well-informed decisions considering both cultural and medical contexts.The study highlights the importance of targeted educational interventions to enhance parental understanding and decision-making regarding childhood MC. Educational programs providing comprehensive information can empower parents to make informed choices regarding male circumcision for their children, emphasizing the significance of informed decision-making in this cultural and medical practice context.