China
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China is a very large advanced nation in East Asia. The population is about 1.4 billion which makes it second only to India in population. In land area, it is the third largest nation on Earth.
The three main religions are Confucianism, Taoism, and Buddhism.[1] None of these religions have a tradition or a requirement for circumcision of boys, so China does not have a tradition of circumcision except for a small minority of Muslims who live in the northwest corner of China (Xinjiang) who adhere to the teachings of Islam. The adherents to Islam constitute only 0.45% to 1.8% of the population.[1]
There is no tradition of circumcision in China. Early infant male circumcision (EIMC) is very rare. Pan et al. (2012) reported that circumcisions are done later when needed to treat tight foreskin, so the prevalence of circumcision is only 2.66 percent.[2]
Contents
Use of HIV to promote circumcision in China
Circumcision has been falsely claimed to prevent infection with HIV by three African randomized controlled trials (RCTs). Boyle & Hill (2011) studied their reports and found disabling methodological and statistical errors that invalidated their purported findings.[3] Regardless of these findings, Chinese medical doctors seem to be pushing for adoption of circumcision to prevent HIV infection. Numerous papers in the Chinese medical literature advocate circumcision to prevent HIV infection among both heterosexuals and homosexuals.
September 2021 saw the publication of two huge population studies on the relationship of circumcision and HIV infection:
- Mayan et al. (2021) carried out a massive empirical study of the male population of the province of Ontario, Canada (569,950 males), of whom 203,588 (35.7%) were circumcised between 1991 and 2017. The study concluded that circumcision status is not related to risk of HIV infection.[4]
- Morten Frisch & Jacob Simonsen (2021) carried out a large scale empirical population study in Denmark of 855,654 males regarding the alleged value of male circumcision in preventing HIV and other sexually transmitted infections in men. They found that circumcised men have a higher rate of STI and HIV infection overall than intact men.[5]
No association between lack of circumcision and risk of HIV infection was found by either study. There now is credible evidence that the massive, expensive African circumcision programs have not been effective in preventing HIV infection.
Zhang (2024) reported the cost of each circumcision surgery in China to be US$270-US$540,[6] so physician compensation may be the actual leading indication for circumcision in Chinaa.
Shang Ring
The Shang Ring circumcision device is manufactured in China. It has been "used for over 600 000 males in China since 2006."[7]
See also
External links
Wikipedia article: China
References
- ↑ a b Wikipedia article: Religion in China
- ↑
Pan L, Zhang A, Shen R, Wang Z. Acceptability of early infant male circumcision among chinese parents: strategy implications of HIV prevention for china 
. BMC Public Health. 4 September 2012; 12: [738]. PMID. PMC. DOI. Retrieved 21 March 2024.
Quote:China lacks the history and cultural norms endorsing circumcision.
- ↑ Boyle GJ, Hill G. Sub-Saharan African randomised clinical trials into male circumcision and HIV transmission: Methodological, ethical and legal concerns . Thompson Reuter. December 2011; 19(2): 316-34. PMID. Retrieved 30 December 2020.
- ↑ Mayan M, Hamilton RJ, Juurlink DN, Austin PC, Jarvi KA. Circumcision and Risk of HIV Among Males From Ontario, Canada. J Urol. 23 September 2021; PMID. DOI. Retrieved 21 August 2022.
Quote:We found that circumcision was not independently associated with the risk of acquiring HIV among men from Ontario, Canada.
- ↑ Frisch M, Simonsen J. Non-therapeutic male circumcision in infancy or childhood and risk of human immunodeficiency virus and other sexually transmitted infections: national cohort study in Denmark. Eur J Epidemiol. 26 September 2021; 37: 251–9. PMID. DOI. Retrieved 16 January 2022.
- ↑
Zhang, Zoey (18 March 2024)."‘Sexual shame’: China holds online professional circumcision contest to correct misconceptions, promote positive attitudes, levels of acceptance", South China Morning Post. Retrieved 21 March 2024.
- ↑ Cheng F, Lü N, Xu H, Barone MA, et al. [Clinical studies of shang ring male circumcision in China and Africa]. Zhonghua Nan Ke Xue. April 2014; 20(4): 291-8. PMID. Retrieved 23 March 2024.
