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In the Midwest, the incidence of [[circumcision]] had declined to 75 percent, which translates to a [[genital integrity]] rate increase to 25 percent or 1 in 4 boys having an [[intact]] foreskin.<ref name="jacobson2021" /> The previous report from 2010 was one boy in five being intact,<ref name="bollinger2017" /> and before that it was 1 in 10 boys being intact, so this in an increase of 250 percent (0.25/0.10 X 100 = 250%) in the rate of [[Intact| intactness]] for the Midwest.
→Midwest: typo.
===Midwest===
The Midwest has been called the 'circumcision capital of America" ' because of its higher rates of circumcision. Nevertheless, the popularity of circumcision is declining even in the Midwest. In the Midwest, the incidence of [[circumcision]] has declined to 75 percent, which translates to a [[genital integrity]] rate increase to 25 percent or 1 in 4 boys having an [[intact]] foreskin.<ref name="jacobson2021" /> The previous report from 2010 was one boy in five being intact,<ref name="bollinger2017" /> and before that it was 1 in 10 boys being [[intact]], so this in an increase of 250 percent (0.25/0.10 X 100 = 250%) in the rate of [[Intact| intactness]] for the Midwest.
===Change in popularity===
The popularity of non-circumcision of boys has increased to the point that non-circumcision has become the NORM in many sections of the United States. if long-term trends have continued, it is possible that non-circumcision or "intactness" has become the NORM in the United States.