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=== Incidence of circumcision ===
====Long-term declining trend====
The incidence of non-therapeutic neonatal circumcision hit its peak at 85-90 percent in 1980. It has been slowly declining ever since.
Jacobson et al. (2021) collected circumcision statistics from the Kids' Inpatient Database from 2002 to 2016. They reported that the incidence of non-therapeutic neonatal circumcision has "decreased significantly over time" with 55 percent being circumcised, which translates to a [[genital integrity]] (intact) rate of 45 percent. The previous intact rate for the nation had been reported to be 41.7 percent in 2010, so this represents an improvement of 7.9 percent in the number of intact boys. The incidence of circumcision for the entire United States had declined to 52.1 percent at the end of the study period (2016), which indicates that 47.9 percent of boys born in that year are [[intact]].<ref name="jacobson2021" />
====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.