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→Long-term declining trend: Revise text.
Jacobsen et al. (2021) used data from the Kid's Inpatient Database of the Agency for Healthcare Research and Quality from 2003 through 2016 to compare [[intact]] with [[circumcised]] boys in the first 28 days of life. The authors reported a gradual declining trend in the incidence of neonatal non-therapeutic [[circumcision]] throughout the study period. The overall incidence of circumcision decreased from 57.4 percent to 52.1 percent over the 13 year study period or 5.3 percentage points for an average decrease of 0.4 percentage point per year. The author noted "neonatal circumcision rates decreased significantly over time."<ref name="jacobson2021" />
There was significant variation in the incidence of circumcision by region with the Midwest reporting an incidence of 75 percent (three out of four) for the period, while boys in the West were most likely to preserve their [[foreskin]] as the West reported an incidence of only 25.9 percentor about 1 boy in 4 being circumcised.
====Midwest====