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→Incidence of circumcision: Revise text.
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==== If the long-term rate of decline has continued after the study period, then the The still high incidence of [[circumcision]] and the incidence of intactness would have crossed over in 2022, however a fresh study is needed to confirm that. 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 Midwest is certainly possible that non-circumcision or "intactness" may have become counterbalanced by the NORM low incidence in the United StatesWest.
=== Intact is the new norm ===