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Distribution of foreskinned males in the United States: Add text and citation.
}}</ref> The incidence of circumcision has been declining slowly ever since, which means that one finds more [[intactness]] as age decreases. There also is more intactness among hispanic males.
Jacobsen et al. (2021) reported significant declines in the incidence of [[circumcision]] with an incidence of only 52.1 percent at the end of the study period in 2016. The corrolary is a [[foreskinned]] incidence of 47.9 percent among the boys born in 2016.Jacobsen et al. also reported that the incidence of [[intactness]] in the Midwest has increased from 1 boy in 10 to 1 boy in 4.<ref name="jacobsen2021">{{REFjournal |last=Jacobson |first=Deborah L. |init= |author-link= |last2=Balmert |first2=Lauren C. |init2= |author2-link= |last3=Holl |first3=Jane L. |init3= |author3-link= |last4=Rosoklija |first4=Ilina |init4= |author4-link= |last5=Davis |first5=Matthew M. |init5= |author5-link= |last6=Johnson |first6Emilie K. |init6= |author6-link= |etal=no |title=Nationwide Circumcision Trends: 2003 to 2016 |trans-title= |language= |journal=J Urol |location= |date=2021-01 |volume=205 |issue=1 |pages=257-63 |url=https://www.auajournals.org/doi/abs/10.1097/JU.0000000000001316 |pubmedID=32716676 |pubmedCID= |DOI=10.1097/JU.0000000000001316 |accessdate=2025-02-23}}</ref> ==History==Excision of the foreskin is a relatively recent practice in America.
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