Research exploring the impact of penile circumcision on aspects of body image is scarce and few studies have considered the potential roles of attitudinal factors toward one’s own circumcision status. The purpose of the present study was to assess the potential relationship between one’s circumcision status, happiness with circumcision status, genital self-image, and sexual functioning. The present study also examined how happiness with circumcision status varied across geographic regions. A total of 205 participants (102 circumcised, 103 not circumcised) completed a study through online recruitment methods. Participants reported being born in the United States (n = 80), Canada (n = 23), and various countries within Latin America (n = 22), Europe (n = 49), Asia (n = 13), Africa (n = 11), and Oceania (n = 7). Participants who were not circumcised reported significantly greater happiness with their circumcision status than participants who were circumcised. However, genital self-image, sexual body image, and sexual functioning did not significantly differ by circumcision status. Instead, participants who reported being happier with their circumcision status reported better genital self-image and less body exposure avoidance during sex, but sexual function did not differ by happiness. Although researchers hypothesized that happiness with circumcision status would depend on whether one fits in with the majority circumcision status within their region of origin, results did not support this. Participants who were circumcised tended to have less happiness with their circumcision status than non-circumcised participants regardless of region of birth. These findings support a small body of the literature which suggests that the psychosexual impact of penile circumcision may rely more on attitudinal factors toward circumcision status than actual circumcision status.

探索阴茎包皮环切术对身体形象影响的研究很少，也很少有研究考虑态度因素对自己包皮环切术状态的潜在作用。本研究的目的是评估一个人的包皮环切状况、包皮环切状况的幸福感、生殖器自我形象和性功能之间的潜在关系。本研究还研究了包皮环切状况的幸福感在不同地理区域的差异。共有 205 名参与者（102 名接受过包皮环切术、103 名未接受过包皮环切术）通过在线招募方式完成了研究。参与者报告出生在美国 ( n  = 80)、加拿大 ( n  = 23) 和拉丁美洲各个国家 ( n  = 22)、欧洲 (n  = 49)、亚洲 ( n  = 13)、非洲 ( n  = 11) 和大洋洲 ( n = 11) = 7）。未受过包皮环切的参与者对自己的包皮环切状况的满意度明显高于接受过包皮环切的参与者。然而，生殖器自我形象、性身体形象和性功能并没有因包皮环切状态而存在显着差异。相反，那些对自己的包皮环切状况感到更满意的参与者报告说，他们的生殖器自我形象更好，性交过程中避免身体暴露的情况也更少，但性功能并没有因幸福感而有所不同。尽管研究人员假设，包皮环切状况的幸福感取决于一个人是否符合其原籍地区的大多数包皮环切状况，但结果并不支持这一点。无论出生地区如何，接受过包皮环切的参与者对自己包皮环切状况的满意度往往低于未接受包皮环切的参与者。