Tamaddon Leila, Johnsdotter Sara, Liljestrand Jerker, Essén Birgitta
Department of Clinical Sciences/Obstetrics and Gynaecology, University Hospital UMAS, Lund University, Malmö, Sweden.
Health Care Women Int. 2006 Sep;27(8):709-22. doi: 10.1080/07399330600817741.
We sought to evaluate the experiences and knowledge of health care providers in Sweden regarding female genital cutting (FGC) as a health issue. Questionnaires (n = 2,707) were sent to providers in four major cities in Sweden and evaluated by means of descriptive statistics. Twenty-eight percent (n = 769/2,707) responded, of whom 60% had seen such patients. Seven providers, including 2 pediatricians, were suspicious of patients with signs of recent genital cutting. Ten percent had been asked to perform reinfibulation after delivery. Thirty-eight providers had received inquiries about the possibility of performing FGC in Sweden.A majority of Swedish health care providers meet patients presenting with evidence of FGC performed long ago. However, very few of them have suspected recently cut patients. The results support the hypothesis that this practice is not as active among African immigrants in Sweden as in their countries of origin. If the prevalence was the same as in African countries, more pediatricians would be expected to meet current cut girls. National efforts and policy programs to prevent FGC in Sweden are recommended as effective, in accordance with current research and should especially be directed toward pediatricians.
我们试图评估瑞典医疗保健提供者对女性生殖器切割（FGC）这一健康问题的经验和知识。向瑞典四个主要城市的医疗保健提供者发放了问卷（n = 2707），并通过描述性统计进行评估。28%（n = 769/2707）的人回复了问卷，其中60%见过此类患者。包括2名儿科医生在内的7名医疗保健提供者对有近期生殖器切割迹象的患者表示怀疑。10%的人曾被要求在分娩后进行重新缝合。38名医疗保健提供者收到过关于在瑞典进行女性生殖器切割可能性的咨询。大多数瑞典医疗保健提供者会接待有很久以前进行过女性生殖器切割证据的患者。然而，他们中很少有人怀疑近期接受切割的患者。结果支持这样一种假设，即这种做法在瑞典的非洲移民中不像在其原籍国那样活跃。如果患病率与非洲国家相同，预计会有更多儿科医生遇到近期接受切割的女孩。建议根据当前研究，在瑞典开展全国性的预防女性生殖器切割的努力和政策项目，这些措施应尤其针对儿科医生。
