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尼日利亚北部卡诺州女婴中女性生殖器切割的流行情况。

Prevalence of female genital mutilation among female infants in Kano, Northern Nigeria.

机构信息

Department of Obstetrics and Gynaecology, Bayero University/Aminu Kano Teaching Hospital, PMB 3452 Kano, Nigeria.

出版信息

Arch Gynecol Obstet. 2012 Aug;286(2):423-8. doi: 10.1007/s00404-012-2312-8. Epub 2012 Apr 11.

DOI:10.1007/s00404-012-2312-8
PMID:22491808
Abstract

OBJECTIVES

To determine the prevalence and type of female genital mutilation (FGM) among female infants, reasons and attitude of the mothers to the practice.

DESIGN

A cross sectional descriptive study.

SETTING

Tertiary centre in Kano Northern Nigeria.

METHOD

A Pretested questionnaire was administered for mothers of female infants presenting for routine immunization in Aminu Kano Teaching Hospital (AKTH). A total of 250 questionnaires were administered, but only 200 were properly filled and this was used for the analysis.

MAIN OUTCOME MEASURES

Prevalence and type of FGM, reason for and attitude of mothers towards FGM.

RESULTS

Twenty-six infants had FGM during the period of study, giving a prevalence rate of 13 %. The mean age at cutting was 8 days ± 7.3. The commonest type of FGM was type I accounting for 96.2 % of the cases. Tradition/culture was the commonest reason for mutilation accounting for 73.1 %, other reasons included; religious in 11.5 %, hygienic in 11.5 % and to preserve virginity in 3.8 %. Traditional barbers were the commonest operators in 80.8 % of cases, followed by the nurse/midwife in 15.4 % of cases. The fathers were the main decision makers in 46.2 %, followed by both parents in 26.9 % and grandparents in 15.4 % of the cases. 84 % of mothers were not in support of the practice. Thirteen percent of the clients would circumcise all their daughters. Forty-eight percent of the clients were of the opinion that FGM cause harm to the victims. Four percent of those whose daughters were yet to be circumcised will do so later.

CONCLUSION

Female genital cutting is still practiced in our environment. Educational enlightenment is fundamental in changing public opinion as well as in offering reasonable alternative to FGM. Campaign against the practice of FGM should be encouraged to eradicate its practice.

摘要

目的

确定女婴中女性生殖器切割(FGM)的流行率和类型、母亲对这种做法的原因和态度。

设计

横断面描述性研究。

地点

尼日利亚北部卡诺的一所三级中心。

方法

在 Aminu Kano 教学医院(AKTH)为接受常规免疫接种的女婴母亲进行了预测试问卷。共发放了 250 份问卷,但只有 200 份得到了妥善填写,这些问卷用于分析。

主要观察结果

FGM 的流行率和类型、母亲对 FGM 的原因和态度。

结果

在研究期间,26 名婴儿接受了 FGM,患病率为 13%。切割的平均年龄为 8 天±7.3 岁。最常见的 FGM 类型是 I 型,占 96.2%的病例。传统/文化是最常见的切割原因,占 73.1%,其他原因包括宗教占 11.5%、卫生占 11.5%和保护贞操占 3.8%。传统理发师是最常见的操作者,占 80.8%,其次是护士/助产士,占 15.4%。父亲是主要决策者,占 46.2%,其次是父母双方,占 26.9%,祖父母占 15.4%。84%的母亲不支持这种做法。13%的客户会为所有女儿割礼。48%的客户认为 FGM 会对受害者造成伤害。4%的尚未接受割礼的客户以后会这样做。

结论

女性生殖器切割在我们的环境中仍然存在。教育启蒙对于改变公众意见以及提供 FGM 的合理替代方案至关重要。应鼓励反对 FGM 的运动,以消除其做法。

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