Odujinrin O M, Akitoye C O, Oyediran M A
West Afr J Med. 1989 Jul-Sep;8(3):183-92.
A total of 181 women were randomly chosen from the women attending the family planning clinic of the Department of Community Health, College of Medicine, University of Lagos, from February 1984 to September 1984. Of these, 84.7% were aged between 25 and 44 years and most of them are Yorubas (70.7%). A high proportion (56.4%) claimed to have been circumcised but examination revealed that 24.5% had no clinical evidence of circumcision. The Edo tribe had the highest proportion circumcised amongst the respondents, 76.7%, followed by the Ibos, 61%, and least of all the Efiks, 20%. Age at circumcision revealed that most had their circumcision as infants (78.8%) and only 5.9% had theirs as adults, however, the Ibos and Yorubas had high rates of infant circumcision. Some of the respondents were aware of the associated side effects and it was found that the more educated women were less likely to circumcise their daughters. All circumcised daughters were from circumcised mothers except one and she had to circumcise her daughter in conformity with her husband's tribal practice. Accurate statistics of morbidity and mortality from female circumcision will be difficult to gather as circumcision is performed mostly in the houses, nevertheless, the complications are severe enough to merit authoritative intervention. It is recommended that public awareness of female circumcision, its complications and other attendant health hazards should be embarked upon by health authorities especially amongst the tribes practising it.
1984年2月至1984年9月期间,从拉各斯大学医学院社区卫生系计划生育诊所就诊的女性中随机选取了181名女性。其中,84.7%的女性年龄在25至44岁之间,她们中的大多数是约鲁巴人(70.7%)。很大一部分(56.4%)声称接受过割礼,但检查发现24.5%的人没有割礼的临床证据。在所调查的部落中,埃多部落接受割礼的比例最高,为76.7%,其次是伊博族,为61%,而埃菲克族比例最低,为20%。割礼年龄显示,大多数人在婴儿期接受割礼(78.8%),只有5.9%的人在成年后接受割礼,然而,伊博族和约鲁巴族婴儿期割礼的比例较高。一些受访者知道割礼的相关副作用,并且发现受教育程度较高的女性不太可能让女儿接受割礼。所有接受割礼的女儿都来自接受过割礼的母亲,只有一个例外,她不得不按照丈夫部落的习俗为女儿进行割礼。由于割礼大多在家庭中进行,因此很难收集到女性割礼导致的发病和死亡的确切统计数据,不过,其并发症严重到足以值得权威干预。建议卫生当局开展关于女性割礼、其并发症及其他相关健康危害的公众宣传活动,特别是在实施割礼的部落中。