Varol Nesrin, Turkmani Sabera, Black Kirsten, Hall John, Dawson Angela
Sydney Medical School, Discipline of Obstetrics and Gynaecology, University of Sydney, Sydney, NSW, 2006, Australia.
Centre for Midwifery, Child and Family Health, Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia.
BMC Public Health. 2015 Oct 8;15:1034. doi: 10.1186/s12889-015-2373-2.
Men in their roles as fathers, husbands, community and religious leaders may play a pivotal part in the continuation of female genital mutilation (FGM). However, the research on their views of FGM and their potential role in its abandonment are not well described.
We undertook a systematic review of all publications between 2004 and 2014 that explored men's attitudes, beliefs, and behaviours in regards to FGM, as well as their ideas about FGM prevention and abandonment.
We included twenty peer-reviewed articles from 15 countries in the analysis. Analysis revealed ambiguity of men's wishes in regards to the continuation of FGM. Many men wished to abandon this practice because of the physical and psychosexual complications to both women and men. Social obligation and the silent culture between the sexes were posited as major obstacles for change. Support for abandonment was influenced by notions of social obligation, religion, education, ethnicity, urban living, migration, and understanding of the negative sequelae of FGM. The strongest influence was education.
The level of education of men was one of the most important indicators for men's support for abandonment of FGM. Social obligation and the lack of dialogue between men and women were two key issues that men acknowledged as barriers to abandonment. Advocacy by men and collaboration between men and women's health and community programs may be important steps forward in the abandonment process.
男性作为父亲、丈夫、社区和宗教领袖，在女性生殖器切割（FGM）的延续中可能起到关键作用。然而，关于他们对女性生殖器切割的看法以及他们在摒弃这种行为中可能发挥的作用的研究却鲜有描述。
我们对2004年至2014年间所有探讨男性对女性生殖器切割的态度、信仰和行为，以及他们对预防和摒弃女性生殖器切割的想法的出版物进行了系统综述。
我们在分析中纳入了来自15个国家的20篇同行评议文章。分析显示，男性对于女性生殖器切割是否继续存在意愿模糊。许多男性希望摒弃这种做法，因为它会给女性和男性带来身体和性心理方面的并发症。社会义务和两性之间的沉默文化被认为是改变的主要障碍。对摒弃行为的支持受到社会义务、宗教、教育、种族、城市生活、移民以及对女性生殖器切割负面后果的理解等观念的影响。影响最大的是教育。
男性的教育水平是其支持摒弃女性生殖器切割的最重要指标之一。社会义务以及男女之间缺乏对话是男性承认的摒弃行为的两个关键障碍。男性的倡导以及男女健康与社区项目之间的合作可能是摒弃过程中向前迈出的重要一步。
