解决欧洲女性生殖器官切割问题:参与、预防、保护和提供服务方法的范围综述。
Addressing female genital mutilation in Europe: a scoping review of approaches to participation, prevention, protection, and provision of services.
机构信息
Formerly Scottish Refugee Council, 5 Cadogan Square, Glasgow, Scotland.
Department of Global Health and Development, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK.
出版信息
Int J Equity Health. 2018 Feb 8;17(1):21. doi: 10.1186/s12939-017-0713-9.
BACKGROUND
Public and policy attention to female genital mutilation (FGM) in diaspora communities has increased in Europe, but research remains limited and misinformation abounds. As a first step to addressing these issues, this study explored FGM prevention and response interventions in Europe, using a scoping literature review and key informant interviews.
METHODS
A scoping study design was selected, using Arksey and O'Malley's six-stage scoping framework to review identified sources. Key informant interviews were used to inform and add depth to literature findings. Findings were summarised thematically, guided by the Scottish Government's '4Ps' framework for tackling violence against women (i.e. participation, prevention, protection, providing services).
RESULTS
Seventy literature sources, of 1095 screened, plus 16 individual and 3 group interview sources were included. Several countries have developed promising interventions supporting FGM resistance and recovery. However, gaps remain including community participation, professional knowledge and linkages, and evaluation of approaches.
CONCLUSIONS
This scoping review is an initial attempt to describe available primary evidence on European initiatives responding to FGM. Further research is required to determine whether interventions are effective, while policy and practice development must be shaped and driven by the experiences, needs, and views of affected communities.
背景
公众和政策对侨民社区女性外阴残割(FGM)的关注在欧洲有所增加,但研究仍然有限,而且存在大量错误信息。作为解决这些问题的第一步,本研究使用范围界定文献综述和关键知情人访谈,探讨了欧洲的 FGM 预防和应对干预措施。
方法
选择了范围界定研究设计,使用 Arksey 和 O'Malley 的六阶段范围界定框架来审查已确定的来源。关键知情人访谈用于为文献发现提供信息并增加深度。根据苏格兰政府针对暴力侵害妇女行为的“4Ps”框架(即参与、预防、保护、提供服务),对发现进行了主题总结。
结果
从 1095 篇筛选出的文献中,有 70 篇文献和 16 个个人和 3 个小组访谈来源被纳入。一些国家已经制定了有前途的干预措施,以支持 FGM 的抵制和康复。然而,仍存在差距,包括社区参与、专业知识和联系,以及对方法的评估。
结论
本范围界定综述是描述针对 FGM 的欧洲举措的现有主要证据的初步尝试。需要进一步研究以确定干预措施是否有效,同时政策和实践的制定必须由受影响社区的经验、需求和观点来塑造和推动。
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