Department of Public Health, Babcock University, Ilishan-Remo, Nigeria.
Department of Nursing Science, Babcock University, Ilishan-Remo, Nigeria.
Public Health Nurs. 2019 Sep;36(5):615-622. doi: 10.1111/phn.12633. Epub 2019 Jun 26.
This study investigated the level of knowledge, perception, and subjective norm as correlates for risk reduction in female genital mutilation (FGM) in Osun State, Nigeria.
Data were collected from 376 respondents who were conveniently selected from 4 wards in Ede South LGA with structured questionnaire (75% reliability) and focus group discussion (FGD) guide. Data were analyzed using appropriate statistical tools and hypotheses set at p ≤ 0.05.
Participants mean age was 38.5 ± 1.29, 79.3% were women, 82.9% were Muslims, and only 34.6% had up to secondary education. Over 38% had at least one of their daughters circumcised, and 54.8% were not aware of the health risks associated with FGM. Majority knew that FGM is prohibited in Nigeria yet 31.9% supported the practice. There were significant correlations (at p < 0.05) between knowledge level (R = 0.348), perception (R = 0.432), subjective norm (R = -0.475), and intention to discontinue FGM. However, these factors are still relatively low. Also, FGDs showed that majority of the respondents were not aware of any health risks associated with FGM but only supported the discontinuation because of public perception in Nigeria.
The study recommended aggressive public health education drive and awareness campaign focusing on the negative health implications of FGM.
本研究旨在探讨尼日利亚奥孙州女性割礼（FGM）风险降低的知识、认知和主观规范水平。
数据来自 376 名受访者，他们是从埃德南地方政府区的 4 个选区中方便选取的，采用了结构化问卷（75%的可靠性）和焦点小组讨论（FGD）指南。使用适当的统计工具和假设（p≤0.05）对数据进行分析。
参与者的平均年龄为 38.5±1.29 岁，79.3%是女性，82.9%是穆斯林，只有 34.6%受过中等教育。超过 38%的人至少有一个女儿接受了割礼，而 54.8%的人不知道与 FGM 相关的健康风险。大多数人知道 FGM 在尼日利亚是被禁止的，但仍有 31.9%支持这种做法。知识水平（R=0.348）、认知（R=0.432）、主观规范（R=-0.475）和停止 FGM 的意愿之间存在显著相关性（p<0.05）。然而，这些因素的水平仍然相对较低。此外，FGD 表明，大多数受访者不知道 FGM 可能带来任何健康风险，只是因为尼日利亚的公众看法而支持停止这种做法。
该研究建议开展积极的公共卫生教育运动和宣传活动，重点关注 FGM 的负面健康影响。
