School of Allied Health, Anglia Ruskin University, Chelmsford CM1 1SQ, UK.
Department of Psychiatry, Enam Medical College and Hospital, Dhaka 1340, Bangladesh.
Int J Environ Res Public Health. 2020 May 12;17(10):3362. doi: 10.3390/ijerph17103362.
Female genital mutilation/cutting "FGM/C" is a deep-rooted damaging practice. Despite the growing efforts to end this practice, the current trends of its decline are not enough to overcome the population's underlying growth. The aim of this research is to investigate the FGM/C household decision-making process and identify the main household decision-makers. A review of peer-reviewed articles was conducted by searching PubMed, JSTOR, Ovid MEDLINE, Ovid EMBASE, EBSCO, and CINAHL Plus via systematic search using keywords. The found publications were screen using inclusion and exclusion criteria in line with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. After critical appraisal, seventeen articles were included in this review. The data extracted from the articles regarding FGM/C household-decision making process and decision-makers were analyzed using narrative analysis. FGM/C decision-making process varies from a region to another; however, it generally involves more than one individual, and each one has different power over the decision. Fathers, mothers, and grandmothers are the main decision-makers. It was shown from this review that opening the dialogue regarding FGM/C between sexes may lead to a productive decision-making process. The participation of fathers in the decision-making may free the mothers from the social-pressure and responsibility of carrying on traditions and create a more favorable environment to stop FGM/C practice.
女性生殖器官切割“FGM/C”是一种根深蒂固的有害习俗。尽管为结束这一习俗付出了越来越多的努力，但目前下降趋势还不足以克服人口的潜在增长。本研究旨在探讨 FGM/C 的家庭决策过程，并确定主要的家庭决策者。通过系统搜索关键词，在 PubMed、JSTOR、Ovid MEDLINE、Ovid EMBASE、EBSCO 和 CINAHL Plus 上搜索同行评议文章，进行了文献综述。根据系统评价和荟萃分析的首选报告项目（PRISMA）指南，使用纳入和排除标准筛选已发表的出版物。经过严格评估，本综述纳入了 17 篇文章。使用叙述性分析对文章中关于 FGM/C 家庭决策过程和决策者的数据进行了分析。FGM/C 的决策过程因地区而异；然而，它通常涉及不止一个人，每个人对决策的影响力也不同。父亲、母亲和祖母是主要决策者。本综述表明，在男女之间就 FGM/C 问题展开对话，可能会促成一个富有成效的决策过程。父亲参与决策可以使母亲摆脱继续传统的社会压力和责任，创造一个更有利于停止 FGM/C 做法的环境。
