女性生殖器切割与避孕措施的使用：来自 2014 年埃及人口健康调查的结果。

Female genital mutilation and contraceptive use: findings from the 2014 Egypt demographic health survey.

机构信息

School of Medicine, Division of Epidemiology, Department of Family Medicine and Population Health, Virginia Commonwealth University, 830 East Main Street, Suite 821, P.O. Box 980212, Richmond, VA, 23298-0212, USA.

出版信息

Int J Public Health. 2020 Sep;65(7):1151-1158. doi: 10.1007/s00038-020-01452-w. Epub 2020 Aug 8.

DOI:10.1007/s00038-020-01452-w

PMID:32770347

Abstract

OBJECTIVES

Female genital mutilation (FGM) includes procedures that remove partial or total external female genitalia, or causes other injury to female genital organs with no medical reason. Physical and psychological trauma associated with FGM may interfere with a woman's ability and intent to utilize contraception. Our study examines the association between FGM and utilization of contraception methods among sexually active reproductive-aged women in Egypt.

METHODS

Data from the 2014 Egypt Demographic and Health Survey were analyzed (n = 20,055). Multinomial logistic regression was used to obtain odds ratios (OR) and 95% confidence intervals.

RESULTS

Our study found that FGM was performed on over 90% of Egyptian women and almost half (45%) of women did not use contraception. Women with FGM had significantly lower odds (OR = 0.6) of using barrier/natural contraceptive methods (e.g., condoms) than intrauterine devices (IUDs). However, women with FGM were more likely to use hormonal methods (OR = 1.2) than IUDs compared to those who had not experienced FGM.

CONCLUSIONS

In order to promote women's health and support use of effective contraception methods, a large reduction in FGM practice is essential.

摘要

目的

女性生殖器切割（FGM）包括切除部分或全部女性外生殖器，或在没有医学原因的情况下对女性生殖器官造成其他伤害的程序。与 FGM 相关的身体和心理创伤可能会干扰女性使用避孕措施的能力和意愿。我们的研究考察了 FGM 与埃及有性行为的育龄妇女使用避孕方法之间的关联。

方法

对 2014 年埃及人口与健康调查的数据进行了分析（n=20055）。使用多项逻辑回归获得优势比（OR）和 95%置信区间。

结果

我们的研究发现，FGM 在埃及妇女中施行率超过 90%，近一半（45%）的妇女不使用避孕措施。接受过 FGM 的妇女使用屏障/自然避孕方法（如避孕套）的可能性显著降低（OR=0.6），而使用宫内节育器（IUD）的可能性降低（OR=0.6）。然而，与未接受过 FGM 的妇女相比，接受过 FGM 的妇女更有可能使用激素方法（OR=1.2），而不是 IUD。