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一项从受影响社区角度考察英国女性外阴残割健康运动的定性研究。

A qualitative study examining UK female genital mutilation health campaigns from the perspective of affected communities.

机构信息

Centre for Maternal and Child Health Research, School of Health Sciences, City University of London, Northampton Square, London EC1V 0HB, UK.

Department of Health and Social Sciences, University of the West of England, Frenchay Campus, Coldharbour Lane, Frenchay, Bristol, BS16 1QY, UK.

出版信息

Public Health. 2020 Oct;187:84-88. doi: 10.1016/j.puhe.2020.07.038. Epub 2020 Sep 12.

Abstract

OBJECTIVES

Female genital mutilation (FGM) is a worldwide problem associated with severe health risks. In the UK, preventative public health campaigns have been developed to eradicate FGM. The aim of the present study was to elicit the views about FGM public health campaigns from the perspective of a UK Somali community.

STUDY DESIGN

Three focus groups and one interview were conducted with 16 community members.

METHODS

Using posters and leaflets focused on UK FGM prevention, photo-elicitation was used to encourage participants to discuss the usefulness and implications for national public health messages aimed at eradicating FGM. Data were subjected to inductive thematic analysis.

RESULTS

Participants were positive about the aims of the campaigns presented within the research, believing such campaigns were necessary and increased awareness of FGM. However, participants felt the campaigns also carried risks of enhancing stereotypes in terms of ethnicity, gender and religion. For example, some images were perceived to suggest that FGM was only relevant to Sub-Saharan women, although it is also prevalent in other populations. Some fathers reported feeling unfairly targeted in campaigns that focused on the role of mothers in protecting daughters from FGM. Participants were also concerned that some poster images may suggest that FGM was associated with Islam and perceived as a religious issue, rather than a cultural one. Fears were identified that this could lead to stigmatisation and hostility towards those affected.

CONCLUSIONS

The research findings suggested that actively working with affected communities to develop messaging that counters negative stereotyping and associated hostility should be a priority.

摘要

目的

女性生殖器切割(FGM)是一个全球性的问题,与严重的健康风险有关。在英国,已经制定了预防性公共卫生运动来消除 FGM。本研究的目的是从英国索马里社区的角度了解他们对 FGM 公共卫生运动的看法。

研究设计

对 16 名社区成员进行了三次焦点小组讨论和一次访谈。

方法

使用关注英国 FGM 预防的海报和传单,通过照片启发来鼓励参与者讨论旨在消除 FGM 的国家公共卫生信息的有用性和影响。对数据进行了归纳主题分析。

结果

参与者对研究中提出的运动目标持积极态度,认为这些运动是必要的,可以提高对 FGM 的认识。然而,参与者认为这些运动也存在强化种族、性别和宗教刻板印象的风险。例如,一些图像被认为暗示 FGM 仅与撒哈拉以南的妇女有关,尽管它在其他人群中也很普遍。一些父亲报告说,在那些关注母亲保护女儿免受 FGM 的运动中,他们感到不公平地成为了目标。参与者还担心一些海报图像可能暗示 FGM 与伊斯兰教有关,并被视为宗教问题,而不是文化问题。人们担心这可能导致对受影响者的污名化和敌意。

结论

研究结果表明,与受影响的社区合作制定信息,以消除负面刻板印象和相关的敌意,应成为优先事项。

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