Department of Community Medicine, Enugu State University Teaching Hospital, Enugu, Enugu State, Nigeria.
Department of Paediatrics, College of Medicine, University of Nigeria Enugu Campus, Enugu, Nigeria.
J Trop Pediatr. 2021 Jan 29;67(1). doi: 10.1093/tropej/fmaa103.
Female genital mutilation (FGM) is a public health menace and it study among adolescents is not exhaustive.
The aim is to study the prevalence, pattern, cultural values, health implications and consequences of FGM among adolescent females attending secondary schools in Enugu metropolis.
A descriptive study involving female adolescents aged 13-21 years recruited by multistage sampling in three Girls Secondary Schools in Enugu Metropolis.
Four hundred and fifty (450) questionnaires were distributed and four hundred and fourteen (414) were retrieved. The parents with moderate value for culture and tradition had the highest circumcised respondents (7.8%) (p = 0.056). Majority of the respondents, 93.7% were aware of female circumcision. The major complications of female circumcision according to the respondents were painful urination and menstrual problems. The prevalence of female circumcision among the respondents was 9.4%. A minor proportion of the respondents, 5.8% were of the opinion that all females should be circumcised. Respondents whose fathers attained tertiary education were three times less likely to be circumcised when compared with those whose fathers attained secondary education and less (adjusted odds ratio = 0.3; 95% CI: 0.3-1.5).
Prevalence of FGM among adolescents aged 13-21 years in Enugu metropolis was 9.4%. Majority of the respondents had good knowledge of FGM, and major complications noted were painful urination and menstrual problems. Fathers education level is a very strong reason for this high awareness of FGM among female adolescents.
女性生殖器割礼（FGM）是一种公共卫生威胁，对青少年进行的研究并不详尽。
旨在研究恩古姆都会区中学少女中女性生殖器割礼的流行率、模式、文化价值观、健康影响和后果。
这是一项描述性研究，涉及通过多级抽样在恩古姆都会区的三所女子中学招募的 13-21 岁的少女。
共发放了 450 份问卷，收回了 414 份。父母对文化和传统的价值观适中的，其割礼的被访者比例最高（7.8%）（p=0.056）。大多数受访者（93.7%）都知道女性割礼。根据受访者的说法，女性割礼的主要并发症是排尿疼痛和月经问题。受访者中女性割礼的流行率为 9.4%。少数受访者（5.8%）认为所有女性都应该割礼。与那些父亲接受过中学教育的人相比，父亲接受过高等教育的受访者接受割礼的可能性要低三倍（调整后的优势比=0.3；95%可信区间：0.3-1.5）。
恩古姆都会区 13-21 岁青少年中女性生殖器割礼的流行率为 9.4%。大多数受访者对 FGM 有很好的认识，主要的并发症是排尿疼痛和月经问题。父亲的教育水平是导致女青少年对 FGM 有高度认识的一个非常重要的原因。
