女性割礼对女性性健康的影响——系统评价和荟萃分析。
Consequences of Female Genital Mutilation on Women's Sexual Health - Systematic Review and Meta-Analysis.
机构信息
Pelvic floor Re-education Unit, Department of Physical Medicine and Rehabilitation, University Clinics of Kinshasa, Faculty of Medicine, University of Kinshasa (UNIKIN), Kinshasa, Democratic Republic of Congo (DRC).
School of Health Sciences (HESAV), University of Applied Sciences and Arts Western Switzerland (HES-SO), Lausanne, Switzerland.
出版信息
J Sex Med. 2021 Apr;18(4):750-760. doi: 10.1016/j.jsxm.2021.01.173. Epub 2021 Feb 19.
BACKGROUND
Female genital mutilation (FGM) can leave a lasting mark on the lives and minds of those affected.
AIM
To assess the consequences of FGM on women's sexual function in women who have undergone FGM compared to women who have not undergone FGM.
METHODS
A systematic review and meta-analysis were conducted from 3 databases; inclusion and exclusion criterions were determined. Studies included adult women having undergone FGM and presenting sexual disorders assessed by the Female Sexual Function Index (FSFI).
RESULTS
Of 129 studies, 5 that met the criteria were selected. The sexual function of mutilated women, based on the FSFI total score and its different domains, was compared to the sexual function of non-mutilated women. There was a significant decrease in the total FSFI scores of mutilated women compared to non-mutilated women. However, the results obtained for the different domains were not the same for all authors. The meta-analysis highlighted a high heterogeneity with inconsistency and true variance in effect size between-studies.
CONCLUSION
Analysis of studies showed that there is a significant decrease in the total FSFI score, indicating that FGM of any type may cause impaired sexual functioning. But a firm conclusion on this topic is not yet achievable because the results of this analysis do not allow to conclude a cause and effect relationship of FGM on sexual function. Nzinga A-M, De Andrade Castanheira S, Herklmann J, et al. Consequences of Female Genital Mutilation on Women's Sexual Health - Systematic Review and Meta-Analysis. J Sex Med 2021;18:750-760.
背景
女性外阴残割（FGM）会给受其影响的人们的生活和思想留下持久的印记。
目的
评估女性外阴残割对接受过该手术的女性性功能的影响，并与未接受过该手术的女性进行比较。
方法
从 3 个数据库中进行了系统评价和荟萃分析；确定了纳入和排除标准。研究纳入了接受过女性外阴残割且表现出性功能障碍的成年女性，并通过女性性功能指数（FSFI）进行评估。
结果
在 129 项研究中，有 5 项符合标准被选中。基于 FSFI 总分及其不同领域，比较了残割女性和未残割女性的性功能。与未残割女性相比，残割女性的 FSFI 总分显著降低。然而，不同作者的研究结果并非完全一致。荟萃分析显示，研究之间存在高度异质性，效应大小不一致且存在真实差异。
结论
对研究的分析表明，FSFI 总分显著降低，这表明任何类型的女性外阴残割都可能导致性功能受损。但由于这项分析的结果还不能得出 FGM 对性功能的因果关系，因此尚未能得出关于这个主题的确定结论。Nzinga A-M、De Andrade Castanheira S、Herklmann J 等人。女性外阴残割对女性健康的影响后果-系统评价和荟萃分析。性医学杂志 2021;18:750-760。
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