Marea Christina X, Warren Nicole, Glass Nancy, Johnson-Agbakwu Crista, Perrin Nancy
School of Nursing, Johns Hopkins University, Baltimore, Maryland, USA.
School of Nursing and Health Studies, Georgetown University, Washington, District of Columbia, USA.
Health Equity. 2021 May 19;5(1):329-337. doi: 10.1089/heq.2020.0130. eCollection 2021.
Female genital mutilation/cutting (FGM/C) is a cultural practice that includes procedures that intentionally alter or cause harm to female genital organs for nonmedical reasons, affecting ∼200 million women and girls globally. Health care providers in the United States often lack confidence to provide appropriate FGM/C-related care, and experience attitudes that may negatively impact quality of care for FGM/C. We conducted a cross-sectional survey of health care providers to explore the associations between health care provider characteristics, awareness of health complications of FGM/C, attitudes, and confidence for FGM/C care. Factors associated with more include awareness of health complications, ever cared for a woman with FGM/C, being a woman or person of color, and more than 5 years of clinical practice. Increased was associated with awareness of more health complications for FGM/C. Women endorsed significantly less toward FGM/C compared with men; no other factors were associated with health care provider attitudes. Future research should further investigate factors associated with health care provider attitudes toward FGM/C and those affected by the practice to promote quality care. Health providers require adequate training for clinical FGM/C care and in the communication skills that promote patient/provider communication cross-culturally. Clinical Trials.Gov ID no. NCT03249649, Study ID no. 5252. Public website: https://clinicaltrials.gov/ct2/show/NCT03249649.
女性生殖器切割是一种文化习俗，包括出于非医学原因故意改变或伤害女性生殖器官的程序，全球约有2亿妇女和女孩受到影响。美国的医疗保健提供者往往缺乏提供适当的女性生殖器切割相关护理的信心，并且会遇到可能对女性生殖器切割护理质量产生负面影响的态度。我们对医疗保健提供者进行了一项横断面调查，以探讨医疗保健提供者特征、对女性生殖器切割健康并发症的认识、态度以及对女性生殖器切割护理的信心之间的关联。与更多相关的因素包括对健康并发症的认识、曾护理过接受女性生殖器切割的女性、女性或有色人种以及超过5年的临床实践。信心增加与对女性生殖器切割更多健康并发症的认识相关。与男性相比，女性对女性生殖器切割的认可明显更少；没有其他因素与医疗保健提供者的态度相关。未来的研究应进一步调查与医疗保健提供者对女性生殖器切割的态度相关的因素以及受该习俗影响的因素，以促进优质护理。医疗保健提供者需要接受关于女性生殖器切割临床护理以及促进跨文化患者/提供者沟通的沟通技巧的充分培训。临床试验。gov识别号：NCT03249649，研究识别号：5252。公共网站：https://clinicaltrials.gov/ct2/show/NCT03249649。
