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对女性生殖器切割/环切术的态度:系统评价与荟萃分析

Attitudes toward Female Genital Mutilation/Circumcision: A Systematic Review and Meta-Analysis.

作者信息

Jahangiry Leila, Pashaei Tahereh, Ponnet Koen

机构信息

Research Center for Evidence Based Medicine, Tabriz University of Medical Sciences, Tabriz 5166/15731, Iran.

Health Education and Health Promotion Department, Faculty of Health, Tabriz University of Medical Sciences, Tabriz 5166/15731, Iran.

出版信息

Healthcare (Basel). 2021 Sep 8;9(9):1184. doi: 10.3390/healthcare9091184.

Abstract

BACKGROUND

Understanding the attitudes toward FGM/C held by people who have been involved in this practice can lead to more active interventions to prevent this harmful practice. In order to achieve this, a systematic review was performed on scientific articles.

METHODS

Electronic databases (PubMed, Scopus, and Science Direct) were examined to identify articles.

RESULTS

Our initial search resulted in 3013 articles, of which 40 articles with estimations of attitudes toward FGM/C were reviewed. The results indicate that the random-effects pooled estimation of negative attitudes toward FGM/C practice was 53% (95% CI 47-59; < 0.001). Furthermore, the pooled estimation of attitudes toward the decision not to circumcise young daughters was 63% (95% CI 46-80; < 0.001).

CONCLUSION

Despite the increased awareness and efforts to ban FGM/C in many countries around the world, our review demonstrates that positive attitudes toward FGM/C are still far from being eradicated and have hardly changed in the past years. This issue reflects deeply rooted cultural and social concerns of health care professionals with regard to continuing the practice. The authors believe that circumcised women can play a key role in encouraging the abandonment of FGM/C through educational and cultural campaigns.

摘要

背景

了解参与女性生殖器切割/残割习俗的人们对该习俗的态度,有助于采取更积极的干预措施来预防这种有害习俗。为了实现这一目标,我们对科学文献进行了系统综述。

方法

检索电子数据库(PubMed、Scopus和ScienceDirect)以识别相关文章。

结果

我们最初的检索得到3013篇文章,其中40篇对女性生殖器切割/残割习俗的态度进行了评估并纳入综述。结果表明,对女性生殖器切割/残割习俗持负面态度的随机效应合并估计值为53%(95%置信区间47 - 59;<0.001)。此外,对决定不给年幼女儿进行割礼的态度的合并估计值为63%(95%置信区间46 - 80;<0.001)。

结论

尽管世界上许多国家对女性生殖器切割/残割习俗的认识有所提高,且加大了禁止力度,但我们的综述表明,对该习俗的积极态度仍远未消除,且在过去几年几乎没有改变。这个问题反映了医疗保健专业人员在继续实施该习俗方面根深蒂固的文化和社会担忧。作者认为,接受过割礼的女性可以通过教育和文化活动,在鼓励摒弃女性生殖器切割/残割习俗方面发挥关键作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8592/8466725/96795a6730d5/healthcare-09-01184-g001.jpg

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