Dalla Lana School of Public Health, 274071University of Toronto, Toronto, ON, Canada.
Department of Anthropology, 7938University of Toronto, Toronto, ON, Canada.
Qual Health Res. 2022 Jan;32(1):108-120. doi: 10.1177/10497323211049225. Epub 2021 Dec 6.
We used institutional ethnography to explore the social relations that shaped the reproductive health care experiences of women with female genital cutting. Interviews with eight women revealed that they engaged in discourse that opposed the practices of cutting female genitals as a human-rights violation. This discourse worked to protect those affected by the practices, but also stigmatized female genital cutting, making participants anticipate experiencing stigmatization during health care. Women's engagement in this discourse shaped their emotional health work to prepare for such encounters. This work included navigating feelings of worry, shame, and courage to understand what to expect during their own appointment; learning from family/friends' experiences; and seeking a clinic with the reputation of best care for women with female genital cutting. It is important to strive for more inclusive health care in which women do not have to engage in emotional health work to prepare for their clinical encounters.
我们采用机构人种学的方法，探索了影响女性割礼经历的社会关系。对 8 名女性的访谈表明，她们参与了反对切割女性生殖器的言论，认为这是一种侵犯人权的行为。这种言论旨在保护那些受到这种行为影响的人，但也污名化了女性割礼，使参与者在接受医疗保健时预期会受到污名化。女性参与这种言论，塑造了她们为应对这种情况而进行的情感健康工作。这项工作包括在预约期间应对担忧、羞耻和勇气的情绪，以了解自己可能会遇到什么情况；从家人/朋友的经历中学习；并选择一家以女性割礼护理而闻名的诊所。努力实现更具包容性的医疗保健至关重要，这样女性就不必为准备临床就诊而进行情感健康工作。
