Altunkurek Şeyma Zehra, Yeşilyurt Eylül, Hassan Mohamed Samira
Department of Public Health Nursing, University of Health Sciences, Gulhane Faculty of Nursing, Ankara, Türkiye.
Department of Public Health Nursing, Ufuk University School of Nursing, Ankara, Türkiye.
Int J Womens Health. 2024 Sep 3;16:1451-1462. doi: 10.2147/IJWH.S469902. eCollection 2024.
The aim of this study was to compare the menstrual symptoms and dysmenorrhea in university students who underwent Female genital mutilation/cutting (FGM/C), in Mogadishu, Somalia, and students who did not undergo FGM/C in Ankara, Türkiye.
A comparative cross-sectional study design was used.
Among the participants with FGM/C, 88.5% were Type 1 and the age at FGM/C was 8 years. The pain severity was 6.20±2.54 in women with FGM/C and was higher than that of those without FGM/C (5.97±2.32), but no significant difference was found. Among those who had FGM/C, 66% had a menstrual duration of 3-5 days, while 52.0.% of those who did not have FGM/C had a menstrual duration of 6-8 days (p<0.05). While 85.1% of those without FGM/C had a menstrual cycle of 21-35 days, 35% of those with FGM/C had a menstrual cycle of less than 20 days (p<0.05). It was found that 95% of those who have undergone female circumcision and 90.2% of those who have not had dysmenorrhea (p<0.05). Painkillers were always used by 28% of women with FGM/C and 26.3% of women without FGM/C (p<0.05). The total MSS score of those who have not had FGM/C was 3.34±0.72 and the score of those who have had FGM/C was 2.91±0.74 (p<0.05). The negative effects sub-dimension score was found to be higher in the non-FGM/C group with 3.20±0.75, while the coping methods sub-dimension score was higher in the FGM/C group with 2.91±1.13 (p<0.05).
FGM/C is still common in Somalia. Our study results showed that having FGM/C may cause differences in dysmenorrhea and menstrual symptoms. Efforts to increase students' effective coping with menstrual symptoms and dysmenorrhea are thought to be useful.
本研究旨在比较索马里摩加迪沙接受女性生殖器切割（FGM/C）的大学生与土耳其安卡拉未接受FGM/C的大学生的月经症状和痛经情况。
采用比较性横断面研究设计。
在接受FGM/C的参与者中，88.5%为1型，FGM/C时的年龄为8岁。接受FGM/C的女性疼痛严重程度为6.20±2.54，高于未接受FGM/C的女性（5.97±2.32），但未发现显著差异。在接受FGM/C的人群中，66%的月经持续时间为3 - 5天，而未接受FGM/C的人群中52.0%的月经持续时间为6 - 8天（p<0.05）。未接受FGM/C的人群中85.1%的月经周期为21 - 35天，而接受FGM/C的人群中35%的月经周期少于20天（p<0.05）。发现95%接受过女性割礼的人以及90.2%未患痛经的人（p<0.05）。28%接受FGM/C的女性和26.3%未接受FGM/C的女性总是使用止痛药（p<0.05）。未接受FGM/C的人的总MSS评分为3.34±0.72，接受FGM/C的人的评分为2.91±0.74（p<0.05）。发现非FGM/C组的负面影响子维度得分较高，为3.20±0.75，而FGM/C组的应对方法子维度得分较高，为2.91±1.13（p<0.05）。
FGM/C在索马里仍然很常见。我们的研究结果表明，接受FGM/C可能会导致痛经和月经症状的差异。提高学生有效应对月经症状和痛经的努力被认为是有用的。
