利用2020年索马里人口与健康调查（SDHS）数据分析接受女性生殖器切割的女儿的患病率及相关因素

Prevalence and factors associated with female genital mutilation among daughters using Somalia Demographic Health Survey Data, SDHS 2020.

作者信息

Farih Omer Adam, Ali Abdirahman Omer, Abokor Abdirizak Hassan, Ali Mustafe Abdillahi, Muse Abdisalam Hassan, Egge Ahmed Abdi Aw

机构信息

Faculty of Science and Humanities, School of Postgraduate Studies and Research (SPGSR), Amoud University, Borama, Somalia.

Faculty of Science and Humanities, School of Postgraduate Studies and Research (SPGSR), Amoud University, Borama, Somalia; School of Medicine and Surgery, College of Health Sciences, Amoud University, Amoud Valley, Borama, Somalia.

出版信息

Aten Primaria. 2025 Apr;57(4):103113. doi: 10.1016/j.aprim.2024.103113. Epub 2024 Nov 5.

DOI:10.1016/j.aprim.2024.103113

PMID:39504908

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11570726/

Abstract

OBJECTIVE

To determine the prevalence and associated factors of female genital mutilation (FGM) among daughters of women aged 15-49 in Somalia using data from the 2020 Somaliland Demographic and Health Survey (SDHS).

DESIGN

A cross-sectional study utilizing data from the 2020 SDHS.

SETTING

Data was collected across Somalia, including urban, rural, and nomadic areas.

MAIN MEASUREMENTS

FGM prevalence was presented as percentages. Logistic regression analysis was used to identify associated factors, presented as odds ratios with 95% confidence intervals.

RESULTS

The prevalence of FGM among daughters was 24%. Factors significantly associated with FGM included age, region, residence, education, and wealth index. Younger daughters were more likely to be circumcised (p=0.000, 95% CI: 0.066-0.274). Rural residence increased the likelihood of FGM (OR=1.436, CI=1.257-1.64). Primary education increased the odds of FGM (OR=1.334, CI=1.127-1.58). Mothers who believed FGM should continue were more likely to have circumcised daughters (OR=1.464, CI=1.305-1.642).

CONCLUSIONS

FGM prevalence among daughters in Somalia is influenced by age, region, rural residency, and education. The findings highlight the need for targeted educational and intervention programs, particularly in rural areas, to effectively reduce FGM practices.

摘要

目的

利用2020年索马里兰人口与健康调查（SDHS）的数据，确定索马里15至49岁女性的女儿中女性生殖器切割（FGM）的流行率及相关因素。

设计

一项利用2020年SDHS数据的横断面研究。

背景

数据收集于索马里各地，包括城市、农村和游牧地区。

主要测量指标

FGM流行率以百分比表示。采用逻辑回归分析确定相关因素，以比值比及95%置信区间表示。

结果

女儿中FGM的流行率为24%。与FGM显著相关的因素包括年龄、地区、居住地、教育程度和财富指数。年龄较小的女儿接受切割的可能性更高（p = 0.000，95% CI：0.066 - 0.274）。农村居住增加了FGM的可能性（OR = 1.436，CI = 1.257 - 1.64）。小学教育增加了FGM的几率（OR = 1.334，CI = 1.127 - 1.58）。认为FGM应继续存在的母亲更有可能让女儿接受切割（OR = 1.464，CI = 1.305 - 1.642）。