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尼日利亚女童遭受女性生殖器切割的决定因素。

The determinants of female genital mutilation among daughters in Nigeria.

作者信息

Nzelu Charles Echezona, Nzelu Uche Maureen, Ugwunze Amara Rita, Azodoh Ngozi

机构信息

Department of Special Projects, Federal Ministry of Health Nigeria, Federal Capital Territory, Nigeria.

National Examinations Council, Minna, Nigeria.

出版信息

PLOS Glob Public Health. 2025 Apr 7;5(4):e0004413. doi: 10.1371/journal.pgph.0004413. eCollection 2025.

DOI:10.1371/journal.pgph.0004413
PMID:40193370
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11975082/
Abstract

Female Genital Mutilation/Circumcision (FGM/C) refers to the complete or incomplete removal of the female external genital or other injuries for non-medical or cultural reasons. It is a culturally harmful practice without health benefits with long-term complications to women's psychological, physical, and sexual health and well-being that violates the victims' rights because it is done without their consent. Despite International efforts to eradicate this harmful practice, it persists, therefore, this study examined the sociodemographic factors of mothers of reproductive age that affected the likelihood of their daughters undergoing female genital mutilation or circumcision. The 2021 Multiple Indicator Cluster Survey (MICS) female genital mutilation response weighted data of women of reproductive age 15-49 years was used for this study. Bivariate and multivariable logistic regression analyses were done to predict the determinants of female genital mutilation among daughters, and those with a p-value of ≤.05 were considered statistically significant determinants. Results showed a statistically significant difference between educational level, ethnicity of household head, household wealth index, geopolitical zone, ever circumcised, and daughter circumcised at Alpha =.05 in the multivariable regression analysis. Place of Residence and Marital Status were not statistically significant in the multivariable regression analysis at Alpha =.05. Considering that Nigeria has a population of over 200 million people, a figure of 14.2% of daughters circumcised is high and, therefore, requires concerted interventions by all stakeholders to address this harmful practice.

摘要

女性生殖器切割/环切术(FGM/C)是指出于非医疗或文化原因,完全或部分切除女性外生殖器或造成其他损伤。这是一种具有文化危害性的行为,对女性的心理、身体和性健康及福祉会产生长期并发症,且因未经受害者同意而实施,侵犯了她们的权利。尽管国际社会为根除这种有害行为做出了努力,但它仍然存在。因此,本研究调查了育龄母亲的社会人口学因素,这些因素影响其女儿接受女性生殖器切割或环切术的可能性。本研究使用了2021年多指标类集调查(MICS)中15至49岁育龄女性关于女性生殖器切割的加权应答数据。进行了双变量和多变量逻辑回归分析,以预测女儿中女性生殖器切割的决定因素,p值≤0.05的因素被视为具有统计学意义的决定因素。结果显示,在多变量回归分析中,教育水平、户主种族、家庭财富指数、地缘政治区、是否接受过环切术以及女儿是否接受环切术在α = 0.05时存在统计学显著差异。在α = 0.05的多变量回归分析中,居住地和婚姻状况没有统计学意义。鉴于尼日利亚人口超过2亿,14.2%的女儿接受环切术这一比例很高,因此需要所有利益相关者共同采取干预措施来解决这种有害行为。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c85/11975082/60554758c5e4/pgph.0004413.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c85/11975082/60554758c5e4/pgph.0004413.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c85/11975082/60554758c5e4/pgph.0004413.g001.jpg

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本文引用的文献

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Does previous circumcision and wealth index influence women's attitude to discontinue the practice of female genital mutilation and cutting (FGM/C) in Ethiopia?既往割礼和财富指数是否影响埃塞俄比亚妇女停止女性生殖器切割(FGM/C)的态度?
PLoS One. 2022 Aug 19;17(8):e0272934. doi: 10.1371/journal.pone.0272934. eCollection 2022.
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Res Social Adm Pharm. 2022 Feb;18(2):2308-2316. doi: 10.1016/j.sapharm.2021.03.009. Epub 2021 Mar 19.
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Factors associated with female genital mutilation among women of reproductive age and girls aged 0-14 in Chad: a mixed-effects multilevel analysis of the 2014-2015 Chad demographic and health survey data.
与乍得育龄妇女和 0-14 岁女童的女性生殖器官切割有关的因素:对 2014-2015 年乍得人口与健康调查数据的混合效应多级分析。
BMC Public Health. 2021 Feb 4;21(1):286. doi: 10.1186/s12889-021-10293-y.
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The Physical, Mental, and Emotional Harm of Female Genital Mutilation.女性割礼造成的身体、心理和情感伤害。
J Am Acad Child Adolesc Psychiatry. 2021 Jul;60(7):801-803. doi: 10.1016/j.jaac.2020.12.022. Epub 2020 Dec 21.
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Socio-economic and demographic determinants of female genital mutilation in sub-Saharan Africa: analysis of data from demographic and health surveys.撒哈拉以南非洲地区女性外阴残割的社会经济和人口决定因素:来自人口与健康调查的数据分析。
Reprod Health. 2020 Oct 22;17(1):162. doi: 10.1186/s12978-020-01015-5.
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Regression multiple imputation for missing data analysis.用于缺失数据分析的回归多重填补
Stat Methods Med Res. 2020 Sep;29(9):2647-2664. doi: 10.1177/0962280220908613. Epub 2020 Mar 4.
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Female Genital Mutilation: Health Consequences and Complications-A Short Literature Review.女性生殖器切割:健康后果与并发症——简短文献综述
Obstet Gynecol Int. 2018 Jul 10;2018:7365715. doi: 10.1155/2018/7365715. eCollection 2018.
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Long term health consequences of Female Genital Mutilation (FGM).女性生殖器切割的长期健康后果。
Maturitas. 2015 Jan;80(1):48-51. doi: 10.1016/j.maturitas.2014.10.009. Epub 2014 Oct 24.
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