Keita Kaba S, Sidibe Tiany, Sall Alpha O, Camara Sadan, Barry Fanta, Diallo Ramata, Toure Madeleine, Diallo Aissatou, Balde Mamadou D, Delamou Alexandre
Department of Public Health, Centre for Research in Reproductive Health in Guinea (CERREGUI), Conakry, Guinea.
African Centre of Excellence for Prevention and Control of Transmissible Diseases (CEA-PCMT), University Gamal Abdel Nasser, Conakry, Guinea.
J Public Health Afr. 2025 Aug 8;16(1):1280. doi: 10.4102/jphia.v16i1.1280. eCollection 2025.
Female genital mutilation (FGM), especially infibulation, is a significant public health issue that poses numerous health risks for young girls. Despite its severity, this phenomenon remains under-documented.
This study aims to identify the factors associated with infibulation among girls who underwent FGM in Guinea.
This study was conducted in Guinea.
A secondary analysis of data from the 2018 Demographic and Health Survey (DHS) in Guinea included 3950 women whose daughters had undergone female genital mutilation or excision (FGM/E). A multivariate logistic regression was performed to identify factors associated with infibulation using the Stata software version 17.
The overall prevalence of infibulation among girls who underwent female genital mutilation or cutting (FGM/C) in Guinea was 16%. This prevalence was higher at 17% (95% confidence interval [CI]: [0.1-0.2]) among girls aged 0 years to 4 years. Statistically significant individual and contextual factors included: maternal age (odds ratio [OR] = 1.4, 95% CI: [1.1-2.6]), maternal employment status (OR = 1.7, 95% CI: [1.3-2.2]), maternal religion (OR = 2.7, 95% CI: [1.2-5.8]), maternal infibulation status (OR = 22.1, 95% CI: [16.6-29.4]) and region of residence (OR = 2.8, 95% CI: [1.6-4.8]).
This study highlights the need for educational, socio-economic and public health strategies to eradicate infibulation in Guinea and promote sustainable change.
This research revealed the influence of individual and contextual factors on infibulation and highlighted the emergency of targeted strategies, such as awareness raising, community dialogue and education about its risks.
女性生殖器切割（FGM），尤其是闭锁术，是一个重大的公共卫生问题，给年轻女孩带来众多健康风险。尽管其严重性，但这一现象的记录仍然不足。
本研究旨在确定几内亚接受女性生殖器切割的女孩中与闭锁术相关的因素。
本研究在几内亚进行。
对2018年几内亚人口与健康调查（DHS）的数据进行二次分析，其中包括3950名女儿接受过女性生殖器切割或切除（FGM/E）的妇女。使用Stata软件版本17进行多变量逻辑回归，以确定与闭锁术相关的因素。
在几内亚接受女性生殖器切割（FGM/C）的女孩中，闭锁术的总体患病率为16%。在0至4岁的女孩中，这一患病率更高，为17%（95%置信区间[CI]：[0.1 - 0.2]）。具有统计学意义的个体和背景因素包括：母亲年龄（优势比[OR]=1.4，95% CI：[1.1 - 2.6]）、母亲就业状况（OR = 1.7，95% CI：[1.3 - 2.2]）、母亲宗教信仰（OR = 2.7，95% CI：[1.2 - 5.8]）、母亲的闭锁术状况（OR = 22.1，95% CI：[16.6 - 29.4]）和居住地区（OR = 2.8，95% CI：[1.6 - 4.8]）。
本研究强调需要采取教育、社会经济和公共卫生策略，以根除几内亚的闭锁术并促进可持续变革。
本研究揭示了个体和背景因素对闭锁术的影响，并强调了针对性策略的紧迫性，如提高认识、社区对话以及关于其风险的教育。
