Female circumcision in Nigeria and attitudes towards its discontinuation.

B M Gbadebo, R F Afolabi, A S Adebowale
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Abstract

Background: Female Circumcision (FC) is a harmful traditional practice and remains a public health problem particularly in the era of HIV/AIDS. Aside its numerous health implications, it can cause infertility, complications in childbirth and increased risk of newborn deaths. FC is widely practised in Nigeria.

Objective: The study assessed the level of FC, daughters' circumcision and attitude towards discontinuation of the practice among women of reproductive age.

Methods: Data were extracted from the 2008 Nigeria Demographic Health and Survey. Data were analysed using Chi-square and binary logistic regression models (á = 0.05).

Results: Among the respondents, prevalence of FC was 49.2% with 30.6% having circumcised their daughters and 25.8% wishing the practice to continue. About 56% of circumcised women also circumcised their daughters whereas only 2.9% of uncircumcised women circumcised their daughters. Approximately 69.8% of women who had circumcised their daughters would like FC to continue compared to 8.8% of those who never circumcised any of their daughters. The likelihood of FC was higher (OR = 2.07; C.I = 1.85-2.30) among Moslems compare to Christians. Igbo women were less likely to discontinue FC compared to women of Hausa/Fulani ethnic group despite controlling for the confounding variables (OR = 0.57; C.I = 0.35-0.91).

Conclusion: Female circumcision is still practiced in all parts of Nigeria and a high proportion of women reported that the practice should continue. There is need to intensify efforts on the campaign against female circumcision in Nigeria.

尼日利亚的女性割礼和对其终止的态度。
背景:女性割礼(FC)是一种有害的传统习俗,仍然是一个公共卫生问题,特别是在艾滋病毒/艾滋病时代。除了对健康造成诸多影响外,它还可能导致不孕、分娩并发症和新生儿死亡风险增加。FC在尼日利亚被广泛采用。目的:探讨育龄妇女FC水平、女儿包皮环切及对终止包皮环切的态度。方法:数据取自2008年尼日利亚人口健康与调查。数据分析采用卡方和二元logistic回归模型( = 0.05)。结果:在调查对象中,FC患病率为49.2%,其中30.6%的人对女儿进行了割礼,25.8%的人希望继续进行割礼。约56%接受过割礼的妇女也给女儿行了割礼,而未接受割礼的妇女只有2.9%给女儿行了割礼。大约69.8%的给女儿做过包皮环切术的妇女希望继续进行FC手术,而在从未给女儿做过包皮环切术的妇女中,这一比例为8.8%。FC的可能性更高(OR = 2.07;与基督教徒相比,穆斯林的ci = 1.85 ~ 2.30)。尽管控制了混杂变量,伊博族妇女与豪萨族/富拉尼族妇女相比,停止FC的可能性较小(OR = 0.57;c.i. = 0.35-0.91)。结论:女性包皮环切术在尼日利亚各地仍在实行,据报告,很大比例的妇女认为这种做法应该继续下去。有必要加强尼日利亚反对女性割礼运动的努力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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