辨别脱纤:个人、职业和家庭对决策的影响。

IF 2.6 2区 医学 Q2 INFORMATION SCIENCE & LIBRARY SCIENCE
Jennifer Jo Connor, Kalthum Abdikeir, Nicole Chaisson, Sonya S Brady, Muzi Chen, Cawo Abdi, Munira Salad, Crista E Johnson-Agbakwu, Intisar Hussein, Foos Afey, Shannon Pergament, Beatrice Bean E Robinson
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引用次数: 0

摘要

过去几十年来,大量索马里妇女移居到世界各地。东道国的医疗工作者必须了解索马里妇女的医疗需求。大多数索马里女性移民都经历过切割女性生殖器官(FGC)。在索马里,最常见的类型是第 3 种或阴部扣锁术,即缩窄阴道内口。去阴道纤毛术可打开阴道前庭,以减少不良的健康后果和/或允许阴道分娩。在这项研究中,我们探讨了居住在美国的索马里妇女对阴道松弛术的看法。我们通过社区参与式研究方法招募了 75 名经历过女性生殖器切割的索马里妇女。双语社区研究人员用索马里语或英语进行了定性访谈。在参与式分析过程中,大学教师和社区研究人员共同对数据进行了编码。我们确定了四个主题。(1) 个人观点:参与者对脱纤持积极态度,并对婚前脱纤是否合适持不同看法。(2) 益处:已确定的益处包括:缓解健康问题;改善性健康,特别是减少或预防性痛 苦;以及重拾身体和女性身份。(3) 障碍:包括相关的耻辱感和提供者缺乏相关知识。(4) 决策:大多数人报告说,丈夫、医疗服务提供者和社区年长女性成员可以就是否和/或何时寻求解除子宫纤维化提供建议,但有些人认为解除子宫纤维化的决定完全由受影响的妇女自己作出。本研究采用了生态学框架来构建研究结果,并确定了医疗工作者在帮助被切除阴部的妇女做出决定方面的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Discerning Deinfibulation: Impact of Personal, Professional, and Familial Influences on Decision-Making.

The past decades have seen large numbers of Somali women migrate across the globe. It is critical for healthcare workers in host countries to understand healthcare needs of Somali women. The majority of Somali female migrants experience female genital cutting (FGC). The most common type in Somalia is Type 3 or infibulation, the narrowing of the vaginal introitus. Deinfibulation opens the introitus to reduce poor health outcomes and/or allow for vaginal births. In this study, we explored the perspectives of Somali women living in the United States about deinfibulation. We recruited 75 Somali women who had experienced FGC through community-based participatory research methods. Bilingual community researchers conducted qualitative interviews in Somali or English. University faculty and community-based researchers coded data together in a participatory-analysis process. We identified four themes. (1) Personal Views: participants reported positive attitudes toward deinfibulation and varied on the appropriateness of deinfibulation before marriage. (2) Benefits: identified benefits included alleviation of health problems; improved sexual health, in particular reduction or prevention of sexual pain; and reclamation of body and womanhood. (3) Barriers: these included associated stigma and lack of knowledge by providers. (4) Decision-Making: most reported that husbands, healthcare providers, and elder female community members may provide advice about if and/or when to seek deinfibulation, though some felt deinfibulation decisions are solely up to the impacted woman. An ecological framework is used to frame the findings and identify the importance of healthcare workers in assisting women who have been infibulated make decisions.

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来源期刊
CiteScore
6.80
自引率
6.20%
发文量
109
期刊介绍: QUALITATIVE HEALTH RESEARCH is an international, interdisciplinary, refereed journal for the enhancement of health care and to further the development and understanding of qualitative research methods in health care settings. We welcome manuscripts in the following areas: the description and analysis of the illness experience, health and health-seeking behaviors, the experiences of caregivers, the sociocultural organization of health care, health care policy, and related topics. We also seek critical reviews and commentaries addressing conceptual, theoretical, methodological, and ethical issues pertaining to qualitative enquiry.
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