尼日利亚切割女性生殖器官的决定因素。

PLOS global public health Pub Date : 2025-04-07 eCollection Date: 2025-01-01 DOI:10.1371/journal.pgph.0004413
Charles Echezona Nzelu, Uche Maureen Nzelu, Amara Rita Ugwunze, Ngozi Azodoh
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引用次数: 0

摘要

女性外阴残割/割礼(FGM/C)是指出于非医学或文化原因,完全或不完全切除女性外生殖器或其他损伤。这是一种文化上有害的做法,对健康没有益处,而且会对妇女的心理、身体和性健康及福祉造成长期并发症,侵犯了受害者的权利,因为这种做法是在未经其同意的情况下进行的。尽管国际社会努力消除这一有害习俗,但它依然存在。因此,本研究调查了育龄母亲中影响其女儿接受切割女性生殖器或割礼的可能性的社会人口因素。本研究使用的是 2021 年多指标类集调查(MICS)中 15-49 岁育龄妇女切割女性生殖器反应的加权数据。通过二元和多元逻辑回归分析,预测了女儿切割女性生殖器的决定因素,并将 p 值≤.05 的因素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,受教育程度、户主的种族、家庭财富指数、地缘政治区划、曾受割礼和女儿曾受割礼之间的差异具有统计学意义(Alpha =.05)。在多变量回归分析中,居住地和婚姻状况在 Alpha =.05 时无统计学意义。考虑到尼日利亚有 2 亿多人口,14.2% 的女儿接受过包皮环切手术的比例是很高的,因此需要所有利益相关者采取一致的干预措施来解决这一有害习俗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The determinants of female genital mutilation among daughters in Nigeria.

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.

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