Long-term consequences of female genital mutilation in a European context: Self perceived health of FGM women compared to non-FGM women
Long-term consequences of female genital mutilation in a European context: Self perceived health of FGM women compared to non-FGM women
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DOI：
10.1016/j.socscimed.2014.02.003
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发表时间：
2014-04-01
影响因子：
5.4
通讯作者：
Lesclingand, Marie
中科院分区：
文献类型：
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作者：
Andro, Armelle;Cambois, Emmanuelle;Lesclingand, Marie
据估计，欧洲有 50 万女性遭受女性生殖器切割 (FGM) 的影响。基于移民妇女定居国家的研究强调，在欧洲医疗保健背景下，需要更准确地了解女性生殖器切割对健康造成的后果。切除和残障 (ExH) 是一项基于病例控制方法的多中心调查，在法国进行，旨在评估女性生殖器切割的长期后果，对女性生殖器切割和非女性生殖器切割成年女性进行抽样。访谈在法国五个地区的 74 家提供妇科和计划生育服务的母婴保健中心和医院科室进行。比较两组病例（n = 678）和对照组（n = 1706）的健康指标（自我感知健康、疾病、症状）和功能指标（日常生活、性生活和生殖生活）。多元逻辑模型强调了与女性生殖器切割相关的健康问题。在法国女性中，女性生殖器切割与不良健康指标显着相关：妇科和泌尿道感染（OR = 2.0）、睡眠障碍（OR = 1.4）、剧烈疼痛（OR = 1.5）、日常生活困难（OR = 1.5）和性生活困难（OR = 1.7）或分娩时流泪（OR = 1.6）。我们的研究结果表明，即使在有利的医疗保健环境下，女性生殖器切割也会使女性面临长期的健康问题，包括以前研究中忽视的领域。他们确认需要制定建议来帮助医生了解这些女性的需求。 (C) 2014 Elsevier Ltd. 保留所有权利。
Female genital mutilation (FGM) concerns an estimated half a million women in Europe. The studies based in countries where migrant women have settled highlight the need for more accurate information on FGM health consequences, in a European health care context. Excision and Handicap (ExH) is a multicentric survey based on case control methodology and conducted in France to assess the long-term consequences of FGM, sampling both FGM and non-FGM adult women. The interviews were conducted in 74 mother-and-child health centres and hospital departments providing gynaecological and family planning services in five French regions. The two groups were compared on health indicators (self-perceived health, illnesses, symptoms) and functioning indicators (daily, sexual and reproductive life) for cases (n = 678) and controls (n = 1706). Multivariate logistic models highlighted FGM-related health problems. Among women living in France, FGM was significantly associated with poor health indicators: gynaecological and urinary infections (OR = 2.0), sleep disorders (OR = 1.4), intense pain (OR = 1.5), difficulties in daily life (OR = 1.5) and in sexual life (OR = 1.7) or tearing during childbirth (OR = 1.6). Our results suggest that, even in a favourable healthcare context, FGM exposes women to long-term health problems, including in areas neglected in previous research. They confirm the need to establish recommendations to help physicians understand these women's needs. (C) 2014 Elsevier Ltd. All rights reserved.