The Practice Of Female Genital Mutilation Among The Rural Malays In North Malaysia

The Practice Of Female Genital Mutilation Among The Rural Malays In North Malaysia
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北马农村马来人残割女性生殖器官的做法

DOI:
10.5580/a23
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发表时间:
2009
期刊:
The internet journal of the third world medicine
影响因子:
--
通讯作者:
Anita S Valimalar
Anita S Valimalar
中科院分区:
--
文献类型:
--
作者:
A. Rashid;S. Patil;Anita S Valimalar

文献摘要

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女性生殖器切割(FGM)是一个严重的问题,在发展中国家非常普遍,它具有严重的健康影响。这项研究的目的是确定生活在马来西亚北部农村地区的马来人中女性外阴残割的做法。研究方法:这项研究是一项描述性调查,辅以在马来西亚北部五个完全由穆斯林马来人组成的村庄进行的定性信息。结果:597名经历过女性生殖器切割的妇女接受了采访,她们认为宗教是这种做法的主要原因。这通常是由一个名为“Mak Bidan”的传统艺术从业者进行的,但最近的女性生殖器切割是由医生在诊所进行的(P=0.000)。所有接受采访的女性成年人都希望这种做法继续下去(P=0.05)。相比之下,在这些村庄实行的女性外阴残割比在大多数其他国家实行的女性外阴残割造成的创伤要小。与其他地方进行的研究相比,这项研究的回应者认为,女性生殖器切割实际上有助于提高女性性欲。结论:公众,特别是“Mak Bidan”,需要通过宣传和社会运动的方法,了解女性割礼的危险和宗教中割礼的真正要求。这项工作最好由国家宗教当局的人来做,而且应该是多部门的、持续的和社区领导的
IntroductionFemale genital mutilation (FGM) is a serious problem occurring very commonly in the developing world and it has serious health implications. The purpose of this study was to determine the practice of FGM among the Malays living in a rural region of north Malaysia. Methods: The study is a descriptive survey supplemented by qualitative information conducted in five villages in north Malaysia comprising entirely of Muslim Malays. Results: 597 women who experienced FGM were interviewed and they cited religion as the main reason for the practice. It was commonly performed by a traditional practitioner of the art called ‘Mak Bidan’, but the more recent FGM were done in clinics by doctors (P=0.000). All female adults interviewed wanted the practice to go on (P=0.05). Comparatively the FGM practiced in these villages was less traumatic than that practiced in most other countries. In contrast with studies conducted elsewhere, the responders in this study believed that FGM actually helps to increase the female libido. Conclusion: The public and especially the ‘Mak Bidan’s’ need to be educated on the dangers of female circumcision and the true requirements of circumcision in religion using an advocacy and social movement approach. This is best done by those from the state religious authority and it should be multisectoral, sustained and community led