Addressing female genital mutilation in Europe: a scoping review of approaches to participation, prevention, protection, and provision of services
Addressing female genital mutilation in Europe: a scoping review of approaches to participation, prevention, protection, and provision of services
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DOI：
10.1186/s12939-017-0713-9
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发表时间：
2018-02-08
影响因子：
4.8
通讯作者：
Howard, Natasha
中科院分区：
文献类型：
--
作者：
Baillot, Helen;Murray, Nina;Howard, Natasha
背景：在欧洲，公众和政策对侨民社区女性生殖器切割（FGM）的关注有所增加，但研究仍然有限，错误信息也大量存在。作为解决这些问题的第一步，本研究通过范围界定文献综述和关键知情人访谈，探讨了欧洲女性生殖器切割的预防和应对干预措施。方法：选择范围界定研究设计，使用阿克西和奥马利的六阶段范围界定框架来审查已确定的来源。主要知情人访谈被用来为文献发现提供信息并增加其深度。在苏格兰政府解决暴力侵害妇女问题的“4P”框架（即参与、预防、保护、提供服务）的指导下，对调查结果进行了主题总结。 结果：筛选了 1095 份文献资料中的 70 份文献资料，加上 16 份个人访谈资料和 3 份小组访谈资料。一些国家已经制定了有希望的干预措施，支持女性生殖器切割的抵抗和恢复。然而，差距仍然存在，包括社区参与、专业知识和联系以及方法评估。结论：本次范围界定审查是描述欧洲针对女性生殖器切割举措的现有主要证据的初步尝试。需要进一步研究来确定干预措施是否有效，而政策和实践的制定必须由受影响社区的经验、需求和观点来制定和驱动。
Background: Public and policy attention to female genital mutilation (FGM) in diaspora communities has increased in Europe, but research remains limited and misinformation abounds. As a first step to addressing these issues, this study explored FGM prevention and response interventions in Europe, using a scoping literature review and key informant interviews.Methods: A scoping study design was selected, using Arksey and O'Malley's six-stage scoping framework to review identified sources. Key informant interviews were used to inform and add depth to literature findings. Findings were summarised thematically, guided by the Scottish Government's '4Ps' framework for tackling violence against women (i.e. participation, prevention, protection, providing services).Results: Seventy literature sources, of 1095 screened, plus 16 individual and 3 group interview sources were included. Several countries have developed promising interventions supporting FGM resistance and recovery. However, gaps remain including community participation, professional knowledge and linkages, and evaluation of approaches.Conclusions: This scoping review is an initial attempt to describe available primary evidence on European initiatives responding to FGM. Further research is required to determine whether interventions are effective, while policy and practice development must be shaped and driven by the experiences, needs, and views of affected communities.