Female genital mutilation: potential for HIV transmission in sub-Saharan Africa and prospect for epidemiologic investigation and intervention.
Female genital mutilation: potential for HIV transmission in sub-Saharan Africa and prospect for epidemiologic investigation and intervention.
复制标题
DOI：
10.2307/30032486
复制
发表时间：
2007-04-01
影响因子：
1
通讯作者：
Holmes, Laurens Jr
中科院分区：
文献类型：
--
作者：
Monjok, Emmanuel;Essien, E James;Holmes, Laurens Jr
女性生殖器切割(女性生殖器切割)在撒哈拉以南非洲很普遍，它涉及到出于非医疗原因改变女性生殖器，与长期的泌尿生殖系统并发症和可能的艾滋病毒传播有关。这项小型审查旨在检查女性生殖器切割和通过这一程序传播艾滋病毒的可能性。我们使用Medline对1966-2006年间发表的文章进行了电子检索，以寻找女性生殖器切割的证据、其并发症以及这一程序与HIV血清阳性之间的联系。结果表明，女性生殖器切割的做法正在进行，尽管患病率有所下降，这可能是因为人们越来越多地了解到女性生殖器切割作为非无菌技术的结果。其次，女性生殖器切割的并发症是公认的，包括泌尿生殖系统疾病。此外，虽然关于通过女性生殖器切割传播艾滋病毒的数据有限，但有生物学上的合理性表明，女性生殖器切割可能与撒哈拉以南非洲艾滋病毒流行率的增加有关。本文建议进行进一步的研究，以评估女性生殖器切割与艾滋病毒传播之间的联系。
Female Genital Mutilation (FGM) which involves alteration of the female genitalia for non-medical grounds is prevalent in Sub-Saharan Africa, associated with long-term genitourinary complications, and possible HIV transmission. This mini-review aims to examine FGM and the possibility of HIV transmission through this procedure. We performed an electronic search using Medline for articles published between 1966 to 2006 for evidence of FGM practice, its complications, and the nexus between this procedure and HIV sero-positivity. The results indicate ongoing FGM practice, albeit prevalence reduction, due probably to the increasing knowledge of the consequences of FGM as a result of non-sterile techniques. Secondly, the complications of FGM are well established which include Genitourinary disorders. Further, while data is limited on HIV transmission via FGM, there is biologic plausibility in suggesting that FGM may be associated with increasing prevalence of HIV in sub-Saharan Africa. This paper recommends further studies in order to assess the association between FGM and HIV transmission.