Treatment of Consequences of Female Genital Cutting

女性生殖器切割后果的治疗

• 批准号: 10811017
• 负责人: Jennifer Jo Connor
• 金额: $ 26.11万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-07-01 至 2024-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10811017
• 关键词: Acculturation; Address; American; Biological; Characteristics; Child; Chronic; Cicatrix; Clinic; Computer Assisted; Data; Decision Making; Education; Effect Modifiers (Epidemiology); Female; Female Circumcision; Frequencies; Fright; Goals; Healthcare; Healthcare Systems; Healthcare promotion; Immigration; Infibulations; Intervention; Interview; Male Circumcision; Medical; Mental Health; Minnesota; Minority Groups; Modeling; Outcome; Pain; Pain management; Patients; Pattern; Population; Recommendation; Reduce health disparities; Refugees; Reporting; Research; Research Project Grants; Risk; Sex Functioning; Surveys; Vagina; Vaginal delivery procedure; Woman; biopsychosocial; community organizations; evidence base; experience; female genital cutting; girls; information gathering; novel; psychologic; resilience; response; shared decision making; statistics; tool

Project Summary/Abstract The National Pain Strategy notes the importance of addressing pain in minority populations to reduce health disparities. One such population is female refugees who have been victim to female genital cutting (FGC) --- which is known to cause sexual pain. The objective of the proposed research is to collect empirical data to (1) inform the conceptualization of sexual pain and other outcomes among Somali women living in Minnesota who have experienced FGC, (2) promote healthcare practices that minimize sexual pain, and (3) develop decision- making tool(s) and education seminars driven by study findings. The majority of Somali girls undergo infibulation when originally cut, which involves stitching the vaginal opening shut. Deinfibulation (i.e. opening the circumcision/infibulation scar) may decrease pain and is necessary before vaginal birth. It is recommended before labor and delivery; however, many patients wait until labor and delivery to undergo deinfibulation –thus increasing a risk in tears. Little is known about how sexual pain and sexual function are impacted by the timing of deinfibulation. To better understand sexual pain in relation to FGC, we will rely upon conceptual models that utilize a biopsychosocial approach, integrating biological, psychological, and cultural considerations. These models include fear-avoidance, endurance, and resilience. We will partner with a community-based organization (SoLaHmo) and two large medical clinics serving Somali American women to conduct 75 qualitative interviews, 300 computer assisted surveys of Somali-American married women 18-45 years who have experienced FGC to accomplish the following aims: Aim 1: Qualitatively investigate sexual pain characteristics and meaning ascribed to sexual pain. Aim 2: Establish reference levels using descriptive statistics to quantify sexual pain characteristics (presence, frequency, intensity), sexual function, pain responses (fear avoidance, endurance, resilience), and moderator variables (acculturation and shared decision making) in this population. Aim 3: Among women who have vaginally delivered one or more babies, determine if sexual pain characteristics and sexual function are associated with the timing of deinfibulation with first child. Aim 4: Among women reporting sexual pain in Aim 3, determine if pain responses (fear avoidance, endurance, resilience) are associated with sexual pain and sexual function, and whether these associations are modified by degree of acculturation --- while adjusting for timing of deinfibulation. The long-term goal is to identify mechanisms that will lead to better pain management in this population. Completion of these novel study aims will generate information to develop evidence-based and culturally- sensitive medical and psychological interventions for women who have undergone FGC.

项目总结/文摘

项目成果

Understanding Women's Responses to Sexual Pain After Female Genital Cutting: An Integrative Psychological Pain Response Model.

了解女性生殖器切割后女性对性疼痛的反应：综合心理疼痛反应模型。

• DOI: 10.1007/s10508-019-1422-9
• 发表时间: 2021-07
• 期刊: Archives of sexual behavior
• 影响因子: 3.8
• 作者: Connor JJ;Brady SS;Chaisson N;Mohamed FS;Robinson BBE
• 通讯作者: Robinson BBE

Response to Commentaries: Applying the Theory of Planned Behavior to Female Genital Cutting and Deinfibulation.

• DOI: 10.1007/s10508-021-02067-9
• 发表时间: 2021-07
• 期刊: Archives of sexual behavior
• 影响因子: 3.8
• 作者: Brady SS;Connor JJ;Chaisson N;Sharif Mohamed F;Robinson BBE
• 通讯作者: Robinson BBE

Response to Commentaries: Understanding Women's Responses to Sexual Pain After Female Genital Cutting.

对评论的回应：了解女性生殖器切割后女性对性疼痛的反应。

• DOI: 10.1007/s10508-021-02047-z
• 发表时间: 2021
• 期刊: Archives of sexual behavior
• 影响因子: 3.8
• 作者: Connor,JenniferJo;Brady,SonyaS;Chaisson,Nicole;Mohamed,FatimaSharif;Robinson,BeatriceBeanE
• 通讯作者: Robinson,BeatriceBeanE