Prevalence and risk factors for female genital mutilation in Guinea : a cross-sectional study

• Autor(a) principal: Maia, Joana
• Data de Publicação: 2023
• Tipo de documento: Dissertação
• Idioma: eng
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: http://hdl.handle.net/10362/162139
• topic: Female Genital Mutilation/Cutting; Guinea; Prevalence; Risk factors; Mutilação Genital Feminina/Corte; Guiné; Prevalência; Fatores de risco; Domínio/Área Científica::Ciências Sociais::Outras Ciências Sociais

ABSTRACT - Background: Female Genital Mutilation/Cutting (FGM/C) is a procedure that involves the complete or partial removal of the vulva for non-medical purposes. This study aims to estimate the prevalence of FGM/C and its risk factors in Guinea, as the practice's significant short- and long-term health implications make addressing this problem urgent. Methods: Secondary data from Guinea's Individual Record Database of Demographic and Health Survey conducted in 2018-2019 were used in this study (a representative sample of women aged 15-49 years). A binomial logistic regression model was applied to examine the risk factors associated with FGM/C. Results: From the 10874 women selected, 96.0% reported to have been subjected to FMG/C. women aged 25-34yo (Adjusted OddsRatio(AOR)=1.281, 95%CI:1.011-1.622) and 35-49yo (AOR=2.339, 95%CI:1.753-3.121) had a higher chance of being submitted to FGM/C compared to the 15-24yo group. Being Muslim (AOR=12.151, 95%CI:6.821-21.643) is also positively associated with this practice. In contrast, middle (AOR=0.694, 95%CI:0.493-0.976), richer (AOR=0.641, 95%CI:0.455-0.903), and richest (AOR=0more affluent 95%CI:0.390-0.787) categories in the wealth index showed lower odds of being subjected to FGM/C. Using a translator to answer the surveys (AOR=0.336, 95% CI:0.223-0.506) was also associated with a negative answer to the questionnaire. Conclusions: FGM/C was associated with older age and Muslim religion, stressing the importance of early intervention. Using a translator and higher wealth index categories acted as protective factors. Understanding these factors is essential for informing policymakers and executing targeted actions to prevent FGM/C effectively.