PDF(Pubmed)
Abstract：
BACKGROUND: Female genital cosmetic procedures have grown rapidly in most parts of the world. Professional organizations have issued warnings about the complications and long-term consequences of these practices. To be able to adopt the right health policies, it is necessary to know why women decide to perform these procedures. Therefore, the present study will be aim to discover the decision-making process involved in performing female genital cosmetic procedures for Iranian women and construct and validate a results-based logic model for healthy public policy.
METHODS: The present study was conducted in three phases. In the initial phase, a qualitative study will be conducted with the Corbin and Strauss ground theory approach. The participants in the study will be healthy women who desire or have undergone female genital cosmetic procedures without medical indications. In this phase, purposive and theoretical sampling will guide recruitment and data collection. The data will be collected via semi-structured interviews, field notes and observations of individual interactions. The data will be analysed using the approach of Corbin and Strauss (2015). MAXQDA 2007 software was used for managing the process of data analysis. In the second phase, the development of a results-based logic model for a healthy public policy is performed based on the findings of the first phase of the study, interviews with key informants and a review of the results of the literature in this field. Finally, validation of the designed program will be performed by the nominal group technique with the presence of a group of experts in the third phase.
CONCLUSIONS: The findings of this study, by identifying women\'s main concerns related to the studied phenomenon, the existing context, participants\' reactions and the consequences of the adopted reactions, can be very important in designing a program that fits Iran\'s cultural characteristics. In this research, a program using a logical model will be presented that is suitable for policymakers, planners and healthcare service providers to be implemented in the social-cultural context of the study.
Female genital cosmetic procedures refer to a group of cosmetic procedures that change the structure and healthy appearance of the female external genitalia to improve sexual performance or body image. The desire to perform these techniques has become popular in most parts of the world. However, scientific societies have warned about the efficiency, effectiveness and side effects of these techniques. According to these points, the present study aims to discover the decision-making process of performing FGCPs for Iranian women and to construct and validate a program for healthy public policy. This study will be performed in three stages. First, a qualitative study and interviews with healthy women who desire or have undergone female genital cosmetic procedures will be performed. In the following, based on the findings of the first stage, interviews with key informants and a review of literature, a program will be presented to reduce or prevent these procedures, and then this program will be validated. Using the designed program, healthcare practitioners will be able to provide women with more effective advice and guidance to make correct and informed decisions. In addition, this program will enable planners and policymakers to take steps to reduce the demand for these actions and make informed decisions by women by changing and adjusting the conditions and context.
METHODS: The present study was conducted in three phases. In the initial phase, a qualitative study will be conducted with the Corbin and Strauss ground theory approach. The participants in the study will be healthy women who desire or have undergone female genital cosmetic procedures without medical indications. In this phase, purposive and theoretical sampling will guide recruitment and data collection. The data will be collected via semi-structured interviews, field notes and observations of individual interactions. The data will be analysed using the approach of Corbin and Strauss (2015). MAXQDA 2007 software was used for managing the process of data analysis. In the second phase, the development of a results-based logic model for a healthy public policy is performed based on the findings of the first phase of the study, interviews with key informants and a review of the results of the literature in this field. Finally, validation of the designed program will be performed by the nominal group technique with the presence of a group of experts in the third phase.
CONCLUSIONS: The findings of this study, by identifying women\'s main concerns related to the studied phenomenon, the existing context, participants\' reactions and the consequences of the adopted reactions, can be very important in designing a program that fits Iran\'s cultural characteristics. In this research, a program using a logical model will be presented that is suitable for policymakers, planners and healthcare service providers to be implemented in the social-cultural context of the study.
Female genital cosmetic procedures refer to a group of cosmetic procedures that change the structure and healthy appearance of the female external genitalia to improve sexual performance or body image. The desire to perform these techniques has become popular in most parts of the world. However, scientific societies have warned about the efficiency, effectiveness and side effects of these techniques. According to these points, the present study aims to discover the decision-making process of performing FGCPs for Iranian women and to construct and validate a program for healthy public policy. This study will be performed in three stages. First, a qualitative study and interviews with healthy women who desire or have undergone female genital cosmetic procedures will be performed. In the following, based on the findings of the first stage, interviews with key informants and a review of literature, a program will be presented to reduce or prevent these procedures, and then this program will be validated. Using the designed program, healthcare practitioners will be able to provide women with more effective advice and guidance to make correct and informed decisions. In addition, this program will enable planners and policymakers to take steps to reduce the demand for these actions and make informed decisions by women by changing and adjusting the conditions and context.
摘要：
背景：女性生殖器整容手术在世界大部分地区发展迅速。专业组织已就这些做法的并发症和长期后果发出警告。为了能够采取正确的卫生政策，有必要知道为什么妇女决定执行这些程序。因此,本研究旨在发现伊朗女性生殖器整容手术所涉及的决策过程,并构建和验证健康公共政策的基于结果的逻辑模型.
方法：本研究分三个阶段进行。在初始阶段,将使用Corbin和Strauss基础理论方法进行定性研究。该研究的参与者将是健康的女性，她们希望或已经接受了没有医学适应症的女性生殖器整容手术。在这个阶段,目的和理论抽样将指导招聘和数据收集。数据将通过半结构化访谈收集，现场笔记和个人互动的观察。数据将使用Corbin和Strauss（2015）的方法进行分析。使用MAXQDA2007软件管理数据分析过程。在第二阶段,基于第一阶段研究的结果，为健康的公共政策开发基于结果的逻辑模型，采访关键线人，并回顾该领域的文献结果。最后,在第三阶段，在一组专家在场的情况下，将通过名义组技术对所设计的程序进行验证。
结论：这项研究的结果，通过确定女性与所研究现象相关的主要问题，现有的背景，参与者的反应和所采纳反应的后果，在设计一个符合伊朗文化特征的项目时非常重要。在这项研究中,将提出一个适合决策者的使用逻辑模型的程序，规划者和医疗服务提供者将在研究的社会文化背景下实施。
女性生殖器美容程序是指一组美容程序，改变女性外生殖器的结构和健康外观，以改善性表现或身体形象。执行这些技术的愿望在世界大部分地区已经变得流行。然而,科学社会已经警告了效率，这些技术的有效性和副作用。根据这些观点,本研究旨在发现为伊朗妇女执行FGCP的决策过程，并构建和验证健康公共政策计划。这项研究将分三个阶段进行。首先,将进行定性研究，并与希望或已接受女性生殖器美容手术的健康女性进行访谈。在下文中，根据第一阶段的发现，采访主要举报人和文献综述，将提出一个程序来减少或防止这些程序，然后这个程序将被验证。使用设计的程序，保健医生将能够为妇女提供更有效的建议和指导，以做出正确和明智的决定。此外,该方案将使规划者和决策者能够采取措施减少对这些行动的需求，并通过改变和调整条件和背景，由妇女做出明智的决定。
方法：本研究分三个阶段进行。在初始阶段,将使用Corbin和Strauss基础理论方法进行定性研究。该研究的参与者将是健康的女性，她们希望或已经接受了没有医学适应症的女性生殖器整容手术。在这个阶段,目的和理论抽样将指导招聘和数据收集。数据将通过半结构化访谈收集，现场笔记和个人互动的观察。数据将使用Corbin和Strauss（2015）的方法进行分析。使用MAXQDA2007软件管理数据分析过程。在第二阶段,基于第一阶段研究的结果，为健康的公共政策开发基于结果的逻辑模型，采访关键线人，并回顾该领域的文献结果。最后,在第三阶段，在一组专家在场的情况下，将通过名义组技术对所设计的程序进行验证。
结论：这项研究的结果，通过确定女性与所研究现象相关的主要问题，现有的背景，参与者的反应和所采纳反应的后果，在设计一个符合伊朗文化特征的项目时非常重要。在这项研究中,将提出一个适合决策者的使用逻辑模型的程序，规划者和医疗服务提供者将在研究的社会文化背景下实施。
女性生殖器美容程序是指一组美容程序，改变女性外生殖器的结构和健康外观，以改善性表现或身体形象。执行这些技术的愿望在世界大部分地区已经变得流行。然而,科学社会已经警告了效率，这些技术的有效性和副作用。根据这些观点,本研究旨在发现为伊朗妇女执行FGCP的决策过程，并构建和验证健康公共政策计划。这项研究将分三个阶段进行。首先,将进行定性研究，并与希望或已接受女性生殖器美容手术的健康女性进行访谈。在下文中，根据第一阶段的发现，采访主要举报人和文献综述，将提出一个程序来减少或防止这些程序，然后这个程序将被验证。使用设计的程序，保健医生将能够为妇女提供更有效的建议和指导，以做出正确和明智的决定。此外,该方案将使规划者和决策者能够采取措施减少对这些行动的需求，并通过改变和调整条件和背景，由妇女做出明智的决定。
