PDF(Pubmed)
Abstract：
BACKGROUND: As global immigration from countries with a high prevalence of female genital mutilation and cutting (FGM/C) has grown in the United States (US), there is need for pediatricians to have adequate training to care for these patients. The objective of this study is to determine the level of knowledge and attitudes of child abuse pediatricians (CAPs) towards FGM/C in the US.
METHODS: This cross-sectional study distributed a peer-reviewed survey to US CAPs-members of the Helfer Society-to assess their attitudes, knowledge, clinical practice, and education about FGM/C. Data was analyzed using descriptive statistics, Kruskal-Wallis tests, and Fisher\'s exact test.
RESULTS: Most of the 65 respondents were aware that FGM/C is illegal (92%) and agreed that it violated human rights (99%). Individuals reporting previous training related to FGM/C were significantly more likely to correctly identify World Health Organization types of FGM/C (p < 0.05) and report confidence in doing so (p < 0.05). Only 21% of respondents felt comfortable discussing FGM/C with parents from countries with a high prevalence of FGM/C. Sixty-three percent were not aware of the federal law, and 74% were not aware of their own state\'s laws about FGM/C.
CONCLUSIONS: US CAPs have high rates of training related to FGM/C; however, they need additional training to increase confidence and ability to identify FGM/C. FGM/C remains a topic that CAPs find difficult to discuss with families. With culturally sensitive training, CAPs have the opportunity to help manage and prevent the practice by serving as educators and experts for general pediatricians.
METHODS: This cross-sectional study distributed a peer-reviewed survey to US CAPs-members of the Helfer Society-to assess their attitudes, knowledge, clinical practice, and education about FGM/C. Data was analyzed using descriptive statistics, Kruskal-Wallis tests, and Fisher\'s exact test.
RESULTS: Most of the 65 respondents were aware that FGM/C is illegal (92%) and agreed that it violated human rights (99%). Individuals reporting previous training related to FGM/C were significantly more likely to correctly identify World Health Organization types of FGM/C (p < 0.05) and report confidence in doing so (p < 0.05). Only 21% of respondents felt comfortable discussing FGM/C with parents from countries with a high prevalence of FGM/C. Sixty-three percent were not aware of the federal law, and 74% were not aware of their own state\'s laws about FGM/C.
CONCLUSIONS: US CAPs have high rates of training related to FGM/C; however, they need additional training to increase confidence and ability to identify FGM/C. FGM/C remains a topic that CAPs find difficult to discuss with families. With culturally sensitive training, CAPs have the opportunity to help manage and prevent the practice by serving as educators and experts for general pediatricians.
摘要：
背景：随着来自女性生殖器切割和切割（FGM/C）流行率很高的国家的全球移民在美国（美国）的增长，儿科医生需要接受足够的培训来照顾这些患者。这项研究的目的是确定美国虐待儿童儿科医生（CAPs）对FGM/C的知识和态度水平。
方法：这项横断面研究向HelferSociety的成员美国CAPs分发了一项同行评审的调查，以评估他们的态度，知识,临床实践，关于FGM/C的教育数据采用描述性统计分析，Kruskal-Wallis测试,和费希尔的精确检验。
结果：65名受访者中的大多数意识到FGM/C是非法的（92％），并同意它侵犯了人权（99％）。报告以前与FGM/C相关的培训的个人更有可能正确识别世界卫生组织的FGM/C类型（p<0.05），并报告这样做的信心（p<0.05）。只有21％的受访者愿意与FGM/C患病率高的国家的父母讨论FGM/C。63％的人不知道联邦法律，74%的人不知道自己州关于FGM/C的法律。
结论：美国CAPs具有与FGM/C相关的高训练率；然而，他们需要额外的培训，以增加识别FGM/C的信心和能力。FGM/C仍然是CAPs很难与家庭讨论的话题。通过对文化敏感的培训，CAPs有机会通过担任普通儿科医生的教育工作者和专家来帮助管理和预防这种做法。
方法：这项横断面研究向HelferSociety的成员美国CAPs分发了一项同行评审的调查，以评估他们的态度，知识,临床实践，关于FGM/C的教育数据采用描述性统计分析，Kruskal-Wallis测试,和费希尔的精确检验。
结果：65名受访者中的大多数意识到FGM/C是非法的（92％），并同意它侵犯了人权（99％）。报告以前与FGM/C相关的培训的个人更有可能正确识别世界卫生组织的FGM/C类型（p<0.05），并报告这样做的信心（p<0.05）。只有21％的受访者愿意与FGM/C患病率高的国家的父母讨论FGM/C。63％的人不知道联邦法律，74%的人不知道自己州关于FGM/C的法律。
结论：美国CAPs具有与FGM/C相关的高训练率；然而，他们需要额外的培训，以增加识别FGM/C的信心和能力。FGM/C仍然是CAPs很难与家庭讨论的话题。通过对文化敏感的培训，CAPs有机会通过担任普通儿科医生的教育工作者和专家来帮助管理和预防这种做法。
