METHODS: We used advanced Bayesian hierarchical models to analyse post-COVID-19 datasets provided by the Multiple Indicator Cluster Surveys (MICS 2021) and pre-COVID-19 data from the Demographic and Health Surveys (DHS 2018).
RESULTS: Results indicated that although there was an overall decline in FGM prevalence nationally, heterogeneities exist at state level and at individual-/community-level characteristics. There was a 6.9% increase in prevalence among women who would like FGM to continue within the community. FGM prevalence increased by 18.9% in Nasarawa, while in Kaduna there was nearly 40% decrease.
CONCLUSIONS: Results show that FGM is still a social norm issue in Nigeria and that it may have been exacerbated by the COVID-19 pandemic. The methods, data and outputs from this study would serve to provide accurate statistical evidence required by policymakers for complete eradication of FGM.
方法:我们使用先进的贝叶斯分层模型来分析多指标类集调查(MICS2021)提供的COVID-19后数据集和人口与健康调查(DHS2018)提供的COVID-19前数据。
结果:结果表明,尽管全国女性生殖器切割患病率总体下降,异质性存在于州一级和个人/社区一级的特征。希望女性生殖器切割在社区内继续存在的妇女患病率增加了6.9%。Nasarawa的女性生殖器切割患病率增加了18.9%,而在卡杜纳,下降了近40%。
结论:结果表明,女性生殖器切割仍然是尼日利亚的一个社会规范问题,它可能因COVID-19大流行而加剧。方法,本研究的数据和产出将有助于提供政策制定者完全根除女性生殖器切割所需的准确统计证据.