PDF(Pubmed)
Abstract：
BACKGROUND: Due to its economic burden and change of focus, there is no gainsaying of the potential impacts of the COVID-19 pandemic on the progress of several female genital mutilation (FGM) interventions across the various countries. However, the magnitude of the potential changes in likelihood and prevalence should be more accurately explored and quantified using a statistically robust comparative study. In this study, we examined the differences in the likelihood and prevalence of FGM among 15-49 years old women before and after the pandemic in Nigeria.
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.
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.
摘要：
背景：由于其经济负担和关注点的变化，COVID-19大流行对各国几种女性生殖器切割(FGM)干预措施进展的潜在影响无可厚非。然而,可能性和患病率的潜在变化的幅度应使用统计学上稳健的比较研究更准确地探索和量化.在这项研究中,我们研究了尼日利亚15-49岁女性在大流行前后女性生殖器切割的可能性和患病率的差异.
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.
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.
