女性生殖器切割(FGM)是一种有害的做法,会在受影响的妇女和女孩的生活中引起与健康有关的问题。尽管女性生殖器切割被宣布为侵犯人权,研究表明,它正在整个埃塞俄比亚实施。因此,这项研究是为了评估患病率,趋势,埃塞俄比亚育龄期(1549岁)妇女中切割女性生殖器官的预测因素。
■使用三项埃塞俄比亚人口与健康调查(EDHS):2000年(n=15,367)估计了育龄女性的女性生殖器切割趋势,2005年(n=14070)和2016年(n=7248)数据。使用最新的(2016年)EDHS进行多水平逻辑回归分析,以确定FGM的个人和社区水平因素。为了调整潜在的混杂因素,分析是在考虑样本权重的情况下进行的,聚类,并使用STATA-14软件进行分层。
■埃塞俄比亚育龄妇女的女性生殖器切割患病率从2000年的79.91%下降到2016年的70.37%。同样,受包皮环切的母亲的女儿的FGM从2000年的56.16%下降到2016年的16.76%。成为穆斯林(调整后的赔率比[AOR]5.48;95%置信区间[CI]:4.23,7.09),参加高等教育(AOR0.40;95%CI:0.29,0.54),45-49岁(AOR5.06;95%CI:3.38,7.57),≥18岁的婚姻(AOR0.80;95%CI:0.66,0.96),不工作(AOR1.20;95%CI:1.02,1.41),已婚(AOR1.41;95%CI:1.12,1.77)和居住在外围区域(AOR3.0.4;95%CI:1.96,4.70)是FGM的决定因素。
■尽管埃塞俄比亚育龄妇女的女性生殖器切割减少幅度很小,在过去的16年里,这在受割礼的妇女的女儿中令人鼓舞。教育,宗教,年龄,结婚年龄,职业,婚姻状况,和地理区域是女性生殖器切割的决定因素。建议在埃塞俄比亚放弃基于已确定因素的综合和综合干预措施。
UNASSIGNED: Female genital
mutilation (FGM) is a harmful practice that causes health-related problems in the life of the affected women and girls. Though FGM is declared as a human right violation, studies revealed it is being practiced throughout Ethiopia. Therefore, this study was conducted to assess the prevalence, trends, and predictors of FGM among reproductive-aged (1549 years) women in Ethiopia.
UNASSIGNED: Trends of FGM among reproductive-age women were estimated using the three Ethiopian Demographic and Health Survey (EDHS): 2000 (n=15,367), 2005 (n=14,070) and 2016 (n=7248) data. Multilevel logistic regression analysis was conducted to identify both individual- and community-level factors of FGM using the latest (2016) EDHS. To adjust potential confounders, the analysis was conducted considering sample weighting, clustering, and stratifications using STATA-14 software.
UNASSIGNED: The prevalence of FGM among women of reproductive age in Ethiopia decreased from 79.91% in 2000 to 70.37% in 2016. Similarly, FGM among daughters of circumcised mothers decreased from 56.16% in 2000 to 16.76% in 2016. Being Muslim (adjusted odds ratio [AOR] 5.48; 95% confidence interval [CI]: 4.23, 7.09), attending higher education (AOR 0.40; 95% CI: 0.29, 0.54), 45-49 years old (AOR 5.06; 95% CI: 3.38, 7.57), marriage at ≥ 18 years (AOR 0.80; 95% CI: 0.66, 0.96), not working (AOR 1.20; 95% CI: 1.02, 1.41), married (AOR 1.41; 95% CI: 1.12, 1.77) and residing in peripheral region (AOR 3.0.4; 95% CI: 1.96, 4.70) were determinants of FGM.
UNASSIGNED: Though the reduction of FGM among women of reproductive age in Ethiopia was minimal, it was encouraging among daughters of circumcised women over the last 16 years. Education, religion, age, age at marriage, occupation, marital status, and geographical regions were determinants of FGM. Combined and integrated interventions based on the identified factors are recommended to abandon FGM in Ethiopia.