目的:女性生殖器割礼(FGC),伊拉克库尔德斯坦地区的普遍做法,对受影响的女性有重大的社会心理和性影响。因此,本研究旨在调查割礼和未割礼的库尔德女性的这些影响.
方法:这项比较研究于2023年1月2日至6月27日在埃尔比勒的AlMesalla促进人权改善组织进行,伊拉克。目的抽样用于使用综合问卷收集数据。问卷包括人口统计信息,大萧条,焦虑,和应力标度(DASS-21),罗森博格自尊量表(RSE),和新的性满意度量表简表(NSSS-S)。使用SPSS版本26(IBMCorp.,Armonk,NY),频率和百分比用于分类变量,平均值和标准偏差用于定量变量。采用独立样本t检验和卡方检验进行组间比较。小于0.05的P值被认为是统计学上显著的。
结果:共有772名参与者参加了这项研究,包括382名受割礼的妇女和390名未受割礼的妇女。研究发现两组在抑郁方面存在显著差异,自尊,和性满足。割礼妇女的抑郁症平均得分较高(12.19±5.6vs.10.68±5.3),自尊的平均得分较低(24.4±12.1vs.30.3±10.1),和较低的性满意度平均得分(52.4±24.6vs.67.6±20.4)与非包皮环切妇女相比(所有p<0.001)。
结论:研究表明FGC与较高水平的抑郁症有关,较低的自尊,库尔德女性的性满意度较低。建议决策者和医疗保健提供者制定有针对性的干预措施,以解决伊拉克库尔德斯坦地区割礼妇女的心理社会和性健康需求。
OBJECTIVE: Female genital circumcision (FGC), a prevalent practice in the Kurdistan Region of Iraq, has significant psychosocial and sexual implications for affected women. Therefore, this study aimed to investigate these impacts among circumcised and non-circumcised Kurdish women.
METHODS: This comparative study was conducted from January 2 to June 27, 2023, at the Al Mesalla for Human Rights Improvement organization in Erbil, Iraq. Purposive sampling was used to collect data using a comprehensive questionnaire. The questionnaire included demographic information, the Depression, Anxiety, and Stress Scale (DASS-21), the Rosenberg Self-Esteem Scale (RSE), and the New Sexual Satisfaction Scale-Short Form (NSSS-S). Statistical analysis was performed using SPSS version 26 (IBM Corp., Armonk, NY), with frequency and percentage used for categorical variables and mean and standard deviation for quantitative variables. Independent sample t-tests and Chi-square tests were conducted to compare groups. A p-value of less than 0.05 was considered statistically significant.
RESULTS: A total of 772 participants were enrolled in the study, including 382 circumcised and 390 non-circumcised women. The study found significant differences between the two groups in terms of depression, self-esteem, and sexual satisfaction. Circumcised women had higher mean scores for depression (12.19 ± 5.6 vs. 10.68 ± 5.3), lower mean scores for self-esteem (24.4 ± 12.1 vs. 30.3 ± 10.1), and lower mean scores for sexual satisfaction (52.4 ± 24.6 vs. 67.6 ± 20.4) compared to non-circumcised women (all p < 0.001).
CONCLUSIONS: The study demonstrated that FGC is associated with higher levels of depression, lower self-esteem, and lower sexual satisfaction among Kurdish women. It is recommended for policymakers and healthcare providers to develop targeted interventions to address the psychosocial and sexual health needs of circumcised women in the Kurdistan Region of Iraq.