Estimating excess mortality due to female genital mutilation

Abstract Globally, over 200 million women and girls have been subjected to Female Genital Mutilation (FGM). This practice, illegal in most countries, often happens in unsanitary conditions and without clinical supervision with consequent bleeding and infection. However, little is known about its con...

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Main Authors: Arpita Ghosh, Heather Flowe, James Rockey
Format: Article
Language:English
Published: Nature Portfolio 2023-08-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-38276-6
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author Arpita Ghosh
Heather Flowe
James Rockey
author_facet Arpita Ghosh
Heather Flowe
James Rockey
author_sort Arpita Ghosh
collection DOAJ
description Abstract Globally, over 200 million women and girls have been subjected to Female Genital Mutilation (FGM). This practice, illegal in most countries, often happens in unsanitary conditions and without clinical supervision with consequent bleeding and infection. However, little is known about its contribution to the global epidemiology of child mortality. We matched data on the proportion of girls of a given age group subject to FGM to age-gender-year specific mortality rates during 1990–2020 in 15 countries where FGM is practised. We used fixed-effects regressions to separate the effect of FGM on mortality-rates from variation in mortality in that country in that year. Using our estimated effect, we calculated total annual excess mortality due to FGM. Our estimates imply that a 50% increase in the number of girls subject to FGM increases their 5-year mortality rate by 0.075 percentage point (95% CI $$0\cdot 065$$ 0 · 065 – $$0\cdot 085$$ 0 · 085 ). This increased mortality rate translates into an estimated 44,320 excess deaths per year across countries where FGM is practised. These estimates imply that FGM is a leading cause of the death of girls and young women in those countries where it is practised accounting for more deaths than any cause other than Enteric Infections, Respiratory Infections, or Malaria.
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spelling doaj.art-dccebd4c78bc4c08b2953f862a461ccf2023-11-26T12:58:54ZengNature PortfolioScientific Reports2045-23222023-08-011311910.1038/s41598-023-38276-6Estimating excess mortality due to female genital mutilationArpita Ghosh0Heather Flowe1James Rockey2Department of Economics, University of ExeterSchool of Psychology, University of BirminghamDepartment of Economics, University of BirminghamAbstract Globally, over 200 million women and girls have been subjected to Female Genital Mutilation (FGM). This practice, illegal in most countries, often happens in unsanitary conditions and without clinical supervision with consequent bleeding and infection. However, little is known about its contribution to the global epidemiology of child mortality. We matched data on the proportion of girls of a given age group subject to FGM to age-gender-year specific mortality rates during 1990–2020 in 15 countries where FGM is practised. We used fixed-effects regressions to separate the effect of FGM on mortality-rates from variation in mortality in that country in that year. Using our estimated effect, we calculated total annual excess mortality due to FGM. Our estimates imply that a 50% increase in the number of girls subject to FGM increases their 5-year mortality rate by 0.075 percentage point (95% CI $$0\cdot 065$$ 0 · 065 – $$0\cdot 085$$ 0 · 085 ). This increased mortality rate translates into an estimated 44,320 excess deaths per year across countries where FGM is practised. These estimates imply that FGM is a leading cause of the death of girls and young women in those countries where it is practised accounting for more deaths than any cause other than Enteric Infections, Respiratory Infections, or Malaria.https://doi.org/10.1038/s41598-023-38276-6
spellingShingle Arpita Ghosh
Heather Flowe
James Rockey
Estimating excess mortality due to female genital mutilation
Scientific Reports
title Estimating excess mortality due to female genital mutilation
title_full Estimating excess mortality due to female genital mutilation
title_fullStr Estimating excess mortality due to female genital mutilation
title_full_unstemmed Estimating excess mortality due to female genital mutilation
title_short Estimating excess mortality due to female genital mutilation
title_sort estimating excess mortality due to female genital mutilation
url https://doi.org/10.1038/s41598-023-38276-6
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