Health care-seeking patterns for female genital mutilation/cutting among young Somalis in Norway

Abstract Background Female genital mutilation/cutting (FGM/C) is a great concern, considering all the potential health implications. Use of health care services related to FGM/C by women who have been subjected to FGM/C in Norway remains to be understood. This study aims to explore the health care-s...

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Main Authors: Vivian N. Mbanya, Abdi A. Gele, Esperanza Diaz, Bernadette Kumar
Format: Article
Language:English
Published: BMC 2018-04-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-018-5440-7
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author Vivian N. Mbanya
Abdi A. Gele
Esperanza Diaz
Bernadette Kumar
author_facet Vivian N. Mbanya
Abdi A. Gele
Esperanza Diaz
Bernadette Kumar
author_sort Vivian N. Mbanya
collection DOAJ
description Abstract Background Female genital mutilation/cutting (FGM/C) is a great concern, considering all the potential health implications. Use of health care services related to FGM/C by women who have been subjected to FGM/C in Norway remains to be understood. This study aims to explore the health care-seeking patterns for FGM/C-related health care problems, among young Somalis in Norway. Methods A cross-sectional study involving 325 young Somalis in Oslo was conducted in 2014 using respondent-driven sampling (RDS) technique. The RDS was initiated by a small number of recruited seeds, who were given coded coupons to recruit their peers to participate in the study. Eligible recruiters who participated in the study and redeemed their coupons created the first wave of respondents. The first wave further recruited their peers, the second wave. The cycle continued to attain the needed samples. Using interviews and structured questionnaires, data on socio-demographic, FGM/C status and FGM/C-related use of health care were obtained. Logistic regressions were used to compute the odds ratio (OR) and the confidence interval (CI) for the associations between demographic variables, to circumcision status and health care-seeking for FGM/C. This study will focus on the 159 female participants of the total 325. Results While 51.6% of the 159 women were subjected to FGM/C, only 20.3% of them used health care services for FGM/C-related problems. Women’s FGM/C status was associated with age ≥ 12 years at migration, experience of stigma regarding FGM/C practice (p <  0.05), support of FGM/C practice, and place of birth of women (p <  0.05). Conclusion Only one-fifth of the women with FGM/C sought care for FGM/C-related health problems. Our study does not provide the answers to why only a few of them sought care for FGM/C. However, as a large proportion of women did not seek care, it is important to investigate the reasons for this. For, we propose to conduct further research targeting girls and women who have undergone FGM/C to assess challenges in accessing health care services for proper intervention.
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spelling doaj.art-df1c8a5a19874affa6f4af595f38182d2022-12-21T18:27:58ZengBMCBMC Public Health1471-24582018-04-0118111010.1186/s12889-018-5440-7Health care-seeking patterns for female genital mutilation/cutting among young Somalis in NorwayVivian N. Mbanya0Abdi A. Gele1Esperanza Diaz2Bernadette Kumar3Department of Community Medicine and Global health, Institute of Health and Society, Faculty of Medicine, University of OsloDepartment of Nursing and Health Promotion, Faculty of Health Sciences, Oslo and Akershus University College of Applied SciencesNorwegian Centre for Minority Health ResearchDepartment of Community Medicine and Global health, Institute of Health and Society, Faculty of Medicine, University of OsloAbstract Background Female genital mutilation/cutting (FGM/C) is a great concern, considering all the potential health implications. Use of health care services related to FGM/C by women who have been subjected to FGM/C in Norway remains to be understood. This study aims to explore the health care-seeking patterns for FGM/C-related health care problems, among young Somalis in Norway. Methods A cross-sectional study involving 325 young Somalis in Oslo was conducted in 2014 using respondent-driven sampling (RDS) technique. The RDS was initiated by a small number of recruited seeds, who were given coded coupons to recruit their peers to participate in the study. Eligible recruiters who participated in the study and redeemed their coupons created the first wave of respondents. The first wave further recruited their peers, the second wave. The cycle continued to attain the needed samples. Using interviews and structured questionnaires, data on socio-demographic, FGM/C status and FGM/C-related use of health care were obtained. Logistic regressions were used to compute the odds ratio (OR) and the confidence interval (CI) for the associations between demographic variables, to circumcision status and health care-seeking for FGM/C. This study will focus on the 159 female participants of the total 325. Results While 51.6% of the 159 women were subjected to FGM/C, only 20.3% of them used health care services for FGM/C-related problems. Women’s FGM/C status was associated with age ≥ 12 years at migration, experience of stigma regarding FGM/C practice (p <  0.05), support of FGM/C practice, and place of birth of women (p <  0.05). Conclusion Only one-fifth of the women with FGM/C sought care for FGM/C-related health problems. Our study does not provide the answers to why only a few of them sought care for FGM/C. However, as a large proportion of women did not seek care, it is important to investigate the reasons for this. For, we propose to conduct further research targeting girls and women who have undergone FGM/C to assess challenges in accessing health care services for proper intervention.http://link.springer.com/article/10.1186/s12889-018-5440-7Female circumcisionCare-seekingImmigrantsSomalisNorway
spellingShingle Vivian N. Mbanya
Abdi A. Gele
Esperanza Diaz
Bernadette Kumar
Health care-seeking patterns for female genital mutilation/cutting among young Somalis in Norway
BMC Public Health
Female circumcision
Care-seeking
Immigrants
Somalis
Norway
title Health care-seeking patterns for female genital mutilation/cutting among young Somalis in Norway
title_full Health care-seeking patterns for female genital mutilation/cutting among young Somalis in Norway
title_fullStr Health care-seeking patterns for female genital mutilation/cutting among young Somalis in Norway
title_full_unstemmed Health care-seeking patterns for female genital mutilation/cutting among young Somalis in Norway
title_short Health care-seeking patterns for female genital mutilation/cutting among young Somalis in Norway
title_sort health care seeking patterns for female genital mutilation cutting among young somalis in norway
topic Female circumcision
Care-seeking
Immigrants
Somalis
Norway
url http://link.springer.com/article/10.1186/s12889-018-5440-7
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