Estimating utility value for female genital mutilation
Abstract Background Female genital mutilation/cutting (FGM/C) is a clear violation of women’s rights and can have adverse and irreversible health effects as well. Worldwide, more than 200 million women and girls have undergone FGM/C. Utility value of FGM/C has not been estimated yet, so we designed...
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| Format: | Article |
| Language: | English |
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BMC
2020-05-01
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| Series: | BMC Public Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12889-020-08947-4 |
| _version_ | 1819026732748898304 |
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| author | Cyrus Alinia Bakhtiar Piroozi Fariba Jahanbin Hossein Safari Amjad Mohamadi-Bolbanabad Ali Kazemi-Karyani Ghobad Moradi Fariba Farhadifar Mohammad Ebrahimi |
| author_facet | Cyrus Alinia Bakhtiar Piroozi Fariba Jahanbin Hossein Safari Amjad Mohamadi-Bolbanabad Ali Kazemi-Karyani Ghobad Moradi Fariba Farhadifar Mohammad Ebrahimi |
| author_sort | Cyrus Alinia |
| collection | DOAJ |
| description | Abstract Background Female genital mutilation/cutting (FGM/C) is a clear violation of women’s rights and can have adverse and irreversible health effects as well. Worldwide, more than 200 million women and girls have undergone FGM/C. Utility value of FGM/C has not been estimated yet, so we designed this study to extract the health utility value of FGM/C for the first time in the world. Methods In a cross-sectional study in Iran, 125 girls and women who underwent FGM/C procedure were examined by the trained midwives in order to determine its type. In addition, a questionnaire was completed for identifying the socio-demographic factors and extracting the health utility of these individuals. Health utility was measured using Time Trade-off method and also to determine the effects of the socio-demographic factors on the health utility a two-limit censored regression model was applied. Results The mean and median of the health utility of women with FGM/C were 0.971 (SE: 0.003) and 0.968 (IQR: 1–0.95), respectively. Number of non-traders was 58 (46.4%) who reported perfect health utility. However, the mean of health utility among traders was 0.946 (SE: 0.002). Only type 1 (Clitoridectomy) and type 2 (Excision) FGM/C were seen in this study. Women with Type 1 FGM/C had significantly lower health utility value (Mean: 0.968, Median: 0.957) than their type 2 counterparts (Mean: 0.987, Median: 1.00). Moreover, women in the age group of 31–45 years (Mean: 0.962, Median: 0.956), single (Mean: 0.950, Median: 0.954), divorced (Mean: 0.951, Median: 0.950), employed (Mean: 0.959, Median: 0.956), and with supplementary insurance (Mean: 0.962, Median: 0.950) had significantly lower health utility than their counterparts. Conclusion FGM/C affects physical and psychological well-being of these individuals, resulting in a lack of personal and marital satisfaction, which ultimately leads to a 3% reduction in their health related quality of life. Therefore, preventing from this practice is very important and should be considered by health system policy makers more than before. |
| first_indexed | 2024-12-21T05:31:15Z |
| format | Article |
| id | doaj.art-fa3341e8ae77427c84242463d78b6139 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-21T05:31:15Z |
| publishDate | 2020-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-fa3341e8ae77427c84242463d78b61392022-12-21T19:14:32ZengBMCBMC Public Health1471-24582020-05-012011710.1186/s12889-020-08947-4Estimating utility value for female genital mutilationCyrus Alinia0Bakhtiar Piroozi1Fariba Jahanbin2Hossein Safari3Amjad Mohamadi-Bolbanabad4Ali Kazemi-Karyani5Ghobad Moradi6Fariba Farhadifar7Mohammad Ebrahimi8Department of Health Management and Economics, School of Public Health, Urmia University of Medical SciencesSocial Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical SciencesDepartment of Health Management and Economics, School of Public Health, Urmia University of Medical SciencesHealth Promotion Research Center, Iran University of Medical SciencesReproductive Health Research Center, Urmia University of Medical SciencesResearch Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical SciencesReproductive Health Research Center, Urmia University of Medical SciencesReproductive Health Research Center, Urmia University of Medical SciencesResearch Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical SciencesAbstract Background Female genital mutilation/cutting (FGM/C) is a clear violation of women’s rights and can have adverse and irreversible health effects as well. Worldwide, more than 200 million women and girls have undergone FGM/C. Utility value of FGM/C has not been estimated yet, so we designed this study to extract the health utility value of FGM/C for the first time in the world. Methods In a cross-sectional study in Iran, 125 girls and women who underwent FGM/C procedure were examined by the trained midwives in order to determine its type. In addition, a questionnaire was completed for identifying the socio-demographic factors and extracting the health utility of these individuals. Health utility was measured using Time Trade-off method and also to determine the effects of the socio-demographic factors on the health utility a two-limit censored regression model was applied. Results The mean and median of the health utility of women with FGM/C were 0.971 (SE: 0.003) and 0.968 (IQR: 1–0.95), respectively. Number of non-traders was 58 (46.4%) who reported perfect health utility. However, the mean of health utility among traders was 0.946 (SE: 0.002). Only type 1 (Clitoridectomy) and type 2 (Excision) FGM/C were seen in this study. Women with Type 1 FGM/C had significantly lower health utility value (Mean: 0.968, Median: 0.957) than their type 2 counterparts (Mean: 0.987, Median: 1.00). Moreover, women in the age group of 31–45 years (Mean: 0.962, Median: 0.956), single (Mean: 0.950, Median: 0.954), divorced (Mean: 0.951, Median: 0.950), employed (Mean: 0.959, Median: 0.956), and with supplementary insurance (Mean: 0.962, Median: 0.950) had significantly lower health utility than their counterparts. Conclusion FGM/C affects physical and psychological well-being of these individuals, resulting in a lack of personal and marital satisfaction, which ultimately leads to a 3% reduction in their health related quality of life. Therefore, preventing from this practice is very important and should be considered by health system policy makers more than before.http://link.springer.com/article/10.1186/s12889-020-08947-4Female genital mutilationCircumcisionDisease utilityDALYWomen’s health |
| spellingShingle | Cyrus Alinia Bakhtiar Piroozi Fariba Jahanbin Hossein Safari Amjad Mohamadi-Bolbanabad Ali Kazemi-Karyani Ghobad Moradi Fariba Farhadifar Mohammad Ebrahimi Estimating utility value for female genital mutilation BMC Public Health Female genital mutilation Circumcision Disease utility DALY Women’s health |
| title | Estimating utility value for female genital mutilation |
| title_full | Estimating utility value for female genital mutilation |
| title_fullStr | Estimating utility value for female genital mutilation |
| title_full_unstemmed | Estimating utility value for female genital mutilation |
| title_short | Estimating utility value for female genital mutilation |
| title_sort | estimating utility value for female genital mutilation |
| topic | Female genital mutilation Circumcision Disease utility DALY Women’s health |
| url | http://link.springer.com/article/10.1186/s12889-020-08947-4 |
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