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Knowledge, attitudes, and practice of female genital mutilation and cutting: an observational cross-sectional study in English primary care (FGM/C Study)

BACKGROUND: Female genital mutilation and cutting (FGM/C) describes procedures involving partial or total removal of the external female genitalia or other injury to the female genital organs for non-medical reasons. Increasing migration means many communities living in the UK originate from countri...

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Autores principales: Robinson, Michelle Elizabeth, Prior, James, Mallen, Christian D, Shepherd, Thomas A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Royal College of General Practitioners 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10646208/
https://www.ncbi.nlm.nih.gov/pubmed/37160335
http://dx.doi.org/10.3399/BJGPO.2023.0005
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author Robinson, Michelle Elizabeth
Prior, James
Mallen, Christian D
Shepherd, Thomas A
author_facet Robinson, Michelle Elizabeth
Prior, James
Mallen, Christian D
Shepherd, Thomas A
author_sort Robinson, Michelle Elizabeth
collection PubMed
description BACKGROUND: Female genital mutilation and cutting (FGM/C) describes procedures involving partial or total removal of the external female genitalia or other injury to the female genital organs for non-medical reasons. Increasing migration means many communities living in the UK originate from countries where FGM/C is practised. Consequently, clinicians in the UK are increasingly exposed to women and children who have experienced FGM/C. AIM: To explore the knowledge, attitudes, and practice of primary care GPs and practice nurses (PNs) regarding FGM/C. DESIGN & SETTING: An observational cross-sectional study with GPs and PNs working in primary care in the West Midlands, UK. METHOD: An online survey was circulated to GPs and PNs between September 2019 and December 2019. RESULTS: A total of 137 survey responses were received. Study participants were predominantly female (81.8%) and GPs (59.9%), with a mean age of 47.3 years (standard deviation [SD] 9.1). The survey found 19.7% of responders reported seeing >1 patient with FGM/C in the past 12 months. It also found 91.3% of responders had received some form of FGM/C training; however, the format and frequency of training varied and 34.3% felt they had received inadequate training to manage treatment of FGM/C. CONCLUSION: The results have suggested varying degrees of competence and confidence associated with recognising and managing patients with FGM/C in primary care in the West Midlands. Given that patients with FGM/C typically present in primary care, it is important that clinicians can provide appropriate support underpinned by up-to-date training.
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spelling pubmed-106462082023-07-12 Knowledge, attitudes, and practice of female genital mutilation and cutting: an observational cross-sectional study in English primary care (FGM/C Study) Robinson, Michelle Elizabeth Prior, James Mallen, Christian D Shepherd, Thomas A BJGP Open Research BACKGROUND: Female genital mutilation and cutting (FGM/C) describes procedures involving partial or total removal of the external female genitalia or other injury to the female genital organs for non-medical reasons. Increasing migration means many communities living in the UK originate from countries where FGM/C is practised. Consequently, clinicians in the UK are increasingly exposed to women and children who have experienced FGM/C. AIM: To explore the knowledge, attitudes, and practice of primary care GPs and practice nurses (PNs) regarding FGM/C. DESIGN & SETTING: An observational cross-sectional study with GPs and PNs working in primary care in the West Midlands, UK. METHOD: An online survey was circulated to GPs and PNs between September 2019 and December 2019. RESULTS: A total of 137 survey responses were received. Study participants were predominantly female (81.8%) and GPs (59.9%), with a mean age of 47.3 years (standard deviation [SD] 9.1). The survey found 19.7% of responders reported seeing >1 patient with FGM/C in the past 12 months. It also found 91.3% of responders had received some form of FGM/C training; however, the format and frequency of training varied and 34.3% felt they had received inadequate training to manage treatment of FGM/C. CONCLUSION: The results have suggested varying degrees of competence and confidence associated with recognising and managing patients with FGM/C in primary care in the West Midlands. Given that patients with FGM/C typically present in primary care, it is important that clinicians can provide appropriate support underpinned by up-to-date training. Royal College of General Practitioners 2023-07-12 /pmc/articles/PMC10646208/ /pubmed/37160335 http://dx.doi.org/10.3399/BJGPO.2023.0005 Text en Copyright © 2023, The Authors https://creativecommons.org/licenses/by/4.0/This article is Open Access: CC BY license (https://creativecommons.org/licenses/by/4.0/)
spellingShingle Research
Robinson, Michelle Elizabeth
Prior, James
Mallen, Christian D
Shepherd, Thomas A
Knowledge, attitudes, and practice of female genital mutilation and cutting: an observational cross-sectional study in English primary care (FGM/C Study)
title Knowledge, attitudes, and practice of female genital mutilation and cutting: an observational cross-sectional study in English primary care (FGM/C Study)
title_full Knowledge, attitudes, and practice of female genital mutilation and cutting: an observational cross-sectional study in English primary care (FGM/C Study)
title_fullStr Knowledge, attitudes, and practice of female genital mutilation and cutting: an observational cross-sectional study in English primary care (FGM/C Study)
title_full_unstemmed Knowledge, attitudes, and practice of female genital mutilation and cutting: an observational cross-sectional study in English primary care (FGM/C Study)
title_short Knowledge, attitudes, and practice of female genital mutilation and cutting: an observational cross-sectional study in English primary care (FGM/C Study)
title_sort knowledge, attitudes, and practice of female genital mutilation and cutting: an observational cross-sectional study in english primary care (fgm/c study)
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10646208/
https://www.ncbi.nlm.nih.gov/pubmed/37160335
http://dx.doi.org/10.3399/BJGPO.2023.0005
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