Cargando…

Hierarchical modelling of factors associated with the practice and perpetuation of female genital mutilation in the next generation of women in Africa

Despite a total prohibition on the practice of female genital mutilation (FGM), young girls continue to be victims in some African countries. There is a paucity of data on the effect of FGM practice in two generations in Africa. This study assessed the current practice of daughters’ FGM among women...

Descripción completa

Detalles Bibliográficos
Autores principales: Fagbamigbe, Adeniyi Francis, Morhason-Bello, Imran Oludare, Kareem, Yusuf Olushola, Idemudia, Erhabor Sunday
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8064566/
https://www.ncbi.nlm.nih.gov/pubmed/33891651
http://dx.doi.org/10.1371/journal.pone.0250411
_version_ 1783682162794430464
author Fagbamigbe, Adeniyi Francis
Morhason-Bello, Imran Oludare
Kareem, Yusuf Olushola
Idemudia, Erhabor Sunday
author_facet Fagbamigbe, Adeniyi Francis
Morhason-Bello, Imran Oludare
Kareem, Yusuf Olushola
Idemudia, Erhabor Sunday
author_sort Fagbamigbe, Adeniyi Francis
collection PubMed
description Despite a total prohibition on the practice of female genital mutilation (FGM), young girls continue to be victims in some African countries. There is a paucity of data on the effect of FGM practice in two generations in Africa. This study assessed the current practice of daughters’ FGM among women living in 14 FGM-prone countries in Africa as a proxy to assess the future burden of FGM in the continent. We used Demographic and Health Surveys data collected between 2010 and 2018 from 14 African countries. We analyzed information on 93,063 women-daughter pair (Level 1) from 8,396 communities (Level 2) from the 14 countries (Level 3). We fitted hierarchical multivariable binomial logistic regression models using the MLWin 3.03 module in Stata version 16 at p<0.05. The overall prevalence of FGM among mothers and their daughters was 60.0% and 21.7%, respectively, corresponding to 63.8% reduction in the mother-daughter ratio of FGM. The prevalence of FGM among daughters in Togo and Tanzania were less than one per cent, 48.6% in Guinea, with the highest prevalence of 78.3% found in Mali. The percentage reduction in mother-daughter FGM ratio was highest in Tanzania (96.7%) and Togo (94.2%), compared with 10.0% in Niger, 15.0% in Nigeria and 15.9% in Mali. Prevalence of daughters’ FGM among women with and without FGM was 34.0% and 3.1% respectively. The risk of mothers having FGM for their daughters was significantly associated with maternal age, educational status, religion, household wealth quintiles, place of residence, community unemployment and community poverty. The country and community where the women lived explained about 57% and 42% of the total variation in FGM procurement for daughters. Procurement of FGM for the daughters of the present generation of mothers in Africa is common, mainly, among those from low social, poorer, rural and less educated women. We advocate for more context-specific studies to fully assess the role of each of the identified risk factors and design sustainable intervention towards the elimination of FGM in Africa.
format Online
Article
Text
id pubmed-8064566
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-80645662021-05-04 Hierarchical modelling of factors associated with the practice and perpetuation of female genital mutilation in the next generation of women in Africa Fagbamigbe, Adeniyi Francis Morhason-Bello, Imran Oludare Kareem, Yusuf Olushola Idemudia, Erhabor Sunday PLoS One Research Article Despite a total prohibition on the practice of female genital mutilation (FGM), young girls continue to be victims in some African countries. There is a paucity of data on the effect of FGM practice in two generations in Africa. This study assessed the current practice of daughters’ FGM among women living in 14 FGM-prone countries in Africa as a proxy to assess the future burden of FGM in the continent. We used Demographic and Health Surveys data collected between 2010 and 2018 from 14 African countries. We analyzed information on 93,063 women-daughter pair (Level 1) from 8,396 communities (Level 2) from the 14 countries (Level 3). We fitted hierarchical multivariable binomial logistic regression models using the MLWin 3.03 module in Stata version 16 at p<0.05. The overall prevalence of FGM among mothers and their daughters was 60.0% and 21.7%, respectively, corresponding to 63.8% reduction in the mother-daughter ratio of FGM. The prevalence of FGM among daughters in Togo and Tanzania were less than one per cent, 48.6% in Guinea, with the highest prevalence of 78.3% found in Mali. The percentage reduction in mother-daughter FGM ratio was highest in Tanzania (96.7%) and Togo (94.2%), compared with 10.0% in Niger, 15.0% in Nigeria and 15.9% in Mali. Prevalence of daughters’ FGM among women with and without FGM was 34.0% and 3.1% respectively. The risk of mothers having FGM for their daughters was significantly associated with maternal age, educational status, religion, household wealth quintiles, place of residence, community unemployment and community poverty. The country and community where the women lived explained about 57% and 42% of the total variation in FGM procurement for daughters. Procurement of FGM for the daughters of the present generation of mothers in Africa is common, mainly, among those from low social, poorer, rural and less educated women. We advocate for more context-specific studies to fully assess the role of each of the identified risk factors and design sustainable intervention towards the elimination of FGM in Africa. Public Library of Science 2021-04-23 /pmc/articles/PMC8064566/ /pubmed/33891651 http://dx.doi.org/10.1371/journal.pone.0250411 Text en © 2021 Fagbamigbe et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Fagbamigbe, Adeniyi Francis
Morhason-Bello, Imran Oludare
Kareem, Yusuf Olushola
Idemudia, Erhabor Sunday
Hierarchical modelling of factors associated with the practice and perpetuation of female genital mutilation in the next generation of women in Africa
title Hierarchical modelling of factors associated with the practice and perpetuation of female genital mutilation in the next generation of women in Africa
title_full Hierarchical modelling of factors associated with the practice and perpetuation of female genital mutilation in the next generation of women in Africa
title_fullStr Hierarchical modelling of factors associated with the practice and perpetuation of female genital mutilation in the next generation of women in Africa
title_full_unstemmed Hierarchical modelling of factors associated with the practice and perpetuation of female genital mutilation in the next generation of women in Africa
title_short Hierarchical modelling of factors associated with the practice and perpetuation of female genital mutilation in the next generation of women in Africa
title_sort hierarchical modelling of factors associated with the practice and perpetuation of female genital mutilation in the next generation of women in africa
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8064566/
https://www.ncbi.nlm.nih.gov/pubmed/33891651
http://dx.doi.org/10.1371/journal.pone.0250411
work_keys_str_mv AT fagbamigbeadeniyifrancis hierarchicalmodellingoffactorsassociatedwiththepracticeandperpetuationoffemalegenitalmutilationinthenextgenerationofwomeninafrica
AT morhasonbelloimranoludare hierarchicalmodellingoffactorsassociatedwiththepracticeandperpetuationoffemalegenitalmutilationinthenextgenerationofwomeninafrica
AT kareemyusufolushola hierarchicalmodellingoffactorsassociatedwiththepracticeandperpetuationoffemalegenitalmutilationinthenextgenerationofwomeninafrica
AT idemudiaerhaborsunday hierarchicalmodellingoffactorsassociatedwiththepracticeandperpetuationoffemalegenitalmutilationinthenextgenerationofwomeninafrica