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01.12.2017 | Research | Ausgabe 1/2017 Open Access

Reproductive Health 1/2017

Factors associated with the support of pricking (female genital cutting type IV) among Somali immigrants – a cross-sectional study in Sweden

Zeitschrift:
Reproductive Health > Ausgabe 1/2017
Autoren:
Anna Wahlberg, Sara Johnsdotter, Katarina Ekholm Selling, Carina Källestål, Birgitta Essén
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​s12978-017-0351-0) contains supplementary material, which is available to authorized users.

Abstract

Background

Pricking, classified as female genital cutting (FGC) type IV by the World Health Organization, is an under-researched area gaining momentum among diaspora communities. Our aim was to explore factors associated with being supportive of pricking among Somalis in Sweden.

Methods

In a cross-sectional design, attitudes and knowledge regarding FGC, and measures of socioeconomic status, acculturation, and social capital, were assessed by a 49-item questionnaire in four municipalities in Sweden. Data were collected in 2015 from 648 Somali men and women, ≥ 18 years old, of which 113 supported the continuation of pricking. Logistic regression was used for the analysis.

Results

Those more likely to support the continuation of pricking were older, originally from rural areas, and newly arrived in Sweden. Further, those who reported that they thought pricking was: acceptable, according to their religion (aOR: 10.59, 95% CI: 5.44–20.62); not a violation of children’s rights (aOR: 2.86, 95% CI: 1.46–5.61); and did not cause long-term health complications (aOR: 5.52, 95% CI: 2.25–13.52) had higher odds of supporting pricking. Religion was strongly associated with the support of pricking among both genders. However, for men, children’s rights and the definition of pricking as FGC or not were important aspects in how they viewed pricking, while, for women, health complications and respectability were important.

Conclusions

Values known to be associated with FGC in general are also related to pricking. Hence, there seems to be a change in what types of FGC are supported rather than in their perceived values.
Zusatzmaterial
Additional file 1: Annex 1. Questionnaire. Questionnaire used in the survey. (DOCX 106 kb)
12978_2017_351_MOESM1_ESM.docx
Additional file 2: Table S1. Background factors and odds of supporting the continuation of pricking, stratified on municipality. (DOCX 21 kb)
12978_2017_351_MOESM2_ESM.docx
Additional file 3: Table S2. Attitudes and knowledge regarding FGC and odds of supporting the continuation of pricking, stratified on municipality. (DOCX 71 kb)
12978_2017_351_MOESM3_ESM.docx
Literatur
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