Evidence map›Paper›PMID 35164773›Full record

ArticleReproductive health2022

Escaping social rejection, gaining total capital: the complex psychological experience of female genital mutilation/cutting (FGM/C) among the Izzi in Southeast Nigeria.

Olayinka Omigbodun, Tolulope Bella-Awusah, Nkechi Emma-Echiegu, Jibril Abdulmalik, Akinyinka Omigbodun, Marie-Hélène Doucet, Danielle Groleau

Open access · goldAbstract read
In one paragraph

Article in Reproductive health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Olayinka OmigbodunCentre for Child & Adolescent Mental Health & Department of Psychiatry, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Tolulope Bella-AwusahCentre for Child & Adolescent Mental Health & Department of Psychiatry, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Nkechi Emma-EchieguDepartment of Psychology and Sociological Studies, Ebonyi State University, Abakaliki, Nigeria.
Jibril AbdulmalikCentre for Child & Adolescent Mental Health & Department of Psychiatry, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Akinyinka OmigbodunDepartment of Obstetrics and Gynaecology, College of Medicine, University of Ibadan Nigeria, Ibadan, Nigeria.
Marie-Hélène DoucetDivision of Social and Transcultural Psychiatry, McGill University, Montreal, Canada.
Danielle GroleauDivision of Social and Transcultural Psychiatry, McGill University, Montreal, Canada. danielle.groleau@mcgill.ca.ORCID http://orcid.org/0000-0003-2421-9069
University of Ibadan · NGJewish General Hospital · CAEbonyi State University · NG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile the deleterious effects of FGM/C on physical health are well documented, the psychological experience of this harmful practice is a neglected area of research, which limits global mental health actions. As FGM/C was a traditional practice in some areas of Nigeria, the study aimed to understand the psychological experience of FGM/C in context.

methodsThis qualitative study was completed in urban and rural Izzi communities in Southeast Nigeria where FGM/C was widely practiced. In-depth interviews were completed with 38 women of the same ethnicity using the McGill Illness Narrative Interview (MINI) to explore the collective psychological experience of FGM/C before, during and after the procedure. The MINI was successfully adapted to explore the meaning and experience of FGM/C. We completed thematic content analysis and used the concepts of total capital and habitus by Bourdieu to interpret the data.

resultsDuring the period of adolescence, Izzi young women who had not yet undergone FGM/C reported retrospectively being subjected to intense stigma, humiliation and rejection by their cut peers. Alongside the social benefits from FGM/C the ongoing psychological suffering led many to accept or request to be cut, to end their psychological torture. Virtually all women reported symptoms of severe distress before, during and after the procedure. Some expressed the emotion of relief from knowing their psychological torture would end and that they would gain social acceptance and total capital from being cut. Newly cut young women also expressed that they looked forward to harassing and stigmatizing uncut ones, therein engaging in a complex habitus that underscores their severe trauma as well as their newly acquired enhanced social status.

conclusionFGM/C is profoundly embedded in the local culture, prevention strategies need to involve the whole community to develop preventive pathways in a participatory way that empowers girls and women while preventing the deleterious psychological effects of FGM/C and corresponding stigma. Results suggest the need to provide psychological support for girls and women of practicing Izzi communities of Southeast Nigeria.

Indexed as

Circumcision, FemaleAdolescentFemaleHumansNigeriaQualitative ResearchRetrospective StudiesSocial StatusAdolescentsCapitalFGM/CGlobal mental healthHabitusMcGill Illness Narrative Interview Schedule (MINI)NigeriaPowerPsychological experience

Identifiers

PMID35164773
PMCPMC8842570
OpenAlexW4225276429

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.