Evidence map›Paper›PMID 38758930›Full record

ArticlePloS one2024

Female genital mutilation and safer sex negotiation among women in sexual unions in sub-Saharan Africa: Analysis of demographic and health survey data.

Richard Gyan Aboagye, Bright Opoku Ahinkorah, Abdul-Aziz Seidu, James Boadu Frimpong, Collins Adu, John Elvis Hagan, Salma A E Ahmed, Sanni Yaya

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In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Richard Gyan AboagyeSchool of Population Health, University of New South Wales, Sydney, NSW, Australia.ORCID 0000-0002-3498-2909
Bright Opoku AhinkorahSchool of Clinical Medicine, University of New South Wales Sydney, Sydney, Australia.
Abdul-Aziz SeiduREMS Consultancy Services Limited, Sekondi-Takoradi, Western Region, Ghana.
James Boadu FrimpongDepartment of Health, Physical Education and Recreation, University of Cape Coast, Cape Coast, Ghana.ORCID 0000-0002-9416-1176
Collins AduDepartment of Health Promotion, Education and Disability Studies, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.ORCID 0000-0002-1300-6327
John Elvis HaganDepartment of Health, Physical Education and Recreation, University of Cape Coast, Cape Coast, Ghana.
Salma A E AhmedSchool of Public Health, Faculty of Health, University of Technology Sydney, Sydney, Australia.ORCID 0000-0002-2510-6384
Sanni YayaSchool of International Development and Global Studies, University of Ottawa, Ottawa, Canada.ORCID 0000-0002-4876-6043

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe practice of female genital mutilation is associated with harmful social norms promoting violence against girls and women. Various studies have been conducted to examine the prevalence of female genital mutilation and its associated factors. However, there has been limited studies conducted to assess the association between female genital mutilation and markers of women's autonomy, such as their ability to negotiate for safer sex. In this study, we examined the association between female genital mutilation and women's ability to negotiate for safer sex in sub-Saharan Africa (SSA).

methodsWe pooled data from the most recent Demographic and Health Surveys (DHS) conducted from 2010 to 2020. Data from a sample of 50,337 currently married and cohabiting women from eleven sub-Saharan African countries were included in the study. A multilevel binary logistic regression analysis was used to examine the association between female genital mutilation and women's ability to refuse sex and ask their partners to use condom. Adjusted odds ratios (aORs) with a 95% confidence interval (CI) were used to present the findings of the logistic regression analysis. Statistical significance was set at p<0.05.

resultsFemale genital mutilation was performed on 56.1% of women included in our study. The highest and lowest prevalence of female genital mutilation were found among women from Guinea (96.3%) and Togo (6.9%), respectively. We found that women who had undergone female genital mutilation were less likely to refuse sex from their partners (aOR = 0.91, 95% CI = 0.86, 0.96) and ask their partners to use condoms (aOR = 0.82, 95% CI = 0.78, 0.86) compared to those who had not undergone female genital mutilation.

conclusionFemale genital mutilation hinders women's ability to negotiate for safer sex. It is necessary to implement health education and promotion interventions (e.g., decision making skills) that assist women who have experienced female genital mutilation to negotiate for safer sex. These interventions are crucial to enhance sexual health outcomes for these women. Further, strict enforcement of policies and laws aimed at eradicating the practice of female genital mutilation are encouraged to help contribute to the improvement of women's reproductive health.

Indexed as

Circumcision, FemaleSafe SexAdolescentAdultAfrica South of the SaharaCondomsFemaleHealth SurveysHumansMiddle AgedNegotiatingSexual PartnersYoung Adult

Identifiers

PMID38758930
PMCPMC11101093

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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.