Evidence map›Paper›PMID 41995971›Full record

ArticleJournal of immigrant and minority health2026

Decisional Conflict in Regarding Deinfibulation in Female Genital Mutilation/Cutting Patients: A Cross-Sectional Study.

Shreya Chanda, Ryan L Rahm-Knigge, Nicole Chaisson, Beatrice Bean E Robinson, Anisa Hagi-Mohamed, Jennifer Jo Connor

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Article in Journal of immigrant and minority health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Shreya ChandaMedical School, University of Minnesota, Minneapolis, USA.
Ryan L Rahm-KniggeEli Coleman Institute for Sexual and Gender Health, Department of Family Medicine and Community Health, University of Minnesota Medical School, University of Minnesota, Minneapolis, USA.
Nicole ChaissonDepartment of Family Medicine and Community Health, University of Minnesota Medical School, University of Minnesota, Minneapolis, USA.
Beatrice Bean E RobinsonEli Coleman Institute for Sexual and Gender Health, Department of Family Medicine and Community Health, University of Minnesota Medical School, University of Minnesota, Minneapolis, USA.
Anisa Hagi-MohamedMaangaar Voices, Bloomington, USA.
Jennifer Jo ConnorEli Coleman Institute for Sexual and Gender Health, Department of Family Medicine and Community Health, University of Minnesota Medical School, University of Minnesota, Minneapolis, USA. conno043@umn.edu.

Funding

Treatment of Consequences of Female Genital CuttingR01HD091685 · NICHD · UNIVERSITY OF MINNESOTA · PI CONNOR, JENNIFER JO, ROBINSON, BEATRICE "BEAN" ELLEN · 2018 to 2023
$3.2M
Eunice Kennedy Shriver National Institute of Child Health & Human Development 1R01HD091685-01A1NICHD NIH HHS R01 HD091685
6 · The paper itself

Abstract

Many Somali female migrants experience Female Genital Mutilation/Female Genital Cutting (FGM/C) during childhood, a procedure that involves removal of the external female genitalia for non-medical reasons; most undergo infibulation, which involves narrowing of the vaginal introitus. FGM/C patients commonly undergo deinfibulation, a procedure that reopens the vaginal introitus. This study aimed to analyze factors that contribute to a participant’s decision to undergo deinfibulation using the Decisional Conflict Scale (DCS) and develop recommendations for healthcare providers to ease decisional conflict. This cross-sectional study recruited 300 Minnesotan Somali women with FGM/C. Participants were given a survey including a modified version of the DCS, which aimed to assess the amount and nature of decisional conflict faced by participants regarding deinfibulation. We found that 196 individuals were infibulated, of which 144 individuals (73.0%) were deinfibulated. The total Decisional Conflict Scale results indicated a moderate level of decisional conflict. The largest source of decisional conflict was regarding a lack of comprehensive understanding of the options surrounding deinfibulation. Timing of deinfibulation was found to be associated with DCS total score. The group that never underwent definfibulation had the most overall decisional conflict, while those that deinfibulated during pregnancy/childbirth had the least (p < .001). The results of this study indicate a knowledge gap and lack of health care provider (HCP) support for patients regarding deinfibulation, which contributes to decisional conflict in the population of Somali women considering deinfibulation. Further research on the efficacy of SDM principles on this topic is needed to guide clinical recommendations.

Indexed as

Decisional conflictDeinfibulationFemale genital mutilation/cuttingGeneral gynecologySexual functionSomali healthcare

Identifiers

PMID41995971
PMCPMC13173685

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