Evidence map›Paper›PMID 42415700›Full record

ArticleGlobal health action2026

Maternal education-related inequality in female genital mutilation/cutting among daughters aged 0-14 years in three East African countries: DHS data from 2016-2022.

Tigist Kifle Tsegaw, Nigat Amsalu Adiss, Yabibal Misganaw Mesfin, Wubedle Zelalem Temesgan, Setegn Fentahun, Fetlework Gubena Arage, Eyob Akalewold Alemu

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Article in Global health action, 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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5 · Who and what money

Authors and funding

7 authors.

Tigist Kifle TsegawDepartment of Public Health, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Nigat Amsalu AdissCollege of Medicine and Health Sciences, Department of Gynecology and Obstetrics, University of Gondar, Gondar, Ethiopia.
Yabibal Misganaw MesfinDepartment of Psychiatry, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Wubedle Zelalem TemesganDepartment of Clinical Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Setegn FentahunDepartment of Psychiatry, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Fetlework Gubena ArageDepartment of Public Health, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Eyob Akalewold AlemuDepartment of Public Health, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlobally, more than 230 million girls and women have undergone female genital mutilation/cutting (FGM/C). It is estimated that about one-fourth of them reside in East Africa. Studies highlight educational attainment as one of the major factors contributing to the practice.

objectiveThis study aimed to assess maternal education-related inequality in FGM/C among daughters aged 0-14 years by using Demographic and Health Survey (DHS) data (2016-2022) from three East African countries.

methodsStata version 17 was used for the data analysis. We analyzed pooled, nationally representative DHS data (2016-2022) from three East African countries (Ethiopia, Kenya, and Tanzania), involving a weighted sample of 23,596 daughters. Maternal education-related inequality was measured using the Erreygers Normalized Concentration Index. A decomposition analysis was conducted to determine the percentage contribution of maternal and household-level factors to the observed inequality.

resultsThe findings revealed a pro-low-education distribution of the practice, with an Erreygers index of -0.126 (

conclusionsFGM/C is disproportionately concentrated among daughters of less educated mothers. The observed inequality was largely shaped by maternal factors, indicating that limited educational attainment and intergenerational transmission play a substantial role in sustaining FGM/C among daughters.

Indexed as

Circumcision, FemaleEducational StatusMothersNuclear FamilyAdolescentAdultAfrica, EasternChildChild, PreschoolFemaleHealth SurveysHumansInfantInfant, NewbornSecondary Data AnalysisSocioeconomic Disparities in Healthchild healthdecomposition analysisDemographic and Health SurveyErreygers Concentration Indexinequality

Identifiers

PMID42415700
PMCPMC13353429

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