(2020) Estimating utility value for female genital mutilation. BMC Public Health.
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Abstract
Background: Female genital mutilation/cutting (FGM/C) is a clear violation of women's rights and can have adverse and irreversible health effects as well. Worldwide, more than 200 million women and girls have undergone FGM/C. Utility value of FGM/C has not been estimated yet, so we designed this study to extract the health utility value of FGM/C for the first time in the world. Methods: In a cross-sectional study in Iran, 125 girls and women who underwent FGM/C procedure were examined by the trained midwives in order to determine its type. In addition, a questionnaire was completed for identifying the socio-demographic factors and extracting the health utility of these individuals. Health utility was measured using Time Trade-off method and also to determine the effects of the socio-demographic factors on the health utility a two-limit censored regression model was applied. Results: The mean and median of the health utility of women with FGM/C were 0.971 (SE: 0.003) and 0.968 (IQR: 1-0.95), respectively. Number of non-Traders was 58 (46.4) who reported perfect health utility. However, the mean of health utility among traders was 0.946 (SE: 0.002). Only type 1 (Clitoridectomy) and type 2 (Excision) FGM/C were seen in this study. Women with Type 1 FGM/C had significantly lower health utility value (Mean: 0.968, Median: 0.957) than their type 2 counterparts (Mean: 0.987, Median: 1.00). Moreover, women in the age group of 31-45 years (Mean: 0.962, Median: 0.956), single (Mean: 0.950, Median: 0.954), divorced (Mean: 0.951, Median: 0.950), employed (Mean: 0.959, Median: 0.956), and with supplementary insurance (Mean: 0.962, Median: 0.950) had significantly lower health utility than their counterparts. Conclusion: FGM/C affects physical and psychological well-being of these individuals, resulting in a lack of personal and marital satisfaction, which ultimately leads to a 3 reduction in their health related quality of life. Therefore, preventing from this practice is very important and should be considered by health system policy makers more than before. © 2020 The Author(s).
Item Type: | Article |
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Keywords: | adult; article; child; controlled study; cross-sectional study; demography; disability-adjusted life year; divorced person; excision; female; female genital mutilation; human; human experiment; insurance; Iran; major clinical study; male; marriage; midwife; psychological well-being; quality of life; questionnaire; time trade-off method; women's health |
Journal or Publication Title: | BMC Public Health |
Volume: | 20 |
Number: | 1 |
Publisher: | BioMed Central Ltd. |
Identification Number: | 10.1186/s12889-020-08947-4 |
ISSN: | 14712458 |
Depositing User: | مهندس جمال محمودپور |
URI: | http://eprints.muk.ac.ir/id/eprint/2180 |
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