Repository of Research and Investigative Information

Repository of Research and Investigative Information

Kurdistan University of Medical Sciences

Estimating utility value for female genital mutilation

(2020) Estimating utility value for female genital mutilation. BMC Public Health.

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Official URL: https://www.scopus.com/inward/record.uri?eid=2-s2....

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
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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