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

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

PloS one, 2024-05, Vol.19 (5), p.e0299034-e0299034 [Peer Reviewed Journal]

United States: Public Library of Science

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Title:
Female genital mutilation and safer sex negotiation among women in sexual unions in sub-Saharan Africa: Analysis of demographic and health survey data
Author: Aboagye, Richard Gyan ; Ahinkorah, Bright Opoku ; Seidu, Abdul-Aziz ; Frimpong, James Boadu ; Adu, Collins ; Hagan, Jr, John Elvis ; Ahmed, Salma A E ; Yaya, Sanni
Federici, Stefano
Subjects: Acquired immune deficiency syndrome ; Adolescent ; Adult ; Africa South of the Sahara - epidemiology ; AIDS ; Biology and Life Sciences ; Chi-square test ; Circumcision, Female - psychology ; Circumcision, Female - statistics & numerical data ; Collective bargaining ; Community ; Condoms ; Condoms - statistics & numerical data ; Confidence intervals ; Datasets ; Decision making ; Demographics ; Demography ; Female ; Female circumcision ; Females ; Genital mutilation ; Health ; Health Surveys ; HIV ; Human immunodeficiency virus ; Human rights ; Humans ; Marital status ; Medicine and Health Sciences ; Middle Aged ; Negotiating ; Negotiation, mediation and arbitration ; Negotiations ; People and Places ; Physical Sciences ; Regression analysis ; Reproductive health ; Research and Analysis Methods ; Safe sex ; Safe Sex - statistics & numerical data ; Sex ; Sexual health ; Sexual Partners - psychology ; Sexually transmitted diseases ; Social norms ; Social Sciences ; Societies, clubs, etc ; Statistical analysis ; STD ; Surveys ; Variables ; Women ; Women's organizations ; Young Adult
Is Part Of: PloS one, 2024-05, Vol.19 (5), p.e0299034-e0299034
Notes: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Competing Interests: The authors have declared that no competing interests exist.
Description: The 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). We 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. Female 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. Female 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.
Publisher: United States: Public Library of Science
Language: English

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

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

United States: Public Library of Science

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