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. 2020 May 29;20(1):811.
doi: 10.1186/s12889-020-08947-4.

Estimating utility value for female genital mutilation

Cyrus Alinia  1   2 , Bakhtiar Piroozi  3 , Fariba Jahanbin  1 , Hossein Safari  4 , Amjad Mohamadi-Bolbanabad  2 , Ali Kazemi-Karyani  5 , Ghobad Moradi  2 , Fariba Farhadifar  2 , Mohammad Ebrahimi  5
Affiliations

Estimating utility value for female genital mutilation

Cyrus Alinia et al. BMC Public Health. .

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.

Keywords: Circumcision; DALY; Disease utility; Female genital mutilation; Women’s health.

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Conflict of interest statement

The authors declare that they have no competing interests.

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References

    1. Organization WH. WHO guidelines on the management of health complications from female genital mutilation: policy brief. Geneva: World Health Organization; 2016. - PubMed
    1. Unicef. Female Genital Mutilation/cutting: a Global Concern. UNICEF's Data Work on FGM/C: Unicef; 2016. https://www.unicef.org/media/files/FGMC_2016_brochure_final_UNICEF_SPREA....
    1. Ahmed Magdy R., Shaaban Mohamed M., Meky Heba K., Amin Arafa Mohamed E., Mohamed Tamer Y., Gharib Waleed F., Ahmed Abeer B. Psychological impact of female genital mutilation among adolescent Egyptian girls: a cross-sectional study. The European Journal of Contraception & Reproductive Health Care. 2017;22(4):280–285. - PubMed
    1. United Nations Children's Fund, Gupta GR. Female genital mutilation/cutting: a statistical overview and exploration of the dynamics of change. Reproductive Health Matters. 2013. pp.184-190. https://www.jstor.org/stable/43288321?seq=1.
    1. Van Baelen L, Ortensi L, EJTEJoC L, Care RH. Estimates of first-generation women and girls with female genital mutilation in the European Union, Norway and Switzerland. Eur J Contracept Reprod Health Care. 2016;21(6):474–82. - PubMed

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