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. 2025 Apr;57(4):103113.
doi: 10.1016/j.aprim.2024.103113. Epub 2024 Nov 5.

Prevalence and factors associated with female genital mutilation among daughters using Somalia Demographic Health Survey Data, SDHS 2020

Omer Adam Farih  1 , Abdirahman Omer Ali  2 , Abdirizak Hassan Abokor  1 , Mustafe Abdillahi Ali  1 , Abdisalam Hassan Muse  1 , Ahmed Abdi Aw Egge  3
Affiliations

Prevalence and factors associated with female genital mutilation among daughters using Somalia Demographic Health Survey Data, SDHS 2020

Omer Adam Farih et al. Aten Primaria. 2025 Apr.

Abstract
in English, Spanish

Objective: To determine the prevalence and associated factors of female genital mutilation (FGM) among daughters of women aged 15-49 in Somalia using data from the 2020 Somaliland Demographic and Health Survey (SDHS).

Design: A cross-sectional study utilizing data from the 2020 SDHS.

Setting: Data was collected across Somalia, including urban, rural, and nomadic areas.

Main measurements: FGM prevalence was presented as percentages. Logistic regression analysis was used to identify associated factors, presented as odds ratios with 95% confidence intervals.

Results: The prevalence of FGM among daughters was 24%. Factors significantly associated with FGM included age, region, residence, education, and wealth index. Younger daughters were more likely to be circumcised (p=0.000, 95% CI: 0.066-0.274). Rural residence increased the likelihood of FGM (OR=1.436, CI=1.257-1.64). Primary education increased the odds of FGM (OR=1.334, CI=1.127-1.58). Mothers who believed FGM should continue were more likely to have circumcised daughters (OR=1.464, CI=1.305-1.642).

Conclusions: FGM prevalence among daughters in Somalia is influenced by age, region, rural residency, and education. The findings highlight the need for targeted educational and intervention programs, particularly in rural areas, to effectively reduce FGM practices.

Objetivo: Determinar la prevalencia y los factores asociados de la mutilación genital femenina (MGF) entre las hijas de mujeres de 15 a 49 años en Somalia utilizando datos de la Encuesta Demográfica y de Salud de Somalia de 2020.

Diseño: Estudio transversal que utiliza datos de la Encuesta Demográfica y de Salud de Somalia de 2020.

Entorno: Los datos se recopilaron en toda Somalia, incluidas las zonas urbanas, rurales y nómadas.

Mediciones principales: La prevalencia de la MGF se presentó en porcentajes. Se utilizó un análisis de regresión logística para identificar los factores asociados, presentados como odds ratios con intervalos de confianza del 95%.

Resultados: La prevalencia de MGF entre las hijas fue del 24%. Los factores significativamente asociados con la MGF fueron la edad, la región, la residencia, la educación y el índice de riqueza. Las hijas más jóvenes tenían más probabilidades de ser circuncidadas (p = 0,000; IC 95%: 0,066-0,274). La residencia rural aumentaba la probabilidad de MGF (OR = 1,436; IC 95%: 1,257-1,64). La educación primaria aumentaba las probabilidades de MGF (OR = 1,334; IC 95%: 1,127-1,58). Las madres que creían que la MGF debía continuar tenían más probabilidades de tener hijas circuncidadas (OR = 1,464; IC 95%: 1,305-1,642).

Conclusiones: La prevalencia de la MGF entre las hijas en Somalia está influida por la edad, la región, la residencia rural y la educación. Los resultados ponen de relieve la necesidad de programas educativos y de intervención específicos, especialmente en las zonas rurales, para reducir eficazmente las prácticas de MGF.

Keywords: Cultural practices; Determinantes; Determinants; Educación; Education; Female genital mutilation; Intervention programs; Mutilación genital femenina; Programas de intervención; Prácticas culturales; Residencia rural; Rural residency.

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