Community Influences on Female Genital Mutilation/Cutting in Kenya: Norms, Opportunities, and Ethnic Diversity
| Autor: | Sarah R. Hayford, Ngianga-Bakwin Kandala, Rose Grace Grose, Sarah Garver, Kathryn M. Yount, Yuk Fai Cheong |
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| Rok vydání: | 2019 |
| Předmět: |
Female circumcision
Health Knowledge Attitudes Practice Social Psychology L300 media_common.quotation_subject Article 03 medical and health sciences 0302 clinical medicine Risk Factors Cultural diversity Social Norms Humans 030212 general & internal medicine Sociology Socioeconomics media_common 030505 public health Human rights Health consequences Multilevel model Public Health Environmental and Occupational Health Models Theoretical Kenya C800 B900 Circumcision Female Female 0305 other medical science |
| Zdroj: | J Health Soc Behav |
| ISSN: | 2150-6000 0022-1465 |
| DOI: | 10.1177/0022146518821870 |
| Popis: | Female genital mutilation/cutting (FGMC) is a human rights violation with adverse health consequences. Although prevalence is declining, the practice persists in many countries, and the individual and contextual risk factors associated with FGMC remain poorly understood. We propose an integrated theory about contextual factors and test it using multilevel discrete-time hazard models in a nationally representative sample of 7,535 women with daughters who participated in the 2014 Kenya Demographic and Health Survey. A daughter’s adjusted hazard of FGMC was lower if she had an uncut mother who disfavored FGMC, lived in a community that was more opposed to FGMC, and lived in a more ethnically diverse community. Unexpectedly, a daughter’s adjusted FGMC hazard was higher if she lived in a community with more extrafamilial opportunities for women. Other measures of women’s opportunities warrant consideration, and interventions to shift FGMC norms in more ethnically diverse communities show promise to accelerate abandonment. |
| Databáze: | OpenAIRE |
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