An exploration of attitudes towards female genital mutilation (FGM) in men and women accessing FGM clinical services in London: a pilot study

Larsson, Martina; Cohen, Pollyanna; Hann, G; Creighton, Sarah M.; Hodes, Deborah

doi:10.1080/01443615.2018.1437718

Cited by 14 publications

(10 citation statements)

References 8 publications

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“…14 In the UK also, there are indications that there is broad opposition to circumcision of girls among people from practicing countries. 15,16 That cultural change might be happening on a large scale in Europe is supported by findings in a study commissioned by the European Commission. An analysis of FGM court cases in Europe showed that fewer than 50 cases of suspected illegal FGM have reached criminal courts, and out of those 50, more than 30 took place in France in the 1980s.…”

Section: Circumcision Of Girls Residing In Europementioning

confidence: 93%

“…A growing number of studies show that migration seems to be a key factor for change when it comes to attitudes and practices regarding circumcision of girls among Africans in Europe. [7][8][9][10][11][12][13][14][15][16] Some 200,000 people who were born in Africa live in Sweden. The biggest community is the Somalipersons born in Somalia amount to more than 66,000.…”

Section: Circumcision Of Girls Residing In Europementioning

confidence: 99%

“… 14 In the UK also, there are indications that there is broad opposition to circumcision of girls among people from practicing countries. 15 , 16 …”

Section: Circumcision Of Girls Residing In Europementioning

confidence: 99%

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Meaning well while doing harm: compulsory genital examinations in Swedish African girls

Johnsdotter

2019

Sexual and Reproductive Health Matters

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In this article, I discuss compulsory genital examinations in Swedish African, mainly Somali, girls. The discussion is based on data from 122 police files, including criminal investigations regarding suspected "female genital mutilation" (FGM). A growing body of research in European countries indicates that processes of cultural change are occurring among immigrant communities from areas where traditionally girls are subjected to what is construed as "circumcision". Many studies show growing opposition to these practices among people who have migrated to Europe, and there is little evidence to support the assertion that largescale illegal activities are prevalent. Yet there is a dominant discourse stating that FGM is secretively practised on a large scale among some immigrant groups in Europe, and policies encourage the detection of cases to charge in criminal court. I describe the current situation in Sweden and highlight some of the drawbacks of a very harsh, although well-intended, policy to check for FGM in Europe. While the ultimate aim is to protect girls at risk for FGM, current policies have ramifications that are invasive and sometimes even traumatising for the girls involved. This paper offers an empirical example of how politics in western multicultural societies may negatively influence the sexual health and rights of a target group, in this case, girls and young women whose families originate from countries where circumcision of girls is practiced.

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Section: Circumcision Of Girls Residing In Europementioning

confidence: 93%

Section: Circumcision Of Girls Residing In Europementioning

confidence: 99%

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Meaning well while doing harm: compulsory genital examinations in Swedish African girls

Johnsdotter

2019

Sexual and Reproductive Health Matters

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“…In doing so, they now provide two estimates, for low-risk (assuming total cultural change and no circumcision of second-generation migrants) and high-risk scenarios (accounting for no cultural change) (28). Large scale attitude changes towards FGC are reported in Sweden, Germany, Switzerland, and the UK among migrants (29)(30)(31). In a qualitative study from 2009, Swedish-Eritreans and Swedish-Somalis referred to FGC as a "brutal practice" (32), which suggests the low-risk scenario estimations might be representative.…”

Section: Accepted Articlementioning

confidence: 99%

How to ensure policies and interventions rely on strong supporting facts to improve women’s health: The case of female genital cutting, using Rosling’s Factfulness approach

Essén

Mosselmans

2021

Acta Obstet Gynecol Scand

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Rosling et al’s book Factfulness aims to inspire people to use strong supporting facts in their decision‐making, with 10 rules of thumb to fight dramatic instincts. In this paper, the Factfulness framework is applied to female genital cutting (FGC), in order to identify possible biases and promote evidence‐based thinking in studies on FGC, clinical guidelines on management of FGC, and interventions aimed at abolishing FGC. The Factfulness framework helps to acknowledge that FGC is not a uniform practice and helps address that variability. This framework also highlights the importance of multidisciplinarity to understand causalities of the FGC issue, which the authors argue is essential. This paper highlights the fact that FGC is a dynamic practice, with changes in the practice that are ongoing, and that those changes are different in different contexts. The “zero tolerance” discourses on FGC fail to acknowledge this. Factfulness encourages us to be more critical of methodologies used in the area of FGC, for example when estimating girls at risk of FGC in migration contexts. Factfulness provides the tools to calculate risks rather than judgments based on fear. This may help limit stigmatization of women with FGC and to allocate resources to health problems of migrant women based on real risks. The framework also calls for more research and production of less biased facts in the field of FGC, in order to improve interventions aimed at abolishing FGC, and clinical guidelines for the treatment of FGC. Factfulness is a useful and structured foundation for reflection over constructs, biases and disputes surrounding FGC, and can help improve the quality of future evidence‐based interventions and education that address the actual needs of women with FGC and girls at risk of FGC.

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“…If there is any reason to suspect this abuse has occurred, a sensitive enquiry should be made asking if individuals are aware of the custom of genital cutting in some communities and whether this is something they have experienced [19]. Hospital Trusts have policies in place regarding female genital mutilation, and clinicians will need to be able to make appropriate enquiries assessing parental attitudes to this, and to ensure there is an awareness of UK law [20].…”

Section: Female Genital Cuttingmentioning

confidence: 99%

Adolescent gynaecology: anaesthetic and peri‐operative care implications

Crouch

Molyneux

2021

Anaesthesia

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Summary Adolescents represent a quarter of the world’s population, yet their specific healthcare needs have often not been acknowledged. Whilst many operations in this population will be performed in specialist tertiary centres and children’s hospitals, it is likely that care will be sought in a variety of healthcare settings, and so it is important to have an understanding of the particular approach to this age group. Paediatric and adolescent gynaecology emerged as a speciality in 2000 with the inauguration of the British Society for Paediatric and Adolescent Gynaecology, a specialist society of the Royal College of Obstetricians and Gynaecologists. This is a multidisciplinary group, comprising paediatricians, paediatric surgeons, psychologists and nurses, although the majority of the members are gynaecologists. In this review, we will describe the peri‐operative implications of adolescent gynaecological surgery and the considerations that need to be applied to this specific age group, such as consent, the operative setting and key personnel. We will also discuss specialist situations which are likely to fall to an adolescent gynaecology setting, such as management of those with Mullerian abnormalities, which often present with pelvic pain in adolescence. We discuss those with a history of ritual female genital cutting (female genital mutilation), trans men and those with significant learning difficulties. In all circumstances, teamwork, reflection and pragmatism are key.

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An exploration of attitudes towards female genital mutilation (FGM) in men and women accessing FGM clinical services in London: a pilot study

Cited by 14 publications

References 8 publications

Meaning well while doing harm: compulsory genital examinations in Swedish African girls

Meaning well while doing harm: compulsory genital examinations in Swedish African girls

How to ensure policies and interventions rely on strong supporting facts to improve women’s health: The case of female genital cutting, using Rosling’s Factfulness approach

Adolescent gynaecology: anaesthetic and peri‐operative care implications

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