Health Outcomes and Attitudes Toward Female Genital Cutting in a Community-Based Sample of West African Immigrant Women from High-Prevalence Countries in New York City

Chu, Tracy; Akinsulure‐Smith, Adeyinka M.

doi:10.1080/10926771.2015.1081663

Cited by 25 publications

(34 citation statements)

References 35 publications

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“…By contrast, there is a growing body of research supporting the conclusion that major cultural change regarding FGC has taken place among the affected groups in Western host countries (e.g., Chu & Akinsulure-Smith, 2016 ; Cohen, Larsson, Hann, Creighton, & Hodes, 2018 ; Gele, Johansen, & Sundby, 2012 ; Gele, Kumar, Hjelde, & Sundby, 2012 ; Gele, Sagbakken, & Kumar, 2015 ; Johansen, 2019 ; Johnsdotter, 2002 ; Johnson-Agbakwu et al, 2014 ; Johnsdotter & Essén, 2015 ; Johnsdotter & Mestre i Mestre, 2015 , 2017 ; Johnsdotter, Moussa, Carlbom, Aregai, & Essén, 2009 ; Koukoui, Hassan, & Guzder, 2017 ; Larsson, Cohen, Hann, Creighton, & Hodes, 2018 ; Shahawy, Amanuel, & Nour, 2019 ; Wade, 2016 ; Wahlberg, Johnsdotter, Selling, Källestål, & Essén, 2017a , 2017b ).…”

Section: Migration and Life In The Diasporamentioning

confidence: 99%

Deinfibulation Contextualized: Delicacies of Shared Decision-Making in the Clinic

Johnsdotter

Essén

2020

Arch Sex Behav

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Section: Migration and Life In The Diasporamentioning

confidence: 99%

Deinfibulation Contextualized: Delicacies of Shared Decision-Making in the Clinic

Johnsdotter

Essén

2020

Arch Sex Behav

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“…Sierra Leone’s situation is similar to that of the Democratic Republic of Congo, concerning sexual violence and neglected needs of sexual violence victims and unintended health consequences (Heaton, 2015). A study (Chu & Akinsulure-Smith, 2016) of West African immigrant women from high-prevalence countries in New York City found similar results.…”

Section: Discussionmentioning

confidence: 66%

Examining the Factors Associated With Sexual Violence Against Women in Sierra Leone: A Nationwide Cross-Sectional Study

Shour

Anguzu

Zhou

et al. 2020

J Interpers Violence

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In 2019, Sierra Leone declared national emergency over rape and other forms of sexual violence (SV), hence diverting resources from other issues to tackle SV. However, little is known about nationwide risk/protective factors for SV, and this has been a source of critique for the new policy. To fill this gap in knowledge, we investigated the factors for SV toward women using a nationally representative sample. We analyzed the 2013 Demographic and Health Survey (DHS) data, including 16,658 women, aged 15–49 years. The outcome was current SV, defined as being physically forced to have sexual intercourse within the last 12 months. We examined respondent’s background, sexual activities, and experience of domestic violence (DV). Logistic regression analyses were performed using STATA/SE v.15.1, accounting for survey design and sample weights. Values of p less than .05 were considered statistically significant. ArcMap was used to demonstrate geographic distribution of SV cases. We found that about 258 (6.3%) women reported SV. In adjusted analysis, women in the north (than south; 2.88, 95% CI = [1.44, 5.75]) and women circumcised between the ages of 1 and 14 (1.67, 95% CI = [1.10, 2.54]) reported higher risk of SV, respectively. Women who had sex more than 25 times per year were 6.9 times more likely to report SV, compared with those with 1 to 24 times (6.91, 95% CI = [1.48, 32.19]). The odds of SV were 6 times higher among women who reported experiencing recent physical violence (5.86, 95% CI = [2.49, 13.80]) or history of SV (6.34, 95% CI = [2.57, 15.65]). In conclusion, this study adds to the literature by providing information on major factors associated with SV toward women in Sierra Leone using a nationally representative sample. Women in the north (Tonkolili), circumcised between the ages of 1 and 14, had sex more than 25 times per year, reported physical violence (12 months before the survey) and SV (ever forced to have sex) reported higher risk for current SV. While more research is needed, these findings will help inform the current emergency operations against SV in Sierra Leone.

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“…One study examining FGC among West African immigrant women in New York City found that 7 out of 23 participants (30%) reported a history of FGC (Akinsulure-Smith 2014), but that there were no significant differences on the mental health measures between women who had experienced FGC and those who had not. A more recent study with women from the Gambia, Guinea, Mali, and Sierra Leone living in NYC also found no major differences in reproductive or mental health problems among those who had undergone the procedure and those who had not (Chu and Akinsulure-Smith 2015), though women with FGC were more likely to report a history of vaginal pain and decreased sexual arousal, and both groups overwhelmingly voiced resistance to the practice.…”

Section: Reported Consequences Of Fgc Among Sub-saharan African Immigrant Populationsmentioning

confidence: 96%

West African Immigrant Perspectives on Female Genital Cutting: Experiences, Attitudes, and Implications for Mental Health Service Providers

Akinsulure‐Smith

Chu

Krivitsky

2018

Int. Migration & Integration

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This small pilot study analyzed the experiences of female genital cutting (FGC) among West African immigrants in New York City from three West African countries (the Gambia, Guinea, and Mali) with FGC prevalence rates of 76, 97, and 89%, respectively, among girls and women aged 15 to 49 years. Nine women participated in two focus group sessions. In the first group, five female participants ranged in age from18-20, and in the second, four participants ranged in age from 31 to 44. Focus group data were analyzed using a grounded theory approach. Despite the small sample size, the findings of this exploratory study highlight important aspects of immigrant women's experiences regarding FGC and indicate the need for further exploration. Participants drew from personal experiences to discuss FGC and their views of the practice. Salient themes that emerged included the secretive and violent nature of the practice, the primacy of matriarchal decision-makers, the fear among immigrant mothers that their children would be subjected to FGC without their consent, and health care encounters in the USA. The findings of this study are considered in light of their implications for research, service provision, and policy.

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Health Outcomes and Attitudes Toward Female Genital Cutting in a Community-Based Sample of West African Immigrant Women from High-Prevalence Countries in New York City

Cited by 25 publications

References 35 publications

Deinfibulation Contextualized: Delicacies of Shared Decision-Making in the Clinic

Deinfibulation Contextualized: Delicacies of Shared Decision-Making in the Clinic

Examining the Factors Associated With Sexual Violence Against Women in Sierra Leone: A Nationwide Cross-Sectional Study

West African Immigrant Perspectives on Female Genital Cutting: Experiences, Attitudes, and Implications for Mental Health Service Providers

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