Attitudes toward Female Genital Mutilation/Circumcision: A Systematic Review and Meta-Analysis
Abstract
:1. Background
2. Materials and Methods
2.1. Search Strategy
2.2. Inclusion and Exclusion Criteria
2.3. Data Extraction and Quality Assessments
2.4. Statistical Analysis
3. Results
3.1. Study Characteristics
3.2. Meta-Analyses of Attitudes toward FGM/C
3.3. Sensitivity Analysis
3.4. Publication Bias
4. Discussion
5. Limitations
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Abbreviations
References
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First Author of the Article | Year | Country | Study Sample | N | Quality | Study Design | |
---|---|---|---|---|---|---|---|
1 | Abolfotouh [10] | 2015 | Egypt | Students | 600 | 5 | Cross-sectional |
2 | Adeniran [16] | 2015 | Nigeria | School teachers | 371 | 4 | Cross-sectional |
3 | Adeniran [17] | 2016 | Nigeria | Secondary students | 1536 | 4 | Cross-sectional |
4 | Afifi [18] | 2010 | Egypt | Women with FGM | 15,572 | 6 | EDHS |
5 | Afifi [19] | 2007 | Egypt | Women with FGM | 5613 | 5 | DHS |
6 | Ahanonu [20] | 2014 | Nigeria | Women | 95 | 2 | Cross-sectional |
7 | Ali [21] | 2012 | Sudan | Midwives | 157 | 1 | Cross-sectional |
8 | Allam [32] | 2001 | Egypt | University students | 1700 | 4 | Cross-sectional |
9 | Al-Khulaidi [22] * | 1997 | Yemen | Women | 10,345 | 5 | DHS |
10 | Al-Khulaidi [22] * | 2013 | Yemen | Women | 11,252 | 5 | DHS |
11 | Ashimi [50] | 2014 | Nigeria | Nurses | 350 | 2 | Cross-sectional |
12 | Cappon Sien [23] | 2015 | Belgium | Midwives | 820 | 3 | Cross-sectional |
13 | Dalal [24] | 2010 | Egypt | Women | 9159 | 4 | DHS |
14 | Feyi-Waboso [25] | 2006 | Nigeria | Pregnant women | 600 | 4 | Cross-sectional |
15 | Gage [26] | 2006 | Guinea | General population | 8215 | 4 | Cross-sectional |
16 | Gajaa [27] | 2016 | Ethiopia | Women | 610 | 5 | Cross-sectional |
17 | Hamilton [28] * | 2012 | Sudan | General population | 2228 | 5 | DFIDSOP |
18 | Hamilton [28] * | 2014 | Sudan | General population | 2204 | 5 | DFIDSOP |
19 | Hassanin [29] | 2013 | Egypt | Women | 500 | 4 | Cross-sectional |
20 | Herieka [30] | 2003 | Sudan | Students | 414 | 4 | Cross-sectional |
21 | Hess [31] | 2010 | US | Midwives | 243 | 4 | Cross-sectional |
22 | Kaplan [32] | 2013 | Gambia | Students | 468 | 5 | Cross-sectional |
23 | Khalesi [51] | 2017 | Iran | Midwives | 168 | 4 | Cross-sectional |
24 | Leye [36] | 2008 | Belgium | Gynecologists | 333 | 4 | Cross-sectional |
25 | Livermore [37] | 2007 | Kenya | Patients | 68 | 4 | Cross-sectional |
26 | Lowenstein [38] | 1978 | Sudan | Students | 185 | 1 | Cross-sectional |
27 | Marcusan [34] * | 2001 | Africa | Health professionals | 225 | 5 | Cross-sectional |
28 | Marcusan [34] * | 2004 | Africa | Health professionals | 184 | 5 | Cross-sectional |
29 | Marcusan [35] | 2009 | Gambia | Health professionals | 1256 | 5 | Cross-sectional |
30 | Melese [52] | 2020 | Ethiopia | women | 325 | 6 | Cross-sectional |
31 | Mohammed [53] | 2018 | Egypt | General population | 618 | 6 | Cross-sectional |
32 | Msuya [39] | 2002 | Tanzania | Women with FGM | 63 | 4 | Cross-sectional |
33 | Muchene [54] | 2018 | Kenya | Women with FGM | 68 | 5 | Cross-sectional |
34 | Odu [40] | 2008 | Nigeria | Female students | 200 | 4 | Cross-sectional |
35 | Onuh [41] | 2006 | Nigeria | Nurses | 193 | 6 | Cross-sectional |
36 | Patra [42] | 2015 | Kenya | Women with FGM | 2284 | 4 | KDHS |
37 | Refaat [43] | 2001 | Egypt | Students | 69 | 1 | Cross-sectional |
38 | Rossem [47] * | 1995 | Egypt | Women | 14,769 | 6 | EDSH |
39 | Rossem [47] * | 2000 | Egypt | Women | 15,558 | 6 | EDSH |
40 | Rossem [47] * | 2003 | Egypt | Women | 9154 | 6 | EDSH |
41 | Rossem [47] * | 2005 | Egypt | Women | 19,461 | 6 | EDSH |
42 | Rossem [47] * | 2008 | Egypt | Women | 16,524 | 6 | EDSH |
43 | Rossem [47] * | 2014 | Egypt | Women | 21,756 | 6 | EDSH |
44 | Shaeer [44] | 2013 | Middle East | Internet users | 992 | 4 | Online survey |
45 | Sureshkumara [45] | 2016 | Australia | Pediatricians | 497 | 4 | Cross-sectional |
46 | Tamire [46] | 2013 | Ethiopia | High school girls | 780 | 6 | Cross-sectional |
47 | Williams [48] | 1997 | Sudan | General population | 3805 | 4 | Cross-sectional |
48 | Yasin [49] | 2013 | Iraq | Women | 1987 | 5 | Cross-sectional |
No. of Studies | Pooled Estimates [95% CI] | I2 | p-Value for Heterogeneity | Tau-Squared | |
---|---|---|---|---|---|
Participants | |||||
Health care professionals | 15 | 0.63 [0.49–0.75] | 99.3 | <0.001 | 0.054 |
Women with FGM | 3 | 0.69 [0.32–1.05] | 99.9 | <0.001 | 0.139 |
Students | 6 | 0.77 [0.66–0.87] | 98.9 | <0.001 | 0.016 |
General population | 23 | 0.39 [0.34–0.45] | 99 | <0.001 | 0.192 |
Quality score | |||||
≤4 | 22 | 0.60 [0.48–0.73] | 99.9 | <0.001 | 0.091 |
>4 | 25 | 0.46 [0.40–0.52] | 99.9 | <0.001 | 0.022 |
Country | |||||
African | 38 | 0.52 [0.46–0.58] | 99.9 | <0.001 | 0.033 |
Asian | 5 | 0.48 [0.39–0.56] | 98.8 | <0.001 | 0.009 |
European | 2 | 0.58 [0.14–1.1] | 98.8 | <0.001 | 0.101 |
No. of Studies | Pooled Estimates [95% CI] | I2 | p-Value for Heterogeneity | Tau-Squared | |
---|---|---|---|---|---|
Participants | |||||
Health care professionals | 7 | 0.69 [0.51–0.87] | 99.5 | <0.001 | 0.0581 |
Women with FGM | 3 | 0.58 [−0.012–1.18] | 100 | <0.001 | 0.276 |
Students | 2 | 0.54 [0.08–1.0] | 99.8 | <0.001 | 0.107 |
General population | 6 | 0.61 [0.29–0.92] | 99.9 | <0.001 | 0.154 |
Quality score | |||||
≤4 | 10 | 0.66 [0.38–0.93] | 99.9 | <0.001 | 0.192 |
>4 | 8 | 0.59 [0.32–0.86] | 100 | <0.001 | 0.153 |
Regional subgroup | |||||
Africa | 16 | 0.332 [0.32–0.34] | 99.9 | <0.001 | <0.001 |
Asia | 2 | 0.51 [0.50–0.53] | 99.8 | <0.001 | <0.001 |
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Jahangiry, L.; Pashaei, T.; Ponnet, K. Attitudes toward Female Genital Mutilation/Circumcision: A Systematic Review and Meta-Analysis. Healthcare 2021, 9, 1184. https://doi.org/10.3390/healthcare9091184
Jahangiry L, Pashaei T, Ponnet K. Attitudes toward Female Genital Mutilation/Circumcision: A Systematic Review and Meta-Analysis. Healthcare. 2021; 9(9):1184. https://doi.org/10.3390/healthcare9091184
Chicago/Turabian StyleJahangiry, Leila, Tahereh Pashaei, and Koen Ponnet. 2021. "Attitudes toward Female Genital Mutilation/Circumcision: A Systematic Review and Meta-Analysis" Healthcare 9, no. 9: 1184. https://doi.org/10.3390/healthcare9091184