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Comment on: “Health outcomes and female genital mutilation/cutting: how much is due to the cutting itself?”
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Comment on: “Health outcomes and female genital mutilation/cutting: how much is due to the cutting itself?”
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Journal Article
Comment on: “Health outcomes and female genital mutilation/cutting: how much is due to the cutting itself?”
2023
Overview
[...]no consensus has been reached by WHO and scholars as to causality or explanatory mechanism [4, 6]. [...]questioning an assumption of cause and effect between FGM/C and certain long-term health difficulties is of considerable scientific value and should, in my view, be seen as the main contribution of the authors’ study. [...]with respect to some forms of FGM/C, such as “nicking” (or other forms that might be categorized within WHO Type 4 or 1a), there are essentially no data available with which one could even begin to assess a relationship between childhood exposure to the procedure and any long-term outcomes [5, 7]. [...]systematic reviews of other forms of FGM/C reveal an overall high frequency of poor quality data coming from studies of low methodological rigor [8, 9–10], while meta-analyses that have pooled data with the ambition to present more stable results than can be derived from any single study confirm that “the quality of evidence for all outcomes as being too low to warrant conclusions about a causal relationship between FGM/C and obstetric complications” [11]. [...]to assess everyday experiences of discrimination, participants were asked to report the frequency with which they recalled having had certain experiences, as follows: “treated with less courtesy/respect than other people; poorer service than others at restaurant/store; people act afraid of you; threatened/harassed; people act as if they think you are not smart” (https://doi.org/10.1017/S1742058X11000087).
Publisher
Nature Publishing Group UK,Nature Publishing Group
