Predictors of uncircumcised primary school girls' intention to genital cutting in South Ethiopia: Application of theory of planned behavior.


Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2022
Historique:
received: 12 07 2021
accepted: 07 06 2022
entrez: 30 6 2022
pubmed: 1 7 2022
medline: 6 7 2022
Statut: epublish

Résumé

Female genital cutting (FGC) is still among the most common harmful traditional practices, especially in Africa and Asia. Despite the existence of rich evidence on the prevalence of FGC, information about the primary target audiences' (girls') intention toward FGC is limited. Therefore, this study aimed to identify the predictors of primary school girls' behavioral intention toward female genital cutting. An institution-based cross-sectional study was conducted from May 08 to 28, 2019 in Dunna district, South Ethiopia. A two-stage sampling technique was used to select 354 uncircumcised female students. A self-administered pre-tested structured questionnaire was used for data collection. Data were entered into Epi data manager version 4.0.2 and exported to STATA version 16.0. Descriptive analyses such as frequency, percentage, mean and standard deviation were performed as necessary. Univariable and multivariable linear regression analyses were conducted to identify predictors of primary school girls' intention to experience FGC. The mean age of the respondents was 13.09±1.69 years with an age range of 10 to 18 years. Of the 354 respondents, 156 (44.1%) intended to experience FGC. The model accounted for 76.58% of the variance in primary school girls' intention to experience FGC. Among socio-demographic characteristics, mothers' educational level of ≤8 grade (β = 1.95, p<0.001) and the age of the respondents (β = -0.23, p = 0.036) predicted primary school girls' intention toward FGC. Among the constructs of the theory of planned behavior (TPB), direct perceived behavioral control (β = 0.47, p = 0.015), indirect perceived behavioral controls (β = 0.05, p = 0.002), and direct subjective norms (β = 0.18, p = 0.039) predicted primary school girls' intention to experience FGC. In this study, we found that primary school girls' intention toward FGC was high. The educational level of mothers and the age of the respondents had a great influence on primary school girls' intention to experience FGC. Perceived lack of power and social pressure also predicted primary school girls' intention to engage in genital cutting. The findings suggest that FGC is mainly performed by the decision of the parents irrespective of the girls' preferences. Therefore, behavioral change communication interventions such as media campaigns, peer education and community dialogue guided by the TPB for empowering girls to confront FGC and reducing the influence of referents need to be focused.

Sections du résumé

BACKGROUND
Female genital cutting (FGC) is still among the most common harmful traditional practices, especially in Africa and Asia. Despite the existence of rich evidence on the prevalence of FGC, information about the primary target audiences' (girls') intention toward FGC is limited. Therefore, this study aimed to identify the predictors of primary school girls' behavioral intention toward female genital cutting.
METHODS
An institution-based cross-sectional study was conducted from May 08 to 28, 2019 in Dunna district, South Ethiopia. A two-stage sampling technique was used to select 354 uncircumcised female students. A self-administered pre-tested structured questionnaire was used for data collection. Data were entered into Epi data manager version 4.0.2 and exported to STATA version 16.0. Descriptive analyses such as frequency, percentage, mean and standard deviation were performed as necessary. Univariable and multivariable linear regression analyses were conducted to identify predictors of primary school girls' intention to experience FGC.
RESULTS
The mean age of the respondents was 13.09±1.69 years with an age range of 10 to 18 years. Of the 354 respondents, 156 (44.1%) intended to experience FGC. The model accounted for 76.58% of the variance in primary school girls' intention to experience FGC. Among socio-demographic characteristics, mothers' educational level of ≤8 grade (β = 1.95, p<0.001) and the age of the respondents (β = -0.23, p = 0.036) predicted primary school girls' intention toward FGC. Among the constructs of the theory of planned behavior (TPB), direct perceived behavioral control (β = 0.47, p = 0.015), indirect perceived behavioral controls (β = 0.05, p = 0.002), and direct subjective norms (β = 0.18, p = 0.039) predicted primary school girls' intention to experience FGC.
CONCLUSIONS
In this study, we found that primary school girls' intention toward FGC was high. The educational level of mothers and the age of the respondents had a great influence on primary school girls' intention to experience FGC. Perceived lack of power and social pressure also predicted primary school girls' intention to engage in genital cutting. The findings suggest that FGC is mainly performed by the decision of the parents irrespective of the girls' preferences. Therefore, behavioral change communication interventions such as media campaigns, peer education and community dialogue guided by the TPB for empowering girls to confront FGC and reducing the influence of referents need to be focused.

Identifiants

pubmed: 35771830
doi: 10.1371/journal.pone.0270738
pii: PONE-D-21-22666
pmc: PMC9246209
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0270738

Déclaration de conflit d'intérêts

The authors declare that they have no competing interests.

Références

Obstet Gynecol. 2016 Nov;128(5):958-963
pubmed: 27741194
PLoS One. 2016 Mar 31;11(3):e0151630
pubmed: 27031613
PLoS One. 2020 Sep 3;15(9):e0238495
pubmed: 32881931
Public Health Nurs. 2019 Sep;36(5):615-622
pubmed: 31240736
Reprod Health. 2016 Apr 18;13:44
pubmed: 27091122
Int J Gynaecol Obstet. 2014 May;125(2):125-8
pubmed: 24602774
Womens Health (Lond). 2015 Jan;11(1):79-94
pubmed: 25581057
Midwifery. 2015 Jan;31(1):229-38
pubmed: 25246318
BMC Public Health. 2013 Dec 05;13:1120
pubmed: 24304497
Lancet. 2006 Jun 3;367(9525):1835-41
pubmed: 16753486
BMC Womens Health. 2021 May 13;21(1):200
pubmed: 33985466
Eur J Cardiothorac Surg. 2019 Feb 1;55(2):179-185
pubmed: 30596979
BMC Health Serv Res. 2018 Apr 4;18(1):240
pubmed: 29615033
BMC Int Health Hum Rights. 2020 Jul 23;20(1):19
pubmed: 32703226
Obstet Gynecol Int. 2013;2013:643780
pubmed: 23935631
Niger J Med. 2004 Jul-Sep;13(3):250-3
pubmed: 15532226
Int J Womens Health. 2012;4:45-54
pubmed: 22371659
BMJ Open. 2014 Nov 21;4(11):e006316
pubmed: 25416059
Reprod Health. 2018 Oct 17;15(1):175
pubmed: 30333019
Int J Womens Health. 2015 Jan 09;7:85-93
pubmed: 25657598
BMC Public Health. 2021 Jan 21;21(1):186
pubmed: 33478450
BMC Public Health. 2009 Jul 27;9:264
pubmed: 19635149
BMC Public Health. 2014 Oct 16;14:1076
pubmed: 25318832
Health Educ Res. 2014 Aug;29(4):683-9
pubmed: 24412809
Afr J Reprod Health. 2018 Mar;22(1):29-37
pubmed: 29777640
Trop Med Int Health. 2006 Oct;11(10):1594-603
pubmed: 17002734
Health Hum Rights. 2018 Dec;20(2):223-233
pubmed: 30568416
Fertil Steril. 2010 Feb;93(3):722-4
pubmed: 19028385

Auteurs

Solomon Haile (S)

Department of Public Health, College of Medicine and Health Science, Wachemo University, Hosanna, Ethiopia.

Dawit Sullamo (D)

Department of Public Health, College of Medicine and Health Science, Wachemo University, Hosanna, Ethiopia.

Tekle Ejajo (T)

Department of Public Health, College of Medicine and Health Science, Wachemo University, Hosanna, Ethiopia.

Firanbon Teshome (F)

Department of Health, Behavior and Society, Faculty of Public Health, Jimma University, Jimma, Ethiopia.

Yohannes Kebede (Y)

Department of Health, Behavior and Society, Faculty of Public Health, Jimma University, Jimma, Ethiopia.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH