A qualitative metasynthesis on the sexual health of women who have undergone female genital mutilation or cutting (FGM/C) living in western countries

被引:0
作者
Gareau, Emmanuelle [1 ,2 ]
Dufour, Andreanne [1 ,3 ]
Zarowsky, Christina [1 ,2 ]
Ferlatte, Olivier [1 ,2 ]
机构
[1] Univ Montreal, Ecole Sante Publ, 7101 Parc Av, Montreal, PQ H3N 1X9, Canada
[2] Ctr Rech Sante Publ CReSP, 7101 Parc Av, Montreal, PQ H3N 1X9, Canada
[3] Inst Univ SHERPA, 7085 Hutchison St, Montreal, PQ H3N 1Y9, Canada
来源
SSM-QUALITATIVE RESEARCH IN HEALTH | 2025年 / 7卷
基金
加拿大健康研究院;
关键词
Female genital mutilation; Female circumcision; Sexual health; Sexuality; Sexual behavior; Systematic review; MENTAL-HEALTH; CONSEQUENCES; PLEASURE; PAIN; CIRCUMCISION; PERCEPTIONS; EXPERIENCES; SOMALI; IMPACT; STATE;
D O I
10.1016/j.ssmqr.2025.100523
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Rationale: Female genital mutilation or cutting (FGM/C) or circumcision can have lasting consequences on survivors' sexual health and is an important public health issue in Western countries due to migration. While some quantitative reviews have examined the psychosexual consequences of FGM/C, survivors' perspectives remain understudied. Objective: We aim to synthesize existing qualitative data on the experiences of women who have undergone FGM/ C and who live in Western countries, focusing on their perspectives regarding sexual health. Methods: A systematic search was performed in six databases to identify relevant qualitative or mixed-method empirical articles that pertain to sexual health-related matters and provide direct quotations from adult participants who have undergone FGM/C and who live in Western countries. Data was thematically synthesized using QSR's Nvivo14. Results: We synthesized data from 27 articles and identified three overarching themes related to the control of women's bodies and sexuality: 1) Rigid sexual and gender norms as obstacles to sexual fulfillment, 2) FGM/C as both creator and annihilator of sexual identity and feeling, 3) The hegemony of the taboo related to FGM/C and sexuality leading to the sexual subjugation of women. Conclusion: This study identified macro (e.g., sexual and gender norms, roles, diktats) and micro-level factors (e. g., FGM/C itself, sexual expectations) influencing the sexual health of women who have undergone FGM/C and who live in Western countries. Future research, health promotion initiatives, and psychosexual care should consider the various dimensions of sexuality when addressing FGM/C survivors' sexual health.
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页数:22
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