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Reproductive Health
Published in: Reproductive Health 1/2024

Open Access 01-12-2024 | Labioplasty | Study Protocol

Exploring the decision-making process of female genital cosmetic procedures in Iranian women and constructing and validating a results-based logic model for a healthy public policy: a study protocol

Authors: Elham Azmoude, Samira Ebrahimzadeh Zagami, Elahe Hooshmand, Elham Taheri, Nahid Jahani Shoorab

Published in: Reproductive Health | Issue 1/2024

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Abstract

Background

Female genital cosmetic procedures have grown rapidly in most parts of the world. Professional organizations have issued warnings about the complications and long-term consequences of these practices. To be able to adopt the right health policies, it is necessary to know why women decide to perform these procedures. Therefore, the present study will be aim to discover the decision-making process involved in performing female genital cosmetic procedures for Iranian women and construct and validate a results-based logic model for healthy public policy.

Methods

The present study was conducted in three phases. In the initial phase, a qualitative study will be conducted with the Corbin and Strauss ground theory approach. The participants in the study will be healthy women who desire or have undergone female genital cosmetic procedures without medical indications. In this phase, purposive and theoretical sampling will guide recruitment and data collection. The data will be collected via semi-structured interviews, field notes and observations of individual interactions. The data will be analysed using the approach of Corbin and Strauss (2015). MAXQDA 2007 software was used for managing the process of data analysis. In the second phase, the development of a results-based logic model for a healthy public policy is performed based on the findings of the first phase of the study, interviews with key informants and a review of the results of the literature in this field. Finally, validation of the designed program will be performed by the nominal group technique with the presence of a group of experts in the third phase.

Discussion

The findings of this study, by identifying women’s main concerns related to the studied phenomenon, the existing context, participants’ reactions and the consequences of the adopted reactions, can be very important in designing a program that fits Iran’s cultural characteristics. In this research, a program using a logical model will be presented that is suitable for policymakers, planners and healthcare service providers to be implemented in the social-cultural context of the study.
Literature
1.
Berer M. Labia reduction for nontherapeutic reasons vs. female genital mutilation: contradictions in law and practice in Britain. Reprod Health Matters. 2010;18(35):106–10.CrossRefPubMed
2.
Hailparn TR. Cosmetic gynecology and the elusive quest for the perfect vagina. Obstet Gynecol. 2012;120(5):1207–8. author reply 8.CrossRefPubMed
3.
Rodrigues S. From vaginal exception to exceptional vagina: the biopolitics of female genital cosmetic surgery. Sexualities. 2012;15(7):778–94.CrossRef
4.
The international study on aesthetic/cosmetic procedures performed in 2016. 2016. The international study on aesthetic/cosmetic procedures performed in 2016. 2016.
5.
6.
Cosmetic Surgery National Data Bank Statistics [American Society for Aesthetic Plastic Surgery. Australian Government Department of Human Services. 2020.
7.
Female Genital Cosmetic Surgery. Solution to what Problem? Cambridge: Cambridge University Press; 2019.
8.
Eftekhar T, Hajibabaei M, Deldar Pesikhani M, Rahnama P, Montazeri A. Sexual quality of life, female sexual function, female genital self- and body image among women requesting genital cosmetic surgery: a comparative study. Psychol Sexuality. 2019;10(2):94–100.CrossRef
9.
Kelly B, Foster C. Should female genital cosmetic surgery and genital piercing be regarded ethically and legally as female genital mutilation? BJOG: Int J Obstet Gynecol. 2012;119(4):389–92.CrossRef
10.
Schick VR, Rima BN, Calabrese SK. Evulvalution: the portrayal of women’s external genitalia and physique across time and the current barbie doll ideals. J Sex Res. 2011;48(1):74–81.CrossRefPubMed
11.
Shaw D, Allen L, Chan C, Kives S, Popadiuk C, Robertson D, et al. Guideline 423: Female Genital Cosmetic surgery and procedures. J Obstet Gynecol Can. 2022;44(2):204–e141.CrossRef
12.
ACOG Committee Opinion No. 378: vaginal rejuvenation and cosmetic vaginal procedures. Obstet Gynecol. 2007;110(3):737–8.CrossRef
13.
14.
Barbara G, Facchin F, Buggio L, Alberico D, Frattaruolo MP, Kustermann A. Vaginal rejuvenation: current perspectives. Int J Womens Health. 2017;9:513–9.CrossRefPubMedPubMedCentral
15.
Kalampalikis A, Michala L. Cosmetic labiaplasty on minors: a review of current trends and evidence. Int J Impot Res. 2021.
16.
Sharp G, Tiggemann M, Mattiske J. Factors that influence the decision to Undergo Labiaplasty: Media, relationships, and Psychological Well-Being. Aesthet Surg J. 2016;36(4):469–78.CrossRefPubMed
17.
Bramwell R, Morland C, Garden AS. Expectations and experience of labial reduction: a qualitative study. BJOG. 2007;114(12):1493–9.CrossRefPubMed
18.
Sharp G, Mattiske J, Vale KI. Motivations, expectations, and experiences of Labiaplasty: a qualitative study. Aesthet Surg J. 2016;36(8):920–8.CrossRefPubMed
19.
Locatelli K, Boccara D, De Runz A, Fournier M, Chaouat M, Villa F, et al. A qualitative study of life events and psychological needs underlying the decision to have cosmetic surgery. Int J Psychiatry Med. 2017;52(1):88–105.CrossRefPubMed
20.
Corbin J, Strauss A. Basics of qualitative research: Techniques and procedures for developing grounded theory. Thousand Oaks. 2008.
21.
Goertzen JR, Fahlman SA, Hampton M, Jeffery B. Creating logic models using grounded theory: a case example demonstrating a unique approach to logic model development. Can J Program Evaluation. 2003;18:115–38.CrossRef
22.
McLaughlin JA, Jordan GB. Logic models: a tool for telling your programs performance story. Eval Program Plan. 1999;22(1):65–72.CrossRef
23.
Helitzer D, Hollis C, Hernandez BUd, Sanders M, Roybal S, Van Deusen I. Evaluation for community-based programs: the integration of logic models and factor analysis. Eval Program Plan. 2010;33(3):223–33.CrossRef
24.
Corbin JM, Strauss AL. Basics of qualitative research: techniques and procedures for developing grounded theory. 4th ed. ed. Thousand Oaks: CA: Sage; 2015.
25.
Guba EG, Lincoln YS. Competing paradigms in qualitative research. Handbook of qualitative research. Thousand Oaks, CA, US: Sage Publications, Inc; 1994. pp. 105–17.
26.
-Cosme Chavez R, Nam EW. Process evaluation of a School-based program aimed at preventing obesity in adolescents from Lima and Callao, Peru. Int J Environ Res Public Health. 2020;17(13).
27.
Nelson LE, Ogunbajo A, Abu-Ba’are GR, Conserve DF, Wilton L, Ndenkeh JJ et al. Using the Implementation Research Logic Model as a Lens to View experiences of implementing HIV Prevention and Care interventions with adolescent sexual minority Men-A global perspective. AIDS Behav. 2022.
28.
Nutbeam D, Padmadas SS, Maslovskaya O, Wu Z. A health promotion logic model to review progress in HIV prevention in China. Health Promot Int. 2015;30(2):270–80.CrossRefPubMed
29.
Knaak S, Patten S. A grounded theory model for reducing stigma in health professionals in Canada. Acta Psychiatr Scand. 2016;134(Suppl 446):53–62.
30.
Martin DK, Thiel EC, Singer PA. A new model of advance care planning: observations from people with HIV. Arch Intern Med. 1999;159(1):86–92.CrossRefPubMed
31.
Taylor-Powell E. E. H. Developing a logic model: teaching and training guide. University of Wisconsin-Extension; 2008.
32.
Harvey N, Holmes CA. Nominal group technique: an effective method for obtaining group consensus. Int J Nurs Pract. 2012;18(2):188–94.CrossRefPubMed
33.
Foth T, Efstathiou N, Vanderspank-Wright B, Ufholz LA, Dütthorn N, Zimansky M, et al. The use of Delphi and Nominal Group Technique in nursing education: a review. Int J Nurs Stud. 2016;60:112–20.CrossRefPubMed
34.
Potter MJ, Gordon S, Hamer PW. The nominal group technique: a useful concensus methodology in physiotherapy research. New Z J Physiotherapy. 2004;32(3):126–30.
35.
Gallagher M, Hares T, Spencer J, Bradshaw C, Webb I. The nominal group technique: a research tool for general practice? Fam Pract. 1993;10(1):76–81.CrossRefPubMed
36.
Piro TJ, Saeed AA, Abdulla WH, Safari K. Women’s experience and perspectives toward genital cosmetic surgery in Erbil city/Iraq: a qualitative study. BMC Womens Health. 2022;22(1):340.CrossRefPubMedPubMedCentral
37.
Hawkins SR, Clinton-Sherrod AM, Irvin N, Hart L, Russell SJ. Logic models as a Tool for sexual violence Prevention Program Development. Health Promot Pract. 2009;10(1suppl):S29–37.CrossRef
38.
Bowen E, Walker K, Holdsworth E. Applying a strengths-based Psychoeducational Model of Rehabilitation to the Treatment of Intimate Partner Violence: Program Theory and Logic Model. Int J Offender Ther Comp Criminol. 2018;63(3):500–17.CrossRefPubMed
39.
Conrad KJ, Matters MD, Hanrahan P, Luchins DJ. Homelessness Prevention in Treatment of Substance Abuse and Mental Illness. 1st Edition ed. New.
40.
ACOG Committee Opinion No. 510: Ethical ways for physicians to market a practice. Obstet Gynecol. 2011;118(5):1195-7.
41.
ACOG Committee Opinion No. 510: Ethical ways for physicians to market a practice. Obstet Gynecol. Female genital cosmetic surgery- A resource for general practitioners and other health professionals. Melbourne: The Royal Australian College of General Practitioners; 2015.
42.
Elective Female Genital Cosmetic Surgery. ACOG Committee Opinion, Number 795. Obstet Gynecol. 2020;135(1):e36–42.CrossRef
Metadata
Title
Exploring the decision-making process of female genital cosmetic procedures in Iranian women and constructing and validating a results-based logic model for a healthy public policy: a study protocol
Authors
Elham Azmoude
Samira Ebrahimzadeh Zagami
Elahe Hooshmand
Elham Taheri
Nahid Jahani Shoorab
Publication date
01-12-2024
Publisher
BioMed Central
Published in
Reproductive Health / Issue 1/2024
Electronic ISSN: 1742-4755
DOI
https://doi.org/10.1186/s12978-024-01788-z

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