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Published in: BMC Public Health 1/2015

Open Access 01-12-2015 | Research article

Women's position and attitudes towards female genital mutilation in Egypt: A secondary analysis of the Egypt demographic and health surveys, 1995-2014

Authors: Ronan Van Rossem, Dominique Meekers, Anastasia J. Gage

Published in: BMC Public Health | Issue 1/2015

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Abstract

Background

Female genital mutilation (FGM) is still widespread in Egyptian society. It is strongly entrenched in local tradition and culture and has a strong link to the position of women. To eradicate the practice a major attitudinal change is a required for which an improvement in the social position of women is a prerequisite. This study examines the relationship between Egyptian women’s social positions and their attitudes towards FGM, and investigates whether the spread of anti-FGM attitudes is related to the observed improvements in the position of women over time.

Methods

Changes in attitudes towards FGM are tracked using data from the Egypt Demographic and Health Surveys from 1995 to 2014. Multilevel logistic regressions are used to estimate 1) the effects of indicators of a woman’s social position on her attitude towards FGM, and 2) whether these effects change over time.

Results

Literate, better educated and employed women are more likely to oppose FGM. Initially growing opposition to FGM was related to the expansion of women’s education, but lately opposition to FGM also seems to have spread to other segments of Egyptian society.

Conclusions

The improvement of women’s social position has certainly contributed to the spread of anti-FGM attitudes in Egyptian society. Better educated and less traditional women were at the heart of this change, and formed the basis from where anti-FGM sentiment has spread over wider segments of Egyptian society.
Footnotes
1
The standard DHS wealth index is calculated for each survey wave separately and is not suitable for comparisons 1 over time.
 
Literature
2.
go back to reference El-Zanaty F, Way A (eds.): Egypt Demographic and Health Survey 2005. Cairo, Egypt: Ministry of Health and Population, National Population Council, El-Zanaty and Associates, and ORC Macro.; 2006. El-Zanaty F, Way A (eds.): Egypt Demographic and Health Survey 2005. Cairo, Egypt: Ministry of Health and Population, National Population Council, El-Zanaty and Associates, and ORC Macro.; 2006.
4.
go back to reference Assaad MB. Female Circumcision in Egypt: Social Implications, Current Research and Prospects for Change. Stud Family Plann. 1980;11(1):3–16.CrossRef Assaad MB. Female Circumcision in Egypt: Social Implications, Current Research and Prospects for Change. Stud Family Plann. 1980;11(1):3–16.CrossRef
5.
go back to reference Hassanin IM, Saleh R, Bedaiwy AA, Peterson RS, Bedaiwy MA. Prevalence of female genital cutting in Upper Egypt: 6 years after enforcement of prohibition law. Reprod Biomed Online. 2008;16 Suppl 1:27–31.CrossRefPubMed Hassanin IM, Saleh R, Bedaiwy AA, Peterson RS, Bedaiwy MA. Prevalence of female genital cutting in Upper Egypt: 6 years after enforcement of prohibition law. Reprod Biomed Online. 2008;16 Suppl 1:27–31.CrossRefPubMed
6.
go back to reference El-Gibaly O, Ibrahim B, Mensch BS, Clark WH. The decline of female circumcision in Egypt: evidence and interpretation. Soc Sci Med. 2002;54(2):205–20.CrossRefPubMed El-Gibaly O, Ibrahim B, Mensch BS, Clark WH. The decline of female circumcision in Egypt: evidence and interpretation. Soc Sci Med. 2002;54(2):205–20.CrossRefPubMed
7.
go back to reference Boyle EH, Preves SE. National Politics as International Process: the Case of Anti-Female-Genital-Cutting Laws. Law Soc Rev. 2000;34(3):703–37.CrossRef Boyle EH, Preves SE. National Politics as International Process: the Case of Anti-Female-Genital-Cutting Laws. Law Soc Rev. 2000;34(3):703–37.CrossRef
8.
go back to reference Mohammed GF, Hassan MM, Eyada MM. Female Genital Mutilation/Cutting: Will It Continue? J Sex Med. 2014;11(11):2756–63.CrossRefPubMed Mohammed GF, Hassan MM, Eyada MM. Female Genital Mutilation/Cutting: Will It Continue? J Sex Med. 2014;11(11):2756–63.CrossRefPubMed
9.
go back to reference Allam MF, de Irala-Estévez J, Fernández-Crehuet Navajas R, Serrano del Castillo A, Hoashi JS, Pankovich MB, et al. Factors associated with the condoning of female genital mutilation among university students. Public Health. 2001;115(5):350–5.CrossRefPubMed Allam MF, de Irala-Estévez J, Fernández-Crehuet Navajas R, Serrano del Castillo A, Hoashi JS, Pankovich MB, et al. Factors associated with the condoning of female genital mutilation among university students. Public Health. 2001;115(5):350–5.CrossRefPubMed
10.
go back to reference Michael M. Egypt outlaws circumcision after girl dies. In: The Observer. London: Guardian Media Group; 2007. Michael M. Egypt outlaws circumcision after girl dies. In: The Observer. London: Guardian Media Group; 2007.
11.
go back to reference Hauslohner A. Egypt strengthens ban on female genital cutting. In: Reuters. London: Reuters; 2007. Hauslohner A. Egypt strengthens ban on female genital cutting. In: Reuters. London: Reuters; 2007.
12.
go back to reference Gruenbaum E (ed.): The female circumcision controversy. An anthropological perspective. Philadelphia, PA: University of Pennsylvania Press; 2001. Gruenbaum E (ed.): The female circumcision controversy. An anthropological perspective. Philadelphia, PA: University of Pennsylvania Press; 2001.
13.
go back to reference Hicks EK (ed.): Infibulation. Female mutilation in Islamic Northeastern Africa. New Brunswick, NJ: Transaction; 1993. Hicks EK (ed.): Infibulation. Female mutilation in Islamic Northeastern Africa. New Brunswick, NJ: Transaction; 1993.
14.
go back to reference UNICEF Innocenti Research Centre. The dynamics of social change. Towards the abandonment of female genital mutilation/cutting in five African countries. UNICEF Innocenti Research Centre: Florence; 2010. UNICEF Innocenti Research Centre. The dynamics of social change. Towards the abandonment of female genital mutilation/cutting in five African countries. UNICEF Innocenti Research Centre: Florence; 2010.
15.
go back to reference Zayed AA, Ali AA. Abusing female children by circumcision is continued in Egypt. J Forensic Leg Med. 2012;19(4):196–200.CrossRefPubMed Zayed AA, Ali AA. Abusing female children by circumcision is continued in Egypt. J Forensic Leg Med. 2012;19(4):196–200.CrossRefPubMed
16.
go back to reference Rasheed SM, Abd-Ellah AH, Yousef FM. Female genital mutilation in Upper Egypt in the new millennium. Int J Gynaecol Obstet. 2011;114(1):47–50.CrossRefPubMed Rasheed SM, Abd-Ellah AH, Yousef FM. Female genital mutilation in Upper Egypt in the new millennium. Int J Gynaecol Obstet. 2011;114(1):47–50.CrossRefPubMed
17.
go back to reference Ministry of Health and Population [Egypt], El-Zanaty and Associates [Egypt], ICF International. Egypt Demographic and Health Survey 2014. Cairo, Egypt and Rockville, Maryland, USA: Ministry of Health and Population and ICF International; 2015. Ministry of Health and Population [Egypt], El-Zanaty and Associates [Egypt], ICF International. Egypt Demographic and Health Survey 2014. Cairo, Egypt and Rockville, Maryland, USA: Ministry of Health and Population and ICF International; 2015.
18.
go back to reference Yount KM. Like mother, like daughter? Female genital cutting in Minia, Egypt. J Health Soc Behav. 2002;43(3):336–58.CrossRefPubMed Yount KM. Like mother, like daughter? Female genital cutting in Minia, Egypt. J Health Soc Behav. 2002;43(3):336–58.CrossRefPubMed
19.
go back to reference Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991;50:179–211.CrossRef Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991;50:179–211.CrossRef
20.
go back to reference Bandura A. Social cognitive theory. In: Vasta R, editor. Six theories of child development Revised formulations and current issues. London: Jessica Kingsley; 1997. p. 1–60. Bandura A. Social cognitive theory. In: Vasta R, editor. Six theories of child development Revised formulations and current issues. London: Jessica Kingsley; 1997. p. 1–60.
21.
go back to reference Fishbein M, Ajzen I (eds.): Belief, attitude, intention, and behavior: An introduction to theory and research. Reading, MA: Addison-Wesley; 1975. Fishbein M, Ajzen I (eds.): Belief, attitude, intention, and behavior: An introduction to theory and research. Reading, MA: Addison-Wesley; 1975.
22.
23.
go back to reference Coale AJ. The demographic transition reconsidered. In: International population conference: 1973, vol. 1973. Liège: IUSSP; 1973. p. 53–72. Coale AJ. The demographic transition reconsidered. In: International population conference: 1973, vol. 1973. Liège: IUSSP; 1973. p. 53–72.
24.
go back to reference Lesthaeghe R, Vanderhoeft C. Ready, willing and able: a conceptualization of transitions to new behavioral forms. Washington, DC: National Academy of Sciences & National Research Council; 2001. Lesthaeghe R, Vanderhoeft C. Ready, willing and able: a conceptualization of transitions to new behavioral forms. Washington, DC: National Academy of Sciences & National Research Council; 2001.
25.
go back to reference OHCHR, UNAIDS, UNDP, UNECA, UNESCO, UNFPA, UNHCR, UNICEF/UNIFEM, WHO. Eliminating Female genital mutilation. An interagency statement. Geneva: WHO; 2008. OHCHR, UNAIDS, UNDP, UNECA, UNESCO, UNFPA, UNHCR, UNICEF/UNIFEM, WHO. Eliminating Female genital mutilation. An interagency statement. Geneva: WHO; 2008.
26.
go back to reference Jones SD, Ehiri J, Anyanwu E. Female Genital Mutilation in Developing Countries: an Agenda for Public Health Response. Eur J Obstet Gynecol Reprod Biol. 2004;116(2):144–51.CrossRefPubMed Jones SD, Ehiri J, Anyanwu E. Female Genital Mutilation in Developing Countries: an Agenda for Public Health Response. Eur J Obstet Gynecol Reprod Biol. 2004;116(2):144–51.CrossRefPubMed
27.
go back to reference Rajadurai H, Igras S. CARE’s experiences working with communities toward abandonment of female genital cutting (FGC). Atlanta, GA: CARE; 2005. Rajadurai H, Igras S. CARE’s experiences working with communities toward abandonment of female genital cutting (FGC). Atlanta, GA: CARE; 2005.
28.
go back to reference Toubia NF, Sharief EH. Female genital mutilation: have we made progress? Int J Gynaecol Obstet. 2003;82(3):251–61.CrossRefPubMed Toubia NF, Sharief EH. Female genital mutilation: have we made progress? Int J Gynaecol Obstet. 2003;82(3):251–61.CrossRefPubMed
29.
go back to reference World Health Organization (ed.): Female genital mutilation. Programmes to date: what works and what doesn’t. Geneva: WHO; 1999. World Health Organization (ed.): Female genital mutilation. Programmes to date: what works and what doesn’t. Geneva: WHO; 1999.
30.
go back to reference Walley CJ. Searching for “voices”: Feminism, anthropology, and the global debate over female genital operations. Urbana, IL: University of Illinois Press; 2002. Walley CJ. Searching for “voices”: Feminism, anthropology, and the global debate over female genital operations. Urbana, IL: University of Illinois Press; 2002.
31.
go back to reference Gruenbaum E. Socio-cultural dynamics of female genital cutting: Research findings, gaps, and directions. Cult Health Sex. 2005;7(5):429–41.CrossRefPubMed Gruenbaum E. Socio-cultural dynamics of female genital cutting: Research findings, gaps, and directions. Cult Health Sex. 2005;7(5):429–41.CrossRefPubMed
32.
go back to reference Epstein CF. Great divides: The cultural, cognitive, and social bases of the global subordination of women. Am Sociol Rev. 2007;72(1):1–22.CrossRef Epstein CF. Great divides: The cultural, cognitive, and social bases of the global subordination of women. Am Sociol Rev. 2007;72(1):1–22.CrossRef
33.
go back to reference Freymeyer RH, Johnson BE. An exploration of attitudes toward female genital cutting in Nigeria. Popul Res Policy Rev. 2007;26(1):69–83.CrossRef Freymeyer RH, Johnson BE. An exploration of attitudes toward female genital cutting in Nigeria. Popul Res Policy Rev. 2007;26(1):69–83.CrossRef
34.
go back to reference Mackie G (ed.): Female genital cutting: the beginning of the end. Boulder, CO: Lynne Reinner; 2000. Mackie G (ed.): Female genital cutting: the beginning of the end. Boulder, CO: Lynne Reinner; 2000.
35.
go back to reference Gruenbaum E. Sexuality Issues in the Movement to Abolish Female Genital Cutting in Sudan. Med Anthropol Q. 2006;20(1):121–38.CrossRefPubMed Gruenbaum E. Sexuality Issues in the Movement to Abolish Female Genital Cutting in Sudan. Med Anthropol Q. 2006;20(1):121–38.CrossRefPubMed
36.
go back to reference Almroth L, Almroth-Berggren V, Hassanein OM, El Hadi N, Al-Said SS, Hasan SS, et al. A community based study on the change of practice of female genital mutilation in a Sudanese village. Int J Gynaecol Obstet. 2001;74(2):179–85.CrossRefPubMed Almroth L, Almroth-Berggren V, Hassanein OM, El Hadi N, Al-Said SS, Hasan SS, et al. A community based study on the change of practice of female genital mutilation in a Sudanese village. Int J Gynaecol Obstet. 2001;74(2):179–85.CrossRefPubMed
37.
go back to reference Shell-Duncan B. The Medicalization of Female “Circumcision”: Harm Reduction or Promotion of a Dangerous Practice? Soc Sci Med. 2001;52(7):1013–28.CrossRefPubMed Shell-Duncan B. The Medicalization of Female “Circumcision”: Harm Reduction or Promotion of a Dangerous Practice? Soc Sci Med. 2001;52(7):1013–28.CrossRefPubMed
38.
go back to reference Yoder PS, Camara PO, Soumaoro B (eds.): Female genital cutting and coming of age in Guinea. Calverton, MD & Conakry, Guinea: Macro International Inc & Université de Conakry; 1999. Yoder PS, Camara PO, Soumaoro B (eds.): Female genital cutting and coming of age in Guinea. Calverton, MD & Conakry, Guinea: Macro International Inc & Université de Conakry; 1999.
39.
go back to reference Yoder PS. From sexual behavior to sexual encounters:Issues in AIDS prevention research. Rev Anthropol. 2001;30(3):225–41. Yoder PS. From sexual behavior to sexual encounters:Issues in AIDS prevention research. Rev Anthropol. 2001;30(3):225–41.
40.
go back to reference Shell-Duncan B, Herniund Y. Are there “stages of change” in the practice of female genital cutting?: Qualitative research findings from Senegal and The Gambia. Afr J Reprod Health. 2006;10(2):57–71.CrossRefPubMed Shell-Duncan B, Herniund Y. Are there “stages of change” in the practice of female genital cutting?: Qualitative research findings from Senegal and The Gambia. Afr J Reprod Health. 2006;10(2):57–71.CrossRefPubMed
41.
go back to reference Shell-Duncan B, Hernlund Y. Female “Circumcision” in Africa: Dimensions of the Practice and Debates. Boulder, CO: Lynne Rienner publ; 2000. Shell-Duncan B, Hernlund Y. Female “Circumcision” in Africa: Dimensions of the Practice and Debates. Boulder, CO: Lynne Rienner publ; 2000.
42.
go back to reference Leonard L. Female Circumcision in Southern Chad: Origins, Meaning, and Current Practice. Soc Sci Med. 1996;43(2):255–63.CrossRefPubMed Leonard L. Female Circumcision in Southern Chad: Origins, Meaning, and Current Practice. Soc Sci Med. 1996;43(2):255–63.CrossRefPubMed
43.
go back to reference Modrek S, Liu JX. Exploration of pathways related to the decline in female circumcision in Egypt. BMC Public Health. 2013;13. Modrek S, Liu JX. Exploration of pathways related to the decline in female circumcision in Egypt. BMC Public Health. 2013;13.
44.
go back to reference Jejeebhoy SJ. Women’s education, autonomy, and reproductive behaviour. Experience from developing countries. Oxford: Clarendon; 1995. Jejeebhoy SJ. Women’s education, autonomy, and reproductive behaviour. Experience from developing countries. Oxford: Clarendon; 1995.
45.
go back to reference Van Rossem R. Vrouwelijke autonomie en vrouwenbesnijdenis in Egypte, 2005. In: Eeckhaut MCW, Van de Putte B, Van Rossem R, De Bruycker T, editors. Het sociaal-demografisch perspectief. Gent: Academia Press; 2010. p. 265–312. Van Rossem R. Vrouwelijke autonomie en vrouwenbesnijdenis in Egypte, 2005. In: Eeckhaut MCW, Van de Putte B, Van Rossem R, De Bruycker T, editors. Het sociaal-demografisch perspectief. Gent: Academia Press; 2010. p. 265–312.
46.
go back to reference Population Reference Bureau. Abandoning female genital cutting. Prevalence, attitudes, and efforts to end the practice. Washington, DC: Measure Communication; 2001. Population Reference Bureau. Abandoning female genital cutting. Prevalence, attitudes, and efforts to end the practice. Washington, DC: Measure Communication; 2001.
47.
go back to reference Malik K (ed.): Sustaining human progress: Reducing vulnerability and building resilience. New York, NY: UNDP; 2014. Malik K (ed.): Sustaining human progress: Reducing vulnerability and building resilience. New York, NY: UNDP; 2014.
48.
go back to reference El-Safty M. Women in Egypt: Islamic rights versus cultural practice. Sex Roles. 2004;51(5–6):273–81.CrossRef El-Safty M. Women in Egypt: Islamic rights versus cultural practice. Sex Roles. 2004;51(5–6):273–81.CrossRef
49.
go back to reference World Bank. World development indicators. In., 2015 edn. Washington, DC: IBRD; 2015.CrossRef World Bank. World development indicators. In., 2015 edn. Washington, DC: IBRD; 2015.CrossRef
50.
go back to reference Hurt HT, Joseph K, Cook CD. Scales for the measurement of innovativeness. Hum Commun Res. 1977;4(1):25–65.CrossRef Hurt HT, Joseph K, Cook CD. Scales for the measurement of innovativeness. Hum Commun Res. 1977;4(1):25–65.CrossRef
51.
go back to reference Rogers EM. Diffusion of innovation. 5th ed. New York, NY: Free Press; 2003. Rogers EM. Diffusion of innovation. 5th ed. New York, NY: Free Press; 2003.
52.
go back to reference Merton RK. Social theory and social structure, 1968 enlarged edition edn. New York: Free Press; 1968. Merton RK. Social theory and social structure, 1968 enlarged edition edn. New York: Free Press; 1968.
53.
54.
go back to reference Afifi M. Women’s Empowerment and the Intention to Continue the Practice of Female Genital Cutting in Egypt. Arch Iran Med. 2009;12(2):154–60.PubMed Afifi M. Women’s Empowerment and the Intention to Continue the Practice of Female Genital Cutting in Egypt. Arch Iran Med. 2009;12(2):154–60.PubMed
55.
go back to reference Mackie G, LeJeune J. Social dynamics of abandonment of harmul practices: A new look at the theory. In. Florence: UNICEF Innocentie Research Centre; 2009. Mackie G, LeJeune J. Social dynamics of abandonment of harmul practices: A new look at the theory. In. Florence: UNICEF Innocentie Research Centre; 2009.
56.
go back to reference Valente TW, Davis RL. Accelerating the diffusion of innovations using opinion leaders. Ann Am Acad Polit Soc Sci. 1999;566:55–67.CrossRef Valente TW, Davis RL. Accelerating the diffusion of innovations using opinion leaders. Ann Am Acad Polit Soc Sci. 1999;566:55–67.CrossRef
57.
go back to reference El-Zanaty F, Hussein EM, Shawky GA, Way AA, Kishor S. Egypt demographic and health survey 1995. Calverton, MD: National Population Council & Macro International Inc.; 1996. El-Zanaty F, Hussein EM, Shawky GA, Way AA, Kishor S. Egypt demographic and health survey 1995. Calverton, MD: National Population Council & Macro International Inc.; 1996.
58.
go back to reference El-Zanaty F, Way AA. Egypt Demographic and Health Survey 2000. Calverton, MD: Ministry of Health and Population [Egypt], National Population Council and OCR Macro; 2001. El-Zanaty F, Way AA. Egypt Demographic and Health Survey 2000. Calverton, MD: Ministry of Health and Population [Egypt], National Population Council and OCR Macro; 2001.
59.
go back to reference El-Zanaty F, Way AA. Egypt interim Demographic and Health Survey 2000. Calverton, MD: Ministry of Health and Population [Egypt], National Population Council and OCR Macro; 2004. El-Zanaty F, Way AA. Egypt interim Demographic and Health Survey 2000. Calverton, MD: Ministry of Health and Population [Egypt], National Population Council and OCR Macro; 2004.
60.
go back to reference El-Zanaty F, Way A. Egypt demographic and health survey 2008. Ministry of Health, El-Zanaty and Associates, & Macro International: Cairo; 2009. El-Zanaty F, Way A. Egypt demographic and health survey 2008. Ministry of Health, El-Zanaty and Associates, & Macro International: Cairo; 2009.
62.
go back to reference Giddens A. The Consequences of Modernity. Stanford: Stanford University Press; 1990. Giddens A. The Consequences of Modernity. Stanford: Stanford University Press; 1990.
63.
go back to reference Inkeles A. Exploring Individual Modernity. New York: Columbia University Press; 1983. Inkeles A. Exploring Individual Modernity. New York: Columbia University Press; 1983.
64.
go back to reference Shell-Duncan B, Wander K, Hernlund Y, Moreau A. Dynamics of change in the practice of female genital cutting in Senegambia: Testing predictions of social convention theory. Soc Sci Med. 2011;73(8):1275–83.CrossRefPubMedPubMedCentral Shell-Duncan B, Wander K, Hernlund Y, Moreau A. Dynamics of change in the practice of female genital cutting in Senegambia: Testing predictions of social convention theory. Soc Sci Med. 2011;73(8):1275–83.CrossRefPubMedPubMedCentral
65.
go back to reference Hayford SR. Conformity and Change: Community Effects on Female Genital Cutting in Kenya. J Health Soc Behav. 2005;46(2):121–40.CrossRefPubMed Hayford SR. Conformity and Change: Community Effects on Female Genital Cutting in Kenya. J Health Soc Behav. 2005;46(2):121–40.CrossRefPubMed
Metadata
Title
Women's position and attitudes towards female genital mutilation in Egypt: A secondary analysis of the Egypt demographic and health surveys, 1995-2014
Authors
Ronan Van Rossem
Dominique Meekers
Anastasia J. Gage
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2015
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-015-2203-6

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