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BMC Public Health
Published in: BMC Public Health 1/2018

Open Access 01-12-2018 | Research article

Female genital mutilation/cutting in Italy: an enhanced estimation for first generation migrant women based on 2016 survey data

Authors: Livia Elisa Ortensi, Patrizia Farina, Els Leye

Published in: BMC Public Health | Issue 1/2018

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Abstract

Background

Migration flows of women from Female Genital Mutilation/Cutting practicing countries have generated a need for data on women potentially affected by Female Genital Mutilation/Cutting. This paper presents enhanced estimates for foreign-born women and asylum seekers in Italy in 2016, with the aim of supporting resource planning and policy making, and advancing the methodological debate on estimation methods.

Methods

The estimates build on the most recent methodological development in Female Genital Mutilation/Cutting direct and indirect estimation for Female Genital Mutilation/Cutting non-practicing countries. Direct estimation of prevalence was performed for 9 communities using the results of the survey FGM-Prev, held in Italy in 2016. Prevalence for communities not involved in the FGM-Prev survey was estimated using to the ‘extrapolation-of-FGM/C countries prevalence data method’ with corrections according to the selection hypothesis.

Results

It is estimated that 60 to 80 thousand foreign-born women aged 15 and over with Female Genital Mutilation/Cutting are present in Italy in 2016. We also estimated the presence of around 11 to 13 thousand cut women aged 15 and over among asylum seekers to Italy in 2014–2016. Due to the long established presence of female migrants from some practicing communities Female Genital Mutilation/Cutting is emerging as an issue also among women aged 60 and over from selected communities. Female Genital Mutilation/Cutting is an additional source of concern for slightly more than 60% of women seeking asylum.

Conclusions

Reliable estimates on Female Genital Mutilation/Cutting at country level are important for evidence-based policy making and service planning. This study suggests that indirect estimations cannot fully replace direct estimations, even if corrections for migrant socioeconomic selection can be implemented to reduce the bias.
Literature
1.
WHO - World Health Organization Eliminating Female Genital Mutilation. An interagency statement. Geneva, Switzerland: World Health Organization; 2008.
2.
3.
Berg R, Denison EA. Tradition in transition: factors perpetuating and hindering the continuance of female genital mutilation/cutting (FGM/C) summarized in a systematic review. Health Care for Women International. 2013;34(10):837–59.CrossRefPubMedPubMedCentral
4.
Andro A, Lesclingand M. Les mutilations génitales féminines. État des lieux et des connaissances. Population. 2016;71:217–96.CrossRef
5.
UNICEF. Female Genital Mutilation/Cutting: A Global Concern New York: UNICEF; 2016.
6.
UNFPA. Demographic perspectives on female genital mutilation. New York: UNFPA; 2015.
7.
8.
9.
EIGE - European Institute for Gender Equality. Female genital mutilation in the European Union and Croatia Vilnius: EIGE; 2013.
10.
Kwateng-Kluvitse A. Legislation in Europe regarding female genital mutilation and the implementation of the law in Belgium. France: Spain, Sweden and the UK. International Centre for Reproductive Health, Ghent University; 2004.
11.
12.
Andro A, Lesclingand M, Cambois E, Cirbeau C. Excision et Handicap (ExH): Mesure des lésions et traumatismes et évaluation des besoins en chirurgie réparatrice. Paris: INED; 2009.
13.
Italian Ministry of Health/Ministero della Salute.Linee guida destinate alle figure professionali sanitarie nonché ad altre figure professionali che operano con le comunità di immigrati provenienti da Paesi dove sono effettuate le pratiche di mutilazione genitale femminile (MGF), per realizzare una attività di prevenzione, assistenza e riabilitazione delle donne e delle bambine già sottoposte a tali pratiche, decreto del Ministero della Salute del 17.12.2008 (G.U. 25.03.08, n.71 SO 70). 2008.
14.
Gallard C. Female genital mutilation in France. British Medical Journal 1995 ; 17; 310(6994): 1592–1593.
15.
Dubourg D, Richard F, Leye E, Ndame S, Rommens T, Maes S. Estimating the number of women with female genital mutilation in Belgium. European Journal of Contraception and reproductive health care. 2001;16(4):248–57.CrossRef
16.
Leye E, Deblonde J. Legislation in Europe regarding female genital mutilation and the implementation of the law in Belgium. France: Spain, Sweden and the UK. International Centre for Reproductive Health Ghent University; 2004.
17.
18.
Dubourg D, Richard F. Studie over de prevalentie van en het risico op vrouwelijke genitale verminking in Belgie. Brussels: FOD Volksgezondheid; 2014.
19.
20.
Leye E, Mergaert L, Arnaut C, O’Brien Green S. Towards a better estimation of prevalence of female genital mutilation in the European Union: interpreting existing evidence in all EU Member States. Genus. 2014; LXX(1), 99–121.
21.
Now E, City University. London Institute for Women's health, and FORWARD. Research methodological workshop report: estimating the prevalence of FGM in England and Wales. London: Equality Now; 2012.
22.
Ortensi LE, Farina P, Menonna A. Improving estimates of the prevalence of female genital mutilation/cutting among migrants in western countries. Demogr Res. 2015;32:543–62.CrossRef
23.
UNICEF. Female genital mutilation/cutting: a statistical overview and exploration of the dynamics of change. New York: UNICEF; 2013.
24.
Wouterse F, Van Den Berg M. Heterogeneous migration flows from the central plateau of Burkina Faso: the role of natural and social capital. Geogr J. 2011;177(4):357–66.CrossRef
25.
Schoumaker B, Flahaux ML, Schans D, Beauchemin C, Mazzucato V, Sakho P. Changing patterns of African migration: a comparative analysis. In: Beauchemin C, editor. Migration between Africa and Europe: trends, factors and effects. New-York: Springer-Verlag & INED Population Studies series; 2015.
26.
De Haas H. The myth of invasion: the inconvenient realities of African migration to Europe. Third World Q. 2008;29(7):1305–22.CrossRef
27.
28.
Jamie FOM. Gender and migration in Africa: female Ethiopian migration in Post-2008 Sudan. Journal of Politics and Law. 2013;6(1):186–92.CrossRef
29.
30.
Thomas KJA, Logan I. African female immigration to the United States and its policy implications. Can J Afr Stud. 2016;46(1):87–107.
31.
Reynolds RR. Professional Nigerian women, household economy, and immigration decisions. International. 2006;44(5):167–88.
32.
Eige - European Institute for Gender Equality. Estimation of girls at risk of female genital mutilation in the European Union: Report. Vilnius: EIGE. 2015.
33.
Exterkate M. Female genital mutilation in the Netherlands. Prevalence, incidence and determinants. Pharos: Utrecht; 2013.
34.
Leye E, Leye E, De Schrijver L, Van Baelen L, Andro A, Lesclingand M, Ortensi LE, Farina P. Estimating FGM prevalence in Europe. ICRH: Findings of a pilot study. Research report. Ghent; 2017.
35.
Yoder PS, Abderrahim N, Zhuzhuni A. Female genital cutting in the demographic and health surveys: a critical and comparative analysis. DHS comparative reports no 7. ORC Macro: Calverton, Maryland; 2004.
36.
37.
38.
NSO - National Statistics Office Eritrea and Fafo AIS. Eritrea population and health survey 2010. Asmara, Eritrea: National Statistics Office and Fafo Institute for Appled. Int Stud. 2013;
39.
Sudan Federal Ministry of Health and Central Bureau of Statistics. Sudan household and health survey. National report. Khartoum: Federal Ministry of Health and central bureau of. Statistics. 2012;
40.
Yoder PS, Shanxiao W. Female genital cutting: the interpretation of recent DHS data. DHS comparative reports no. 33. Calverton: ICF International; 2013.
41.
UNICEF. Indonesia. Statistical profile on Female Genital Mutilation/Cutting. New York. 2016.
42.
43.
44.
Campani G. Gender and migration in Italy: State of art. Florence: University of Florence Working paper N.6 – WP4, 2007.
45.
46.
National Population Commission (NPC) [Nigeria] and ICF International. Nigeria Demographic and Health Survey 2013. Abuja, Nigeria, and Rockville. Maryland, USA: NPC and ICF International; 2014.
47.
IOM. Assessing the risks of migration along the central and eastern Mediterranean routes: Iraq and Nigeria as Case Study Countries. Geneva: IOM. 2016.
48.
Metadata
Title
Female genital mutilation/cutting in Italy: an enhanced estimation for first generation migrant women based on 2016 survey data
Authors
Livia Elisa Ortensi
Patrizia Farina
Els Leye
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2018
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-017-5000-6

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