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Analysing normative influences on the prevalence of female genital mutilation/cutting among 0–14 years old girls in Senegal : a spatial Bayesian hierarchical regression approach
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Kandala, Ngianga-Bakwin, Nnanatu, Chibuzor Christopher, Atilola, Glory, Komba, Paul, Mavatikua, Lubanzadio, Moore, Zhuzhi and Matanda, Dennis (2021) Analysing normative influences on the prevalence of female genital mutilation/cutting among 0–14 years old girls in Senegal : a spatial Bayesian hierarchical regression approach. International Journal of Environmental Research and Public Health, 18 (7). p. 3822. doi:10.3390/ijerph18073822 ISSN 1660-4601. [ 🗎 Public].
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Official URL: https://doi.org/10.3390/ijerph18073822
Abstract
Background: Female genital mutilation/cutting (FGM/C) is a harmful traditional practice affecting the health and rights of women and girls. This has raised global attention on the implementation of strategies to eliminate the practice in conformity with the Sustainable Development Goals (SDGs). A recent study on the trends of FGM/C among Senegalese women (aged 15–49) which examined how individual- and community-level factors affected the practice, found significant regional variations in the practice. However, the dynamics of the practice among girls (0–14 years old) is not fully understood. This paper attempts to fill this knowledge gap by investigating normative influences in the persistence of the practice among Senegalese girls, identify and map ‘hotspots’.
Methods: We do so by using a class of Bayesian hierarchical geospatial modelling approach implemented in R statistical software (R Foundation for Statistical Computing, Vienna, Austria) using R2BayesX package. We employed Markov Chain Monte Carlo (MCMC) techniques for full Bayesian inference, while model fit and complexity assessment utilised deviance information criterion (DIC).
Results: We found that a girl’s probability of cutting was higher if her mother was cut, supported FGM/C continuation or believed that the practice was a religious obligation. In addition, living in rural areas and being born to a mother from Diola, Mandingue, Soninke or Poular ethnic group increased a girl’s likelihood of being cut. The hotspots identified included Matam, Tambacounda and Kolda regions.
Conclusions: Our findings offer a clearer picture of the dynamics of FGM/C practice among Senegalese girls and prove useful in informing evidence-based intervention policies designed to achieve the abandonment of the practice in Senegal.
| Item Type: | Journal Article | ||||||||||||
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| Subjects: | G Geography. Anthropology. Recreation > GN Anthropology H Social Sciences > HM Sociology Q Science > QA Mathematics |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Female circumcision -- Senegal -- Statistics, Female circumcision -- Senegal -- Social aspects, Social norms -- Senegal, Spatial analysis (Statistics), Bayesian statistical decision theory | ||||||||||||
| Journal or Publication Title: | International Journal of Environmental Research and Public Health | ||||||||||||
| Publisher: | M D P I AG | ||||||||||||
| ISSN: | 1660-4601 | ||||||||||||
| Official Date: | 6 April 2021 | ||||||||||||
| Dates: |
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| Volume: | 18 | ||||||||||||
| Number: | 7 | ||||||||||||
| Page Range: | p. 3822 | ||||||||||||
| DOI: | 10.3390/ijerph18073822 | ||||||||||||
| Status: | Peer Reviewed | ||||||||||||
| Publication Status: | Published | ||||||||||||
| Access rights to Published version: | Open Access (Creative Commons) | ||||||||||||
| Date of first compliant deposit: | 23 August 2022 | ||||||||||||
| Date of first compliant Open Access: | 23 August 2022 | ||||||||||||
| RIOXX Funder/Project Grant: |
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| Is Part Of: | 1 |
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