TY - JOUR
T1 - Female Genital Mutilation/Cutting—Pediatric Physician Knowledge, Training, and General Practice Approach
AU - Young, Janine
AU - Rodrigues, Kristine Knuti
AU - Imam, Basel
AU - Johnson-Agbakwu, Crista
N1 - Publisher Copyright:
© 2019, Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2020/8/1
Y1 - 2020/8/1
N2 - Female genital mutilation/cutting (FGM/C) is outlawed in much of the world but still mainly occurs from infancy-age 15. Many at-risk and FGM/C-affected girls live in the US. No standard pediatric training exists. A questionnaire assessing FGM/C education, knowledge, diagnostic confidence and external genital examination (EGE) approach was sent to pediatric listservs at 3 hospitals and a child abuse pediatrician (CAP) network. Analysis used χ2 and Fisher’s exact tests. Compared to general pediatricians, CAP reported more FGM/C education (RR 2.0 [95% CI 1.3–3.2]), awareness of ICD-9/10 codes (RR 3.2 [95% CI 1.4–7.3]), confidence in identifying sub-types (RR 4.5 [95% CI 2.3–8.7]) and discussing FGM/C (RR 4.2 [95% CI 2.3–7.6]). For 6–12 month olds, 10% of general pediatricians reported never performing EGE at female well child visits (WCV), increasing to > 50% for 17–18 year olds. Pediatric physicians are not trained to diagnose or manage FGM/C. EGE are not done at WCVs and FGM/C diagnoses are missed.
AB - Female genital mutilation/cutting (FGM/C) is outlawed in much of the world but still mainly occurs from infancy-age 15. Many at-risk and FGM/C-affected girls live in the US. No standard pediatric training exists. A questionnaire assessing FGM/C education, knowledge, diagnostic confidence and external genital examination (EGE) approach was sent to pediatric listservs at 3 hospitals and a child abuse pediatrician (CAP) network. Analysis used χ2 and Fisher’s exact tests. Compared to general pediatricians, CAP reported more FGM/C education (RR 2.0 [95% CI 1.3–3.2]), awareness of ICD-9/10 codes (RR 3.2 [95% CI 1.4–7.3]), confidence in identifying sub-types (RR 4.5 [95% CI 2.3–8.7]) and discussing FGM/C (RR 4.2 [95% CI 2.3–7.6]). For 6–12 month olds, 10% of general pediatricians reported never performing EGE at female well child visits (WCV), increasing to > 50% for 17–18 year olds. Pediatric physicians are not trained to diagnose or manage FGM/C. EGE are not done at WCVs and FGM/C diagnoses are missed.
KW - Children
KW - Female genital mutilation/cutting
KW - Pediatrics
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U2 - 10.1007/s10903-019-00938-x
DO - 10.1007/s10903-019-00938-x
M3 - Article
C2 - 31602532
AN - SCOPUS:85074515655
SN - 1557-1912
VL - 22
SP - 668
EP - 674
JO - Journal of Immigrant and Minority Health
JF - Journal of Immigrant and Minority Health
IS - 4
ER -