Female Genital Mutilation/Cutting—Pediatric Physician Knowledge, Training, and General Practice Approach

Janine Young, Kristine Knuti Rodrigues, Basel Imam, Crista Johnson-Agbakwu

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
JournalJournal of Immigrant and Minority Health
DOIs
StateAccepted/In press - Jan 1 2019
Externally publishedYes

Fingerprint

Female Circumcision
General Practice
Physicians
Child Abuse
International Classification of Diseases
Pediatrics
Education
Pediatricians

Keywords

  • Children
  • Female genital mutilation/cutting
  • Pediatrics

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

Cite this

Female Genital Mutilation/Cutting—Pediatric Physician Knowledge, Training, and General Practice Approach. / Young, Janine; Rodrigues, Kristine Knuti; Imam, Basel; Johnson-Agbakwu, Crista.

In: Journal of Immigrant and Minority Health, 01.01.2019.

Research output: Contribution to journalArticle

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abstract = "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.",
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