The association between female genital mutilation and intimate partner violence
Article first published online: 24 AUG 2012
© 2012 The Authors BJOG An International Journal of Obstetrics and Gynaecology © 2012 RCOG
BJOG: An International Journal of Obstetrics & Gynaecology
Volume 119, Issue 13, pages 1597–1605, December 2012
How to Cite
Salihu, H., August, E., Salemi, J., Weldeselasse, H., Sarro, Y. and Alio, A. (2012), The association between female genital mutilation and intimate partner violence. BJOG: An International Journal of Obstetrics & Gynaecology, 119: 1597–1605. doi: 10.1111/j.1471-0528.2012.03481.x
- Issue published online: 12 NOV 2012
- Article first published online: 24 AUG 2012
- Accepted 17 July 2012. Published Online 24 August 2012.
- Domestic violence;
- female circumcision;
- female genital mutilation;
- intimate partner violence
Please cite this paper as: Salihu H, August E, Salemi J, Weldeselasse H, Sarro Y, Alio A. The association between female genital mutilation and intimate partner violence. BJOG 2012;119:1597–1605.
Objective To determine whether female genital mutilation (FGM) is a risk factor for intimate partner violence (IPV) and its subtypes (physical, sexual and emotional).
Design Population-based cross-sectional study.
Setting The study used the 2006 Demographic and Health Survey (DHS) conducted in Mali.
Population A total of 7875 women aged 15–49 years who responded to the domestic violence and female circumcision modules in the 2006 administration of the DHS in Mali.
Methods Multivariable logistic regression was used to compute adjusted odds ratios (aOR) and 95% confidence intervals (CI) to measure risk for IPV.
Main outcome measures The outcomes of interest were IPV and its subtypes.
Results Women with FGM were at heightened odds of IPV (aOR 2.71, 95% CI 2.17–3.38) and IPV subtypes: physical (aOR 2.85, 95% CI 2.22–3.66), sexual (aOR 3.24, 95% CI 1.80–5.82), and emotional (aOR 2.28, 95% CI 1.68–3.11). The odds of IPV increased with ascending FGM severity (P for trend <0.0001). The most elevated odds were observed among women with severe FGM, who were nearly nine times as likely to experience more than one IPV subtype (aOR 8.81, 95% CI 5.87–13.24).
Conclusions Study findings underscore the need for multi-tiered strategies, incorporating policy and education, to reduce FGM and IPV, potentially improving the holistic health and wellbeing of Malian women.