The practice of female genital mutilation (FGM) is a deeply-rooted tradition that affects predominantly regions of Africa and Asia. Because of migration flows, FGM is an issue of increasing concern worldwide. FGM is now carried out in Europe, North America, Australia and New Zealand, and more specifically among immigrant communities from countries where it is common. This study aims to assess the experience, knowledge, attitudes, and beliefs related to FGM of migrant women and men from FGM-affected countries residing in Spain and the United Kingdom. A phenomenological qualitative approach was used. Participants (n=23) were recruited by using the snowball sampling technique until data saturation was reached. Data were collected through 18 open-ended interviews and a focus group. Of the 23 participants, 20 women had undergone FGM. The following five themes were generated from interviews: (a) FGM practice development, (b) knowledge about the practice, (c) reasons for performing FGM, (d) attitudes toward continuing or abandoning the practice, and (e) criminalization of FGM. The study here presented identifies a lack of information, memory, and knowledge about the practice of FGM and typology among women with FGM. The justification of the practice seems to be based on a multifactorial model, where sociocultural and economic factors, sexual factors, hygienic-esthetic factors, and religious-spiritual factors take on a greater role in the analysis of the interviews carried out. The participants practically unanimously agree to advocate the abandonment and eradication of this harmful traditional practice. The knowledge displayed in this study may provide a basis for improving awareness and healthcare in such collectives, aiming the eradication of this harmful traditional practice.
AgboliA. A.RichardF. & AujoulatI.(2020). “When my mother called me to say that the time of cutting had arrived, I just escaped to Belgium with my daughter”: Identifying turning points in the change of attitudes towards the practice of female genital mutilation among migrant women in Belgium. BMC Women’s Health, 20(1), 107. https://doi.org/10.1186/s12905-020-00976-w
2.
AhmedH. M.ShabuS. A. & ShabilaN. P.(2019). A qualitative assessment of women’s perspectives and experience of female genital mutilation in Iraqi Kurdistan Region. BMC Women’s Health, 19(1), 66. https://doi.org/10.1186/s12905-019-0765-7
3.
Alradie-MohamedA.KabirR. & ArafatS. M. Y.(2020). Decision-making process in female genital mutilation: A systematic review. International Journal of Environmental Research and Public Health, 17, 3362. https://doi.org/10.3390/ijerph17103362
4.
AtkinsonR.FlintJ.(2001). Accessing hidden and hard-to-reach populations: Snowball research strategies. Social Research Update, 33. http://sru.soc.surrey.ac.uk/SRU33.html
5.
Ballesteros-MeseguerC.Almansa-MartínezP.BravoPastorM. D.M. & Jiménez-RuizI. (2014). La voz de las mujeressometidas a mutilación genital femeninaen la Región de Murcia [The voice of women subjected to female genital mutilation in the Region of Murcia]. Gaceta Sanitaria, 28(4), 287–291. https://doi.org/10.1016/j.gaceta.2014.02.006
6.
BerengueraA.Fernández de SanmamedM. J.PonsM., PujolE., RodríguezD.SauraS.(2014). Escuchar, observar y comprender. Recuperando la narrativaen las Ciencias de la Salud. Aportaciones de la investigacióncualitativa[Listen, observe and understand. Recovering the narrative in the Health Sciences. Contributions of qualitative research]. InstitutUniversitarid’InvestigacióenAtencióPrimària Jordi Gol.http://congresoenfermeria.es/2016/sites/default/files/styles/escucharobservarcomprender1parte_1424533205197.pdf
7.
BergR.DenisonE.(2013). A 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, 34(10), 837−859. https://doi.org/10.1080/07399332.2012.721417
8.
CappaC.ThomsonC.MurrayC.(2020). Understanding the association between parental attitudes and the practice of female genital mutilation among daughters. PloSOne, 15(5), Article e0233344. https://doi.org/10.1371/journal.pone.0233344
9.
CreswellJ. W.(2014). Research design: Qualitative, quantitative, and mixed methods approaches (4th ed.). SAGE Publications.
10.
CresswellJ. W.ClarkPlano V. L.(2011). Designing and conducting mixed method research (2nd ed.). SAGE Publications.
11.
End FGM European Network. (2019). Annual report. https://www.endfgm.eu/who-we-are/annual-report/
12.
European Parliament. (2019). Resolution on an EU strategy to put an end to female genital mutilation around the world (2019/2988(RSP)).
13.
GallegoM. A.LópezM. I.(2010). Mutilación genital femenina. Revisión y aspectos de interésmédico legal [Female genital mutilation. Review and aspects of legal medical interest]. Cuadernos de MedicinaForense, 16(3), 145−151. http://scielo.isciii.es/pdf/cmf/v16n3/original2.pdf
14.
GeleA.KumarB.HjeldeK. & SundbyJ.(2012). Attitudes towards female circumcision among Somali immigrants in Oslo: A qualitative study. International Journal ofWomen’s Health, 4, 1−11. https://doi.org/10.2147/IJWH.S27577
15.
GiorgiA.(2009). The descriptive phenomenological method in psychology. A modified Husserlian approach. Duquesne University Press.
16.
González-HenaoR.(2011). Female genital ablation in emberachami communities [La ablación genital femenina en comunidades emberá chamí]. CadernosPagu, 37, 163−183. https://doi.org/10.1590/S0104-83332011000200006
17.
GroseR. G.HayfordS. R.CheongY. F.GarverS.KandalaN. -B. & YountK. M.(2019). Community influences on female genital mutilation/cutting in Kenya: Norms, opportunities, and ethnic diversity. Journal of Health and Social Behavior, 60(1), 84–100. https://doi.org/10.1177/0022146518821870
18.
HusserlE.(1962). Ideas pertaining to a pure phenomenology and to a phenomenological philosophy (2nd ed.). Fondo de culturaeconómica. https://profesorvargasguillen.files.wordpress.com/2012/11/husserl-edmund-ideas-relativas-a-una-fenomenologia-pura-y-una-filosofia-fenomenologica-ocr.pdf
19.
JacobsonD.GlazerE.MasonR.DuplessisD.BlomK.MontDu J.EinsteinG.(2018). The lived experience of female genital cutting in Somali-Canadian women’s daily lives. PLoSOne, 13(11), Article e0206886. https://doi.org/10.1371/journal.pone.0206886
20.
JohnsdotterS.MoussaK.CarlbomA.AregaiR. & EssénB.(2019). “Never my daughters”: A qualitative study regarding attitude change toward female genital cutting among Ethiopian and Eritrean families in Sweden. Health Care for Women International, 30(1–2), 114–133. https://doi.org/10.1080/07399330802523741
21.
KaplanA.ChamB.NjieL.SeixasA.BlancoS. & UtzetM.(2013). Female genital mutilation/cutting: The secret world of women as seen by men. Obstetrics and Gynecology International, 2013, Article 643780. https://doi.org/10.1155/2013/643780
22.
KaplanA. & GayLópez A.(2017). Mapa de la Mutilación Genital FemeninaenEspaña 2016 [Map of Female Genital Mutilation in Spain 2016]. AntropologíaAplicada 3. UniversitatAutònoma de Barcelona, Fundación Wassu-UAB. https://mgf.uab.cat/esp/publicaciones_cient%C3%ADficas.html
23.
LarssonM.CohenP.HannG.CreightonS. M.HodesD.(2018). An exploration of attitudes towards female genital mutilation (FGM) in men and women accessing FGM clinical services in London: A pilot study. Journal of Obstetrics and Gynaecology, 38(7), 1005–1009. https://doi.org/10.1080/01443615.2018.14377
24.
LittleC. M.(2003). Female genital circumcision: Medical and cultural considerations. Journal of Cultural Diversity, 10(1), 30−34.
25.
LucasB.(2008). Aproximaciónantropológica a la práctica de la ablación o Mutilación Genital Femenina[Anthropological approach to the practice of female genital mutilation or ablation]. Cuadernoselectrónicos de filosofía del derecho, 17. https://dialnet.unirioja.es/servlet/articulo?codigo=3032545
26.
MacfarlaneA. & DorkenooE.(2015). Prevalence of female genital mutilation in England and Wales: National and local estimates. City University.
27.
MestreMestrei R. M. & JohnsdotterS.(2019). Court cases, cultural expertise, and “female genital mutilation” in Europe[Special Issue]. Studies in Law, Politics, and Society, 78, 95–113. https://doi.org/10.1108/S1059-433720190000078006
28.
MoxeyJ. M.JonesL. L.(2016). A qualitative study exploring how Somali women exposed to female genital mutilation experience and perceive antenatal and intrapartum care in England. BMJOpen, 6(1), Article e009846. https://doi.org/10.1136/bmjopen-2015-009846
29.
StatisticsNational Agency for[Senegal]Demography (2016). Senegal: Demographic and Continuous Health Survey (EDS-Continue 2015). https://dhsprogram.com/pubs/pdf/FR320/FR320.pdf
National Institute of Statistics (INS) [Camerún] and ORC Macro (2005). Demographic and Health Survey (DHS), 2004. http://dhsprogram.com/pubs/pdf/FR163/FR163-CM04.pdf
32.
National Institute of Statistics (INSTAT) [Mali], Planning and Statistics Unit Health-Social Development and Family Promotion Sector and ICF. (2019). Demographic and Health Survey (DHS), 2018. https://www.dhsprogram.com/pubs/pdf/FR358/FR358.pdf
33.
StatisticsNational Institute ofFaso]Demography (INSD) [BurkinaInternationalICF. (2012). Multiple Demographic and Health Survey (DHS), 2010. https://dhsprogram.com/pubs/pdf/FR256/FR256.pdf
34.
OrtensiL. E. & MenonnaA.(2017). Migrating with special needs? Projections of flows of migrant women with female genital mutilation/cutting toward Europe 2016-2030. European Journal of Population, 33(4), 559–583. https://doi.org/10.1007/s10680-017-9426-4
35.
Reig-AlcarazM.GonzálezSiles J.Solano RuizC.(2014). Attitudes towards female genital mutilation: An integrative review. International Nursing Review, 61(1), 25−34. https://doi.org/10.1111/inr.12070
36.
RuizJiménez I.BravoPastor M. D. M.AlmansaMartínezP.Ballesteros MeseguerC.(2014). Men facing the ablation/female genital mutilation (A/FGM): Cultural factors that support this tradition. Procedia - Social and Behavioral Sciences, 132, 631–638. https://doi.org/10.1016/j.sbspro.2014.04.365
37.
RuizJiménez I.(2015). Enfermería y Cultura: las fronteras del androcentrismoen la Ablación/Mutilación Genital Femenina[Nursing and Culture: the frontiers of androcentrism in female genital ablation/mutilation][Doctoral thesis, University of Murcia, Spain]. http://hdl.handle.net/10201/45704
38.
SakeahE.DebpuurC.AborigoR. A.OduroA. R.SakeahJ. K.MoyerC. A.(2019). Persistent female genital mutilation despite its illegality: Narratives from women and men in northern Ghana. PLoSOne, 14(4), Article e0214923. https://doi.org/10.1371/journal.pone.0214923
39.
SimpsonJ.RobinsonK.CreightonS. M.HodesD.(2012). Female genital mutilation: The role of health professionals in prevention, assessment, and management. British Medical Journal, 344, e1361. https://doi.org/10.1136/bmj.e1361
40.
ThierfelderC.TannerM. & BodiangC. M.(2005). Female genital mutilation in the context of migration: Experience of African women with the Swiss health care system. European Journal of Public Health, 15(1), 86–90. https://doi.org/10.1093/eurpub/cki120
41.
TonerJ.(2009). Small is not too small reflections concerning the validity of very small focus groups. Qualitative Social Work, 8(2), 179−192. https://doi.org/10.1177/1473325009103374
42.
TourayI.PiniellaZ.(2013). Mutilación genital femenina. MGF: Qué. Aclaracionesterminológicas[Female genital mutilation. MGF: What. Terminological clarifications]. In SequiA., TourayI., & PiniellaZ. (Eds.), La erradicación de la Mutilación Genital Femenina. Enfoques y perspectivasdesde la cooperacióninternacional para el desarrollo [The eradication of Female Genital Mutilation. Approaches and perspectives from international development cooperation]. O’DAMONGD. Retrieved March 5, 2020, from http://carei.es/wp-content/uploads/ERRADICACION_MGF_ODAM13.pdf
43.
UNICEF. (2013). Female genital mutilation/cutting: A statistical overview and exploration of the dynamics of change. Retrieved March 7, 2020, from https://www.unicef.org/publications/index_69875.html.
44.
UNICEF. (2016). Female genital mutilation/cutting: A global concern. Retrieved from https://data.unicef.org/resources/female-genital-mutilationcutting-global-concern
45.
UNICEF. (2020). UNICEF data: Monitoring the situation of children and women. Retrieved July 25, 2020, from https://data.unicef.org/topic/child-protection/female-genital-mutilation/.
46.
Unión Nacional de AsociacionesFamiliares [UNAF]. (2013). Guía para profesionales. MGFenEspaña. Prevención e intervención[Guide for professionals. FGM in Spain. Prevention and intervention]. Retrieved May 10, 2020, from https://unaf.org/wp-content/uploads/2015/10/Guia-MGF-2015.pdf.
47.
VarolN.TurkmaniS.BlackK.HallJ.DawsonA.(2015). The role of men in abandonment of female genital mutilation: A systematic review. BMC Public Health, 15, 1034.
48.
VoicuM. & BaboneaA.(2011). Using the snowball method in marketing research in hidden population. Challenges of the Knowledge Society, 1, 1341−1351.
49.
WHO. (1999). Female genital mutilation. Programmes to date: What works and what doesn’t. Department of Women’s Health Systems and Community Health. Retrieved March 05, 2020, fromhttps://apps.who.int/iris/bitstream/handle/10665/65857/WHO_CHS_WMH_99.5.pdf;jsessionid=A5F0E45705F043BAABC05BD3C09AD566?sequence=1.
WHO. (2016). WHO guidelines on the management of health complications from female genital mutilation. Retrieved March 05, 2020, from http://www.who.int/reproductivehealth/topics/fgm/management-health-complications-fgm/en/.
52.
WHO UNFPA & UNICEF. (1997). Female genital mutilation: A joint WHO/UNICEF/UNFPA statement. Retrieved March 05, 2020, from https://apps.who.int/iris/handle/10665/41903.
