Female Genital Mutilation/Cutting among Women of Somali and Kurdish Origin in Finland

Birth. 2016 Sep;43(3):240-6. doi: 10.1111/birt.12236. Epub 2016 May 9.

Abstract

Background: The tradition of female genital mutilation/cutting (FGM/C) has spread in Europe as a result of immigration. Although it is known to have negative health impacts, the exact prevalence of FGM/C and its health effects in Finland are unknown. This study explores the prevalence of FGM/C, the sociodemographic characteristics associated with it, and its health effects among women of Somali and Kurdish origin in Finland.

Methods: Data were obtained from the Migrant Health and Well Being Study carried out in 2010-2012. This study uses data from interviews with Somali (N = 165) and Kurdish origin (N = 224) women. The participation rate was 37 percent for Somali and 54 percent for Kurdish origin women.

Results: The prevalence of FGM/C was 69 percent among those of Somali origin and 32 percent among those of Kurdish origin. Having no education and older age were significantly associated with FGM/C, as was marriage amongst women of Somali origin, and the practice of Islam among women of Kurdish origin. Reporting good self-perceived health was more common among women without FGM/C. Outpatient visits to medical doctors were less common among women of Somali origin with FGM/C, compared with women without FGM/C. About 26 percent of Somali origin and 39 percent of Kurdish origin women with FGM/C reported reproductive or other health problems because of FGM/C.

Discussion: FGM/C is more common in Finland than previously assumed, particularly among women of Kurdish origin. Women with FGM/C need improved access to culturally competent health services to address the health impacts of FGM/C. Education and outreach to immigrant communities to prevent future FGM/C are also urgently needed.

Keywords: female genital mutilation/cutting.

MeSH terms

  • Adolescent
  • Adult
  • Circumcision, Female / ethnology*
  • Emigrants and Immigrants*
  • Female
  • Finland / epidemiology
  • Health Surveys
  • Humans
  • Islam*
  • Logistic Models
  • Middle Aged
  • Russia / ethnology
  • Somalia / ethnology
  • Young Adult