アフリカ難民キャンプにおける女性外陰部切除(FGM)とHIV/AIDS感染のリスク及びプロダクティブヘルスに与える影響について

  • 山本 秀樹
    岡山大学大学院環境学研究科人間生態学講座(国際保健学分野)

書誌事項

タイトル別名
  • Female genital mutilation at the refugee camp in Africa - the risk of HIV/AIDS infection and effects on reproductive health
  • アフリカ ナンミン キャンプ ニ オケル ジョセイ ガイ インブ セツジョ FGM ト HIV AIDS カンセン ノ リスク オヨビ リプロダクティブヘルス ニ アタエル エイキョウ ニ ツイテ

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抄録

The risk of female genital mutilations (FGM) on HIV/AIDS infection was evaluated at the Ethiopian and Somalian refugee camp in Djibouti, horn of Africa. Sixty-one women out of 63 (96.8%), were mutilated of their genitals. Infibulations (FGM type III, WHO classification) were commonly practiced on 72.1 % (44/61), and clitoridectomy and/or excision of the labia (FGM type I and II) was performed on 27.8% (17/61) of the women . Fifty-six women (88.9%, 56/63) consented to give blood for the investigation of HIV/AIDS antibody . The Sunna type of FGM (type I and II) was common in Ethiopian women (80%, 16/20) Pharaonic type of FGM (type III) was common in Somalian women (95.3%, 41/43) . No HIV positive case was found in Somalian women, in contrast to prevalence of 37.5 % (6/16) in Ethiopian women . Pharaonic FGM (infibulations) may have a protective role against HIV/AIDS since it decrease sexual activity before marriage. Female genital mutilations are not recommended because it increases other health problems-gynecological infection, maternal complication during delivery and mental trauma. The effort to eliminate the female genital mutilations should be organized to promote reproductive health in Africa.

収録刊行物

  • 民族衛生

    民族衛生 71 (2), 63-72, 2005

    日本民族衛生学会

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