Decisional Conflict in Regarding Deinfibulation in Female Genital Mutilation/Cutting Patients
A Cross-Sectional Study
Bibliographic Data
| ID | 21748197 |
|---|---|
| Authors | Shreya Chanda (University of Minnesota Medical Center), Ryan L Rahm-Knigge (0000-0002-5598-5420, University of Minnesota), Nicole Chaisson (University of Minnesota), Beatrice “bean” E Robinson (University of Minnesota), Anisa Hagi-Mohamed (Indiana University Bloomington), Jennifer Jo Connor (0000-0003-4403-1442, University of Minnesota, corresponding author) |
| Year | 2026 |
| Publication date | 2026-04-17 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Journal of Immigrant and Minority Health (JOURNAL) |
| Journal identifiers | ISSN: 1557-1912 • E-ISSN: 1557-1920 |
| Publisher | Springer Science and Business Media LLC (PUBLISHER) |
| DOI | 10.1007/s10903-026-01916-w |
| PMID | 41995971 |
| OpenAlex | W7154629189 |
| Language | EN |
| References cited | 38 |
Many Somali female migrants experience Female Genital Mutilation/Female Genital Cutting (FGM/C) during childhood, a procedure that involves removal of the external female genitalia for non-medical reasons; most undergo infibulation, which involves narrowing of the vaginal introitus. FGM/C patients commonly undergo deinfibulation, a procedure that reopens the vaginal introitus. This study aimed to analyze factors that contribute to a participant’s decision to undergo deinfibulation using the Decisional Conflict Scale (DCS) and develop recommendations for healthcare providers to ease decisional conflict. This cross-sectional study recruited 300 Minnesotan Somali women with FGM/C. Participants were given a survey including a modified version of the DCS, which aimed to assess the amount and nature of decisional conflict faced by participants regarding deinfibulation. We found that 196 individuals were infibulated, of which 144 individuals (73.0%) were deinfibulated. The total Decisional Conflict Scale results indicated a moderate level of decisional conflict. The largest source of decisional conflict was regarding a lack of comprehensive understanding of the options surrounding deinfibulation. Timing of deinfibulation was found to be associated with DCS total score. The group that never underwent definfibulation had the most overall decisional conflict, while those that deinfibulated during pregnancy/childbirth had the least ( p
Female circumcision · Genital herpes · Male female · Public health · Sex organ · Sexual behavior · Body Image and Dysmorphia Studies · Female Genital Mutilation/Cutting Issues · Organ and Tissue Transplantation Research
Validation of a Decisional Conflict Scale
Shared decision making
Sculptors of African Women’s Bodies
Refugee and migrants' involvement in participatory spaces in a US practice‐based research network study
Provider Knowledge and Attitudes About Female Genital Mutilation/Cutting in Philadelphia
Female Genital Cutting
Decision aid tools to support women's decision making in pregnancy and birth
Perceptions of obstetrical interventions and female genital cutting
Community-Based Participatory Research Contributions to Intervention Research
Dyspareunia and Functioning Among Somali Women Who Have Experienced Female Genital Cutting
Discerning Deinfibulation
| Highly cited | No |
|---|