The Impact of Female Genital Cutting on African Immigrants

女性生殖器切割对非洲移民的影响

• 批准号: 9074181
• 负责人: Adeyinka M. Akinsulure-Smith
• 金额: $ 14.92万
• 依托单位: CITY COLLEGE OF NEW YORK
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-09-06 至 2019-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9074181
• 关键词: Adolescent; Adult; Africa; African; Age; Anxiety; Area; Attitude; Behavioral Sciences; Burkina Faso; Caring; Child; Cities; Clinical Services; Communities; Computers; Conflict (Psychology); Consult; Country; Data; Data Analyses; Destinations; Education; Emotional; Ethics; Excision; Female; Female Circumcision; Female Genital Mutilation; Female genitalia; Focus Groups; Foundations; Funding; Gambia; Goals; Guinea; HIV; Health; Health Knowledge, Attitudes, Practice; Health Personnel; Health Professional; Health Sciences; Healthcare; Healthcare Systems; Hemorrhage; High Prevalence; Immigrant; Incontinence; Individual; Injury; Intervention; Interview; Interviewer; Legal; Liberia; Mali; Mauritania; Measures; Medical; Mental Depression; Mental Health; Mental Health Services; Mentors; New York; New York City; Newborn Infant; Pilot Projects; Plant Roots; Policies; Population; Post-Traumatic Stress Disorders; Prevalence; Procedures; Provider; Psychological Impact; Public Policy; Published Comment; Recording of previous events; Recruitment Activity; Reporting; Reproductive Health; Research; Research Assistant; Resources; Respondent; Risk; Services; Sexual Dysfunction and Infertility; Sierra Leone; Structure; Technology; Training; Trauma; United Nations; United States; Universities; Urinary tract infection; Woman; Work; World Health Organization; child protection; chronic pain; college; experience; female genital cutting; genital surgery; girls; improved; metropolitan; physical conditioning; psychologic; public health relevance; support network; theories; undergraduate student

 DESCRIPTION (provided by applicant): While the number and diversity of African immigrants in the United States (US) has increased, their needs and practices remain poorly understood and there is a growing need to assess their health care needs and practices in order to provide this population with effective services. In the US, the influx of immigrants from African countries with high Female Genital Cutting (FGC) prevalence rates has exposed medical and mental health professionals unfamiliar with this procedure to multiple dilemmas in service provision, including legal and ethical considerations around child protection and how to respond appropriately to physical, sexual and emotional problems caused by FGC. The purpose of this study is to understand the impact of FGC on Female African immigrants in the New York City metropolitan area from the perspective of both the women who have endured the procedure and their health care providers. The long term goals of this study are to develop the foundation for interventions: a) to reduce the occurrence of FGC through sensitive education within African immigrant communities; b) to work with women who have had the procedure on how to work with their health care providers and thereby take the best care of themselves; and c) to train professionals to provide culturally-sensitive clinical services for those who have already undergone the procedure or are at risk for it. Findings from such a study could be an initial step towards developing training and practice policies for service providers. The research team for this project reflects a strong background and extensive experience in conducting research with immigrant populations, and in particular with West African immigrants, and in reproductive health, trauma, and support networks. Throughout this project, the PI will consult with her mentors: Drs. Denise Hien (research with women and trauma) and Beatrice Krauss (research with reproductive health, HIV and support networks) and her collaborators, Drs. Adriana Espinosa and Tracy Chu will contribute their data analysis and research expertise. In addition, there will be two graduate- level female Research Assistants (RAs) in health or behavioral sciences with at least one year of interview and research experience to assist the PI in recruiting, interviewing and analysis. The RAs will receive extensive training from the PI on FGC, interviewing on extremely sensitive topics, using and introducing the respondents to Audio Computer Self Interview Technology (ACASI) and verifying its correct use. They will also receive additional training in grounded theory approach in order to identify emergent themes in the focus groups. Finally, two undergraduate students from the City College of New York (CCNY), which is part of the City University of New York (CUNY) will be given the opportunity to gain research experience by assisting with administrative aspects of the project.

 描述：虽然美国的非洲移民的数量和多样性（美国）的理解率仍然很高，并且越来越需要评估在美国提供有效服务的护理需求和实践的需求。来自非洲国家的移民的涌入 较高的女性生殖器切割率（FGC）的患病率暴露了不熟悉这一服务中的这种tiple困境的精神卫生专业人员，包括围绕儿童保护的法律和道德化，以及如何解决由FGC引起的身体，SE和情感问题了解纽约大都市中非洲女性移民的影响，从忍受该程序的妇女和本研究的长期目标都是为了发展干预基础的妇女。 a）通过移民社区中的敏感教育来减少FGC的发生，与Woth合作有了如何与Thealth Care提供者一起工作的程序，并采取措施接受最好的护理；对于那些已经采用该程序的人来说，对那些研究的人对临床服务有敏感的临床服务。在整个项目中，与移民以及与西非移民的偶像，创伤和支持网络。艾滋病毒和艾滋病毒的艾滋病毒和特雷西·库（Adriana Espinosa）和特雷西（Tracy Chu）还将在健康或行为科学领域，还将提供其数据分析和研究专业知识。至少有一个therview和Rearch E Xperience帮助PI招募，RAS将接受PI的FGC培训，对非常敏感的主题进行采访，并向受访者介绍和介绍了音频计算机自我访谈技术（ACASI）并验证其正确的使用。约克团结通过协助项目的行政方面来获得研究经验。