Somali refugees’ perspectives regarding FGM/C in the US

Abstract

Purpose: To explore perspectives of Somali refugees on FGM/C and potential changes in these after migration. Methods: Qualitative semi-structured interviews were conducted in Denver, Colorado, US, with 13 Somali refugees. Thematic content analysis was used to analyze the data. Findings: Change of perspectives regarding the support of FGM/C were noted among all participants, with most opposing infibulations, FGM/C type III, after migration but supporting Sunna, the cutting of the clitoris, FGM/C type I. Changes were prompted by education on FGM/C and resettling resulting in an awareness that infibulation, is not a religious requirement nor undergone by all women. Cultural beliefs regarding the importance of virginity, purity and honor to the family underpinning the rationale of FGM/C, were prevalent and some confusion in dealing with these cultural values was found. Women reported health care providers (HCP) not being culturally prepared for women with FGM/C. Research Implications: Despite limitations to the study, findings indicate the complex process of migration and acculturation, leaving communities with cultural values in a context where these are not accepted. More research and discussion with the Somali immigrant community is required to better understand the practice of FGM/C after immigration, and how to deal with these cultural values. Originality/value: Findings suggest some girls may still be at risk of some types of FGM/C after migration. Public health professionals, social and immigration workers should be aware of a potential risk. HCPs should prepare for caring for women with FGM/C.

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“…This practice is common in 30 countries in Africa, the Middle East and Asia ( 65 ). The prevalence and practice of female genital mutilation practices in the United States was low and rare ( 66 , 67 ), but the number of those who come to the United States having experienced this in other countries was high ( 66 ). More research is needed in more diverse populations to understand the FGM practices in the United States and their impact on Arab American women's sexual health.…”

Attitudes and Experiences Surrounding Female Genital Mutilation/Cutting in the United States: A Scoping Review

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