女性生殖器切割 (FGC) 类型:为FGC自我评估提出了一种多方面的互动方法
Crista E Johnson-Agbakwu1, Muzi Chen2, Munira Salad3
1Office of Health Equity and Division of Preventive and Behavioral Medicine, Population and Quantitative Health Sciences, UMass Chan Medical School, Worcester, MA, United States.
The journal of sexual medicine
|September 18, 2023
概括
一种使用视觉图像和自我反射的新方法准确地确定了索马里妇女的女性生殖器切割 (FGC) 状态. 这种方法增强了患者和医疗服务提供者之间的沟通,并为FGC幸存者提供护理.
科学领域:
- 医学人类学 医学人类学
- 公共卫生 公共卫生
- 妇女健康 妇女健康
背景情况:
- 自我报告的女性生殖器切割 (FGC) 状态和类型往往不一致和不准确.
- 在社区环境中,临床生殖器检查并不总是可行的或文化上不合适.
研究的目的:
- 为了确定是否整合自我反思,视觉图像和话语可以改善专家的FGC地位确定.
- 评估参与者自我报告与使用世卫组织类型的FGC类型的专家分类之间的一致性.
主要方法:
- 基于社区的参与性研究,50名索马里妇女采用半结构化访谈.
- 参与者讨论了FGC回忆,并使用解剖图来识别FGC类型.
- 一个由健康和文化专家组成的小组独立评估了FGC类型,确定了interrater的可靠性和一致性.
主要成果:
- 开发了FGC类型的世卫组织知情的视觉描述.
- 创建了一个代的,自我反思的过程,让参与者描述他们的FGC状态.
- 在参与者和专家小组之间实现了高的互评测可靠性 (kappa=0.64) 和80%的一致性.
结论:
- 整合FGC视觉图像和自我描述状态优化了临床护理和患者教育.
- 提出的患者知情方法指导临床医生提供文化敏感的FGC护理.
- 这种方法对健康和解剖素养有限的患者尤其有益.
相关概念视频
External Female Genitals
7.4K
The vulva encompasses the external structures of the female reproductive system. At the forefront is the monpubis, a cushion of fatty tissue atop the pubic bone. Once puberty sets in, this area typically grows hair. Extending from just behind the mons pubis are the labia majora (labia = 'lips'; majora = 'larger'), which are larger skin fs olds coated with hair. Nestled within are the labia minora (labia = 'lips'; minora = 'smaller'), which are thinner, more...
7.4K
Assessment of the Rectum and Anus
268
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
268
Assessment of the Gastrointestinal System II: Health Perception Pattern
139
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
139
Assessment of the Abdomen III: Palpation
732
Palpation is a crucial tactile examination method for assessing abdominal organs and detecting conditions like tenderness, distention, masses, or fluid. It involves both light and deep palpation techniques, each serving specific diagnostic purposes. Light palpation helps identify tenderness and other surface-level indicators, while deep palpation locates and assess abdominal masses and organ boundaries. A skilled professional can gather valuable insights through palpation, including evaluating...
732
Self-Presentation: Self-Monitoring and Self-Handicapping
39.1K
People can go to great lengths to protect their self-image and present themselves in ways that they want others to see them. Sociologist Erving Goffman presented the idea that a person is like an actor on a stage. Calling his theory dramaturgy, Goffman believed that we use “impression management” to present ourselves to others as we hope to be perceived. Each situation is a new scene, and individuals perform different roles depending on who is present (Goffman, 1959). Think about...
39.1K
Self-Evaluation: Self-Enhancement and Self-Verification
5.2K
Social psychologists have documented that feeling good about ourselves and maintaining positive self-esteem is a powerful motivator of human behavior (Tavris & Aronson, 2008). In the United States, members of the predominant culture typically think very highly of themselves and view themselves as good people who are above average on many desirable traits (Ehrlinger, Gilovich, & Ross, 2005). Often, our behavior, attitudes, and beliefs are affected when we experience a threat to our...
5.2K


