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Harmful Cultural Traditions: An Analysis of Female Circumcision Practice in Maldives
Abstract
Female circumcision (FC) affects the lives of millions of girls and women worldwide. This study assessed the demographic and socio- economic factors associated with female circumcision among women aged 15-49 in Maldives. Data for this study were extracted from the 2016–2017 Maldives Demographic and Health Survey, collected from a nationally representative probability sample of 7699 households interviewing women aged 15-49 years. The statistical analysis of this study focused on women aged 15-49 years who have heard about FC, excluding those who have never heard of FC (n = 5943). Analyses of data entailed descriptive statistics (frequencies and percentages) and estimation of logistic regression models to examine the roles that demographic, economic, and social factors play in the occurrence of FC in Maldives. The primary variable of interest (dependent variable) was the occurrence of FC. The factors included women’s current age, age circumcised, highest education level, occupation, region, wealth quintile, and women’s reported attitudes towards FC. Among all respondents, 17 % of the 5943 women who have heard of female circumcision reported having undergone the procedure. The findings revealed a significant difference in female circumcision by age, education, occupation, and attitudes towards FC. Furthermore, most circumcisions occurred before age 5 and were highest in Malé (capital city) and the island atolls in Maldives’s South and North regions. The variables related to opinions were most strongly associated with female circumcision. Women who believed that their religion required FC or that the practice of FC should continue are more likely to be circumcised than women who do not hold this opinion. It was more than double. In addition, cross-tabulations of the opinion variables with age and region have found that the highest proportion of women who held these beliefs was in the age group 25-39 and lived in Malé. Therefore, we recommend further research and encouragement to enact policies and legislation that would eliminate the practice of female circumcision in Maldives.