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Female genital mutilation and women's healthcare experiences with general practitioners in the Netherlands: A qualitative study.
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- Author(s): Kawous R;Kawous R;Kawous R; Allwood E; Allwood E; Norbart E; Norbart E; van den Muijsenbergh METC; van den Muijsenbergh METC; van den Muijsenbergh METC
- Source:
PloS one [PLoS One] 2020 Jul 07; Vol. 15 (7), pp. e0235867. Date of Electronic Publication: 2020 Jul 07 (Print Publication: 2020).- Publication Type:
Journal Article- Language:
English - Source:
- Additional Information
- Source: Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
- Publication Information: Original Publication: San Francisco, CA : Public Library of Science
- Subject Terms: Physician-Patient Relations*; Circumcision, Female/*psychology ; General Practitioners/*standards ; Patients/*psychology; Adult ; Female ; General Practitioners/psychology ; Health Knowledge, Attitudes, Practice ; Humans ; Middle Aged ; Netherlands ; Patient Satisfaction ; Surveys and Questionnaires ; Trust
- Abstract: Objectives: While the general practitioner (GP) in the Netherlands is the first point of entry to and gatekeeper of the healthcare system, no study exists to explore the experiences of women with female genital mutilation or cutting (FGM/C) in general practice. Therefore, the aim of this study is to look into the experiences of women with FGM/C in Dutch general practice.
Methods: Semistructured interviews were held with 16 women with FGM/C. Sampling was purposeful. The interview guide and thematic analysis were based on the Illness Perception Model and Kleinman's Explanatory model. Interviews were held in English or Dutch. All data were anonymized, and recordings were transcribed verbatim. Transcripts were coded and thematically analyzed.
Results: The women considered FGM/C to be connected to a range of health problems, for which not all of them sought medical care. They had difficulty discussing such a sensitive topic with their GP, did not know their problems could be relieved or perceived GPs to have insufficient knowledge of FGM/C. Lack of time during consultations and overall dissatisfaction with Dutch GP care hampered trust. They strongly preferred the GP to be proactive and ask about FGM/C.
Conclusion: There is room for improvement as most women would like their GP to discuss their health problems related to FGM/C. GPs should take a proactive attitude and ask about FGM/C. In addition, to develop the trusted relationship needed to discuss sensitive topics and provide culturally sensitive person-centered care, sufficient time during consultations is needed.
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BJOG. 2001 Feb;108(2):186-91. (PMID: 11236119) - Publication Date: Date Created: 20200708 Date Completed: 20200915 Latest Revision: 20200915
- Publication Date: 20240105
- Accession Number: PMC7340277
- Accession Number: 10.1371/journal.pone.0235867
- Accession Number: 32634170
- Source:
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