TY - JOUR PY - 2019// TI - Female genital mutilation/cutting-pediatric physician knowledge, training, and general practice approach JO - Journal of immigrant and minority health A1 - Young, Janine A1 - Rodrigues, Kristine Knuti A1 - Imam, Basel A1 - Johnson-Agbakwu, Crista SP - ePub EP - ePub VL - ePub IS - ePub N2 - Female genital mutilation/cutting (FGM/C) is outlawed in much of the world but still mainly occurs from infancy-age 15. Many at-risk and FGM/C-affected girls live in the US. No standard pediatric training exists. A questionnaire assessing FGM/C education, knowledge, diagnostic confidence and external genital examination (EGE) approach was sent to pediatric listservs at 3 hospitals and a child abuse pediatrician (CAP) network. Analysis used χ2 and Fisher's exact tests. Compared to general pediatricians, CAP reported more FGM/C education (RR 2.0 [95% CI 1.3-3.2]), awareness of ICD-9/10 codes (RR 3.2 [95% CI 1.4-7.3]), confidence in identifying sub-types (RR 4.5 [95% CI 2.3-8.7]) and discussing FGM/C (RR 4.2 [95% CI 2.3-7.6]). For 6-12 month olds, 10% of general pediatricians reported never performing EGE at female well child visits (WCV), increasing to > 50% for 17-18 year olds. Pediatric physicians are not trained to diagnose or manage FGM/C. EGE are not done at WCVs and FGM/C diagnoses are missed.

Language: en

LA - en SN - 1557-1912 UR - http://dx.doi.org/10.1007/s10903-019-00938-x ID - ref1 ER -