Quantitative chapter of the "FGM and handicap" project, and evaluation of the needs in surgical repair
Volet quantitatif du projet Excision et Handicap. Mesure des lésoins et traumatismes et évaluation des besoins en chirurgie réparatrice
As for the general evaluation of prevalence of FGM in France (A): the analysis is based upon available data from the "Etude de l'Histoire familiale" (*study of family trajectories) study, annexed to the 2004 update of the 1999 national census (380.000 respondents of both sexes). Only women over 18 whom both parents originate from a country at risk have been taken into account for calculating a rough prevalence evaluation with 3 hypothesis (low/medium/high) corresponding to the (non) inclusion of 3 different study populations (A1,A2,A3) and to the application of prevalence rates in respective countries of origin.
As for the evaluation of FGM consequences and needs in surgical repair (B): data have been collected in 74 public medical centres in Paris region and 4 other regions with highest rates of populations at risk. 2882 valid questionnaires have been collected (714 mutilated women over 18 and 2168 non-mutilated women over 18 from countries at risk. Questionnaires were collected during gynaecology consultations in day care centres and hospitals. Interviews lasted 60min on average.
Andro, A.; Lesclingand, A.; Cambois, E.; Cirbeau, C.
Year of data collection
2004 (A) 2007-2009 (B)
Women over 18 whom both parents originate from a country at risk (A), who arrived in France before 15 (A1), after 15 (A2) or were born in Europe (A3)
Women over 18 from countries at risk in selected regions consulting in selected medical centres and hospitals (B)
Prevalence data on FGM
Part A: 42.000 (A1); 53.000 (A1+A2); 61.000 (A1+A2+A3)
Part B of the survey does not provide prevalence data but refined statistics on medical, obstetrical and gynaecological complications, showing relatively low incidence, as well as concerning psychological health and sexual life, for which FGM prove to have a relatively high impact, as respectively 7 and 6% of mutilated women acknowledge often/always painful intercourses, to be compared to respectively 4 and 2% for witness-cases
Disaggregated data per country of origin
Part A: No
Part B: Yes, in relation with the age when FGM were performed:
Age: 0-4 / 5-9 / over 10
Mali 82% / 15% / 3%
Senegal 65% / 26% / 9%
Guinea 35% / 47% / 18%
Ivory Coast 41% / 31% / 29%
Disaggregated data per age
Part A: yes, according to the study population
Part B: yes, but mostly for the study population, not for prevalence
Date of arrival in France
Limitations of study
As for Part A: prevalence rates for France are only a rough evaluation based upon three different hypothesis. Figures are relatively old (2004) and there is no disaggregated data per country of origin.
As for Part B: although it is extensive for the qualitative part of the study, the sample of approximately 3.000 women does not provide general prevalence indications, especially as it does not cover the whole territory. As for the core of the study, i.e., the impact of FGM on women's health and sexuality, limitations are less salient, except that differences among groups are not always statistically significant
Prof. Marie Lesclingand, Université de Nice; http://www.univ-paris1.fr/fileadmin/CRIDUP/Rapport_final_ExH_volet_quant...