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dc.contributor.authorNnanatu, Chibuzor Christopher
dc.contributor.authorFagbamigbe, Adeniyi Francis
dc.contributor.authorAfuecheta, Emmanuel
dc.contributor.authorUtazi, Chigozie Edson
dc.identifier.citationNnanatu , C C , Fagbamigbe , A F , Afuecheta , E & Utazi , C E 2023 , ' Spatially varying intergenerational changes in the prevalence of female genital mutilation/cutting in Nigeria : lessons learnt from a recent household survey ' , Applied Spatial Analysis and Policy , vol. 16 , no. 2 , pp. 703-727 .
dc.identifier.otherPURE: 282864015
dc.identifier.otherPURE UUID: 61fe5ee5-741b-4690-b029-86323a2f3e45
dc.identifier.otherRIS: urn:7A5B2E474282070B885A58818A8867E4
dc.identifier.otherRIS: Nnanatu2022
dc.identifier.otherScopus: 85144463522
dc.identifier.otherWOS: 000901697500001
dc.description.abstractConsidering the concerted investments in anti-female genital mutilation/cutting (FGM/C) campaigns championed by the Nigerian government and non-governmental organizations, research findings suggest that reduction in intergenerational (mother-to-daughter) prevalence of FGM/C in Nigeria has been very slow. What can we learn from the 2018 Nigerian Demographic and Health Survey (2018 NDHS) about the roles of the key drivers of mother-to-daughter FGM/C prevalence in Nigeria? Here, drawing upon the 2018 NDHS dataset, we provided a context-specific study on the geographical patterns and the enabling factors of intergenerational trends in FGM/C among Nigerian women aged 15 – 49 years and their daughters aged 0 – 14 years. Using Bayesian semi-parametric geo-additive regression model, we simultaneously controlled for the effects of individual-level, community-level and unobserved geographical factors. We learnt that although there has been an overall decline in mother-to-daughter prevalence of FGM/C, the practice persists in Nigeria largely due to geographical location and social norm related factors – risk was high among daughters of circumcised women and daughters of women who supported the continuation of FGM/C. We identified Kano, Kaduna, Imo and Bauchi states as the hotspots and there was an increased risk of FGM/C among daughters of women who lived in the neigbouring states of Jigawa and Yobe. Daughters of circumcised women were about 2.7 times more likely to be cut. We recommend the development of tailored community-level interventions targeting circumcised women in the hotspot states and their neighbours to ensure a total eradication of female circumcision in Nigeria by the year 2030.
dc.relation.ispartofApplied Spatial Analysis and Policyen
dc.rightsCopyright © The Author(s) 2022. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit
dc.subjectFGM/C abandonmenten
dc.subjectSocial normsen
dc.subjectBayesian geo-additive regressionen
dc.subjectSpatial random effectsen
dc.subjectMother-to-daughter changesen
dc.subjectRA Public aspects of medicineen
dc.subjectHA Statisticsen
dc.subjectSDG 5 - Gender Equalityen
dc.titleSpatially varying intergenerational changes in the prevalence of female genital mutilation/cutting in Nigeria : lessons learnt from a recent household surveyen
dc.typeJournal articleen
dc.description.versionPublisher PDFen
dc.contributor.institutionUniversity of St Andrews. School of Medicineen
dc.contributor.institutionUniversity of St Andrews. Population and Behavioural Science Divisionen
dc.description.statusPeer revieweden

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