Factors contributing to the perpetuation and eradication of female genital mutilation/cutting in sub-Saharan women living in Spain

Objective: Female Genital Mutilation/Cutting (FGM/C) is one of the most widespread traditional practices harmful to the health of women and girls in the world. Its spread to the West highlights the need to establish preventive actions in European countries taking into account the affected population. That is why this study is aimed at finding out the elements that support the continuation of FGM/C and those that promote the change of attitudes and fight against FGM / C from the perspective of the sub-Saharan women themselves who reside in Spain. Design: Qualitative exploratory research that uses the method of life stories through an open interview. Participants and Setting: The participants were 24 women living in the Region of Murcia (Spain) who come from sub-Saharan countries where FGM/C is commonly practised. Findings: Arguments supporting FGM/C, the lack of knowledge and family pressure are identified as factors that perpetuate the practice, whereas the motivating factors for the change in attitudes that make most of the interviewees oppose FGM/C are the awareness of the consequences on health and close negative experiences, growing awareness of their rights, supportive legislation and breaking the taboo related to this practice to question justifications for FGM / C and share experiences. Key conclusion and implications for practice: Being aware of the arguments of both sides, women who defend FGM/C and those who oppose it, is a valuable source of information that obstetrics, midwifery and nursing professionals can use. The study provides the core elements that any healthcare education program should incorporate to prevent female genital mutilation/circumcision. (C) 2021 The Authors. Published by Elsevier Ltd.