Abstract

This study explores the association between female circumcision and infertility and fertility, using information from the Demographic and Health Surveys (DHS). In Côte d’Ivoire and Tanzania, circumcised women had lower childlessness, lower infertility by age, and higher total fertility rates than women who were not circumcised; the reverse pattern prevailed in the Central African Republic. In all three countries, however, circumcised women grouped by age at circumcision did not have significantly different odds of infertility nor of having a child than did uncircumcised women, when the effects of covariates were controlled. Thus we find evidence suggesting that the practice of female circumcision does not have a statistically discernible effect on women’s ability to reproduce.

Infertility, Total Fertility Rate, Birth Interval, Male Circumcision, Female Genital Mutilation
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References

Allison, P.D. (
1995
).
Survival Analysis Using the SAS System: A Practical Guide
.
Cary, NC
:
SAS Institute Inc.
.
Google Scholar
 
Carr, D. (
1997
).
Female Genital Cutting: Findings From the Demographic and Health Surveys Program
.
Calverton, MD
:
Macro International, Inc.
.
Google Scholar
 
Côte d’Ivoire Enquête Demographique et de Santé 1994. 1995. Calverton, MD: Macro International, Inc.
Egypt Demographic and Health Survey 1995. 1996. Calverton, MD: National Population Council and Demographic and Health Surveys Macro International, Inc.
Egyptian Fertility Care Society. 1996. “Clinic-Based Investigation of the Typology and Self-Reporting of FGM in Egypt, Final Report.” Presented at a Rainbo workshop on female genital mutilation, November, Cairo.
Larsen, U. (
1994
).
Sterility in Sub-Saharan Africa
.
Population Studies
,
48
,
459
–
74
. 10.1080/0032472031000147976
Google Scholar
Crossref
Search ADS
 
Larsen, U., & Menken, J. (
1989
).
Measuring Sterility From Incomplete Birth Histories
.
Demography
,
26
,
185
–
202
. 10.2307/2061519
Google Scholar
Crossref
Search ADS
PubMed
 
Larsen, U. (
1991
).
Individual-Level Sterility: A New Method of Estimation With Application to Sub-Saharan Africa
.
Demography
,
28
,
229
–
49
. 10.2307/2061277
Google Scholar
Crossref
Search ADS
PubMed
 
Newell, C. (
1988
).
Methods and Models in Demography
.
New York
:
Guilford
.
Google Scholar
 
Obermeyer, C.M., & Reynolds, R.F. (
1999
).
Female Genital Surgeries: The Known, the Unknown, and the Unknowable
.
Medical Anthropology Quarterly
,
13
,
1
–
28
. 10.1525/maq.1999.13.1.79
Google Scholar
Crossref
Search ADS
 
Republique Centrafricaine Enquête Demographique et de Santé 1994–1995. 1995. Calverton, MD: Macro International, Inc.
Sherris, J.D., & Fox, G. (
1983
).
Infertility and Sexually Transmitted Diseases: A Public Health Challenge
.
Population Reports, Series L: Issues in World Health
,
4
,
113
–
51
.
Google Scholar
 
Sudan Demographic and Health Survey, 1989–1990. 1991. Columbia, MD: Demographic and Health Surveys Institute for Resource Development/Macro International, Inc.
Tanzania Demographic and Health Survey, 1996. 1997. Calverton, MD: Macro International, Inc.
Toubia, N. (
1993
).
Female Genital Mutilation: A Call for Global Action
.
New York
:
Women, Inc.
.
Google Scholar
 
Toubia, N. (
1994
).
Female Circumcision as a Public Health Issue
.
New England Journal of Medicine
,
331
,
712
–
16
. 10.1056/NEJM199409153311106
Google Scholar
Crossref
Search ADS
 
Toubia, N. (
1998
).
Female Circumcision/Female Genital Mutilation
.
African Journal of Reproductive Health
,
2
,
6
–
8
.
Google Scholar
PubMed
 
UNICEF. 1994. Guidelines for UNICEF Action on Eliminating Female Genital Mutilation. CF/EXD/1994-009.
World Health Organization (WHO). 1993. Press release WHO/10.
Female Genital Mutilation: Report of a WHO Technical Working Group
. (
1996
).
Geneva
:
World Health Organization
.
© Population Association of America 2000
2000