What African immigrant service providers can teach us about the needs of African immigrant survivors of FGM/C.

Health and social service providers who immigrated from regions with high Female Genital Mutilation/Cutting (FGM/C) prevalence rates can provide unique insights on serving women with FGM/C experience. Specifically, we investigated African immigrant service providers' knowledge, experience, attitudes about FGM/C, and their recommendations on how to provide services to immigrants from sub-Saharan Africa who have experienced FGM/C. Derived from a larger study, interviews of 10 African service providers were selectively analyzed with a particular attention to cultural insights that could inform the framework in Western destination countries on how to serve women and girls with FGM/C experience.

My Body, My Culture: Understanding Body Image Concerns Among West African Immigrant Women.

Few studies have focused on the impact of body image disturbance on mental health among African immigrant women, particularly as it pertains to female genital mutilation/cutting (FGM/C). This study surveyed 231 West African immigrant women in New York city with and without FGM/C experience and investigated each group's level of body image disturbance and its relation to mental health (i.e., well-being, psychological distress, and PTSD). Body image concerns of FGM/C-experienced women were centered on genital disturbance, whereas the concerns of non-FGM/C women were mostly weight-related. Regression analysis revealed that greater genital image disturbance in FGM/C-experienced group and body image disturbance in non-FGM/C group significantly related to lower well-being and higher psychological distress and PTSD, with stronger relationships appearing in FGM/C-experienced group. This study brings to the fore West African immigrant women's body-related concerns and its potential impact to mental health in the context of acculturation, and suggests the importance of culturally informed interventions for African immigrant women who face body image concerns.

Exploring Beliefs and Attitudes Toward Female Genital Mutilation/Cutting Among Healthcare Providers in New York City.

Given the increase of African immigrants from countries with high female genital cutting (FGC) prevalence, this study explored U.S. healthcare providers' beliefs and attitudes regarding FGC. A total of 31 professionals who have provided services to FGC-experienced women in New York City were interviewed; data were analyzed using grounded theory. Results indicated that, although a majority of respondents emphasized maintaining a nonjudgmental and open-minded attitude toward clients' experiences, some only focused on the negative aspects of FGC. Also, multifaceted efforts by providers to understand the cultural meanings of FGC and resolve their own cultural dissonance were identified. The implications for practice were discussed.

Group Treatment with French-Speaking African Survivors of Torture and Its Effects on Clinical Engagement: Can Hope Be Operationalized?

This study examines the clinical engagement of French-speaking African survivors of torture by measuring how often they utilize adjunctive programmatic services (i.e., mental health, social, and legal services) in relation to their involvement with the Francophone support group. Thirty-two clients who attended at least five Francophone group therapy sessions were identified and matched with their counterparts who never attended the Francophone group. We compared the number of services the clients in the Francophone group and the control group utilized, controlling for the number of services the clients utilized before attending the Francophone group. We found that the Francophone group showed significantly greater overall programmatic engagement. For the types of services utilized, the Francophone group sought out more mental health services, but there was no significant difference in social and legal services. These findings suggest that involvement with the Francophone group can be linked to increased levels of programmatic engagement.