BACKGROUND: @entity38378 ( @entity38378 ) is a common traditional practice in developing nations including Ethiopia. It poses complex and serious long-term health risks for @entity1 and @entity1 and can lead to death. In Ethiopia, the geographic distribution and factors associated with @entity38378 practices are poorly understood. Therefore, we assessed the spatial distribution and factors associated with @entity38378 among reproductive age @entity1 in the country. METHOD: We used population based national representative surveys. Data from two (2000 and 2005) Ethiopian demographic and health surveys (EDHS) were used in this analysis. Briefly, EDHS used a stratified, two-stage cluster sampling design. A total of 15,367 (from EDHS 2000) and 14,070 (from EDHS 2005) @entity1 of reproductive age (15-49 years) were included in the analysis. Three outcome variables were used (prevalence of @entity38378 among @entity1 , prevalence of @entity38378 among daughters and support for the continuation of @entity38378 ). The data were weighted and descriptive statistics (percentage change), bivariate and multivariable logistic regression analyses were carried out. Multicollinearity of variables was assessed using variance inflation factors (VIF) with a reference value of 10 before interpreting the final output. The geographic variation and clustering of weighted @entity38378 prevalence were analyzed and visualized on maps using ArcGIS. Z-scores were used to assess the statistical difference of geographic clustering of @entity38378 prevalence spots. RESULT: The trend of @entity38378 weighted prevalence has been decreasing. Being wealthy, Muslim and in higher age categories are associated with increased odds of @entity38378 among @entity1 . Similarly, daughters from Muslim @entity1 have increased odds of experiencing @entity38378 . @entity1 in the higher age categories have increased odds of having daughters who experience @entity38378 . The odds of @entity38378 among daughters decrease with increased maternal education. Mass media exposure, being wealthy and higher paternal and maternal education are associated with decreased odds of @entity1 's support of @entity38378 continuation. @entity38378 prevalence and geographic clustering showed variation across regions in Ethiopia. CONCLUSION: Individual, economic, socio-demographic, religious and cultural factors played major roles in the existing practice and continuation of @entity38378 . The significant geographic clustering of @entity38378 was observed across regions in Ethiopia. Therefore, targeted and integrated interventions involving religious leaders in high @entity38378 prevalence spot clusters and addressing the socio-economic and geographic inequalities are recommended to eliminate @entity38378 .

Geographic Variation and Factors Associated with Female Genital Mutilation among Reproductive Age XXXX in Ethiopia: A National Population Based Survey.

@entity1 :: ('9606', 'Species') :: ['women', 'Women', 'girls'] @entity38378 :: ('MESH:D052776', 'Disease') :: ['Female genital mutilation', 'FGM']
@entity1 :: (9606,Species) :: ['Women']
