Prevalence of heavy menstrual bleeding and associations with physical health and wellbeing in low-income and middle-income countries: a multinational cross-sectional study.
Prevalence of heavy menstrual bleeding and associations with physical health and wellbeing in low-income and middle-income countries: a multinational cross-sectional study.
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DOI：
10.1016/s2214-109x(23)00416-3
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发表时间：
2023-11
影响因子：
34.3
通讯作者：
Caruso, Bethany A.
中科院分区：
文献类型：
--
作者：
Sinharoy, Sheela S.;Chery, Lyzberthe;Patrick, Madeleine;Conrad, Amelia;Ramaswamy, Anupama;Stephen, Aparna;Chipungu, Jenala;Reddy, Y. Malini;Doma, Rinchen;Pasricha, Sant-Rayn;Ahmed, Tanvir;Chiwala, Chibwe Beatrice;Chakraborti, Niladri;Caruso, Bethany A.
关于低收入和中等收入国家 (LMIC) 严重月经出血发生率的数据很少。我们的目的是评估测量大量经血的量表的有效性，并计算其在南亚和撒哈拉以南非洲的患病率，并研究大量经血与健康结果之间的关联。 2021年8月2日至2022年6月14日期间，我们对十个城市（孟加拉国梅赫布尔和赛义德布尔；印度瓦朗加尔、纳萨布尔和蒂鲁吉拉伯利；尼泊尔加德满都；塞内加尔达喀尔；肯尼亚内罗毕；乌干达坎帕拉和赞比亚卢萨卡）的6626名女性进行了调查，包括人口统计、健康和萨曼塔量表、月经出血量多的六项措施。我们进行了验证性因素分析来评估 SAMANTA 量表的构建有效性，计算了月经过多出血的发生率，并使用回归分析来检查月经过多出血与健康结果的关联。最终分析样本包含 4828 名女性。因素分析表明单因素模型代表月经大量出血。在汇总分析样本中，4828 名女性中的 2344 名 (48·6%) 被归类为经历过严重月经出血，达喀尔的患病率最低（329 名女性中的 126 名 [38·3%]）和坎帕拉（411 名女性中的 158 名 [38·4%]），加德满都的患病率最高（420 名女性中的 326 名 [77·6%]）。经血过多与月经期间感到疲倦或呼吸急促显着相关（风险比 4·12（95% CI 3·45 至 4·94），并报告自评身体健康状况较差（调整后比值比 1·27，95% CI 1·08 至 1·51），但与主观幸福感无关（β –3·34，95% CI –7·04 至 1·51）。 0·37）。在中低收入国家，月经过多对女性的生活质量产生了不利影响，迫切需要了解决定因素并确定和实施解决该问题的方案。
Data on the prevalence of heavy menstrual bleeding in low-income and middle-income countries (LMICs) are scarce. We aimed to assess the validity of a scale to measure heavy menstrual bleeding and calculate its prevalence in southern Asia and sub-Saharan Africa, and to examine associations between heavy menstrual bleeding and health outcomes. Between Aug 2, 2021 and June 14, 2022, we surveyed 6626 women across ten cities (Meherpur and Saidpur, Bangladesh; Warangal, Narsapur, and Tiruchirappalli, India; Kathmandu, Nepal; Dakar, Senegal; Nairobi, Kenya; Kampala, Uganda; and Lusaka, Zambia), including questions on demographics, health, and the SAMANTA scale, a six-item measure of heavy menstrual bleeding. We conducted confirmatory factor analysis to assess construct validity of the SAMANTA scale, calculated the prevalence of heavy menstrual bleeding, and used regression analyses to examine associations of heavy menstrual bleeding with health outcomes. 4828 women were included in the final analytic sample. Factor analysis indicated a one-factor model representing heavy menstrual bleeding. In the pooled analytic sample, 2344 (48·6%) of 4828 women were classified as experiencing heavy menstrual bleeding, and the prevalence was lowest in Dakar (126 [38·3%] of 329 women) and Kampala (158 [38·4%] of 411 women) and highest in Kathmandu (326 [77·6%] of 420 women). Experiencing heavy menstrual bleeding was significantly associated with feeling tired or short of breath during the menstrual period (risk ratio 4·12 (95% CI 3·45 to 4·94) and reporting worse self-rated physical health (adjusted odds ratio 1·27, 95% CI 1·08 to 1·51), but was not associated with subjective wellbeing (β –3·34, 95% CI –7·04 to 0·37). Heavy menstrual bleeding is highly prevalent and adversely impacts quality of life in women across LMIC settings. Further attention is urgently needed to understand determinants and identify and implement solutions to this problem. Bill & Melinda Gates Foundation, United States Agency for International Development, National Institutes of Health.
影响因子：
2.9
作者：
Sinharoy SS;Conrad A;Patrick M;McManus S;Caruso BA
通讯作者：
Caruso BA