Prevalence of menstrual pain in young women: what is dysmenorrhea?
Prevalence of menstrual pain in young women: what is dysmenorrhea?
复制标题
DOI：
10.2147/jpr.s30602
复制
发表时间：
2012
影响因子：
2.7
通讯作者：
Cagnacci A
中科院分区：
文献类型：
--
作者：
Grandi G;Ferrari S;Xholli A;Cannoletta M;Palma F;Romani C;Volpe A;Cagnacci A
这项研究的目的是确定不同定义的痛经在年轻女性人群中的频率，并调查与这种抱怨相关的因素。最后一组408名年轻女性完成了自我评估问卷。这是一项横断面分析研究。84.1%的女性报告月经疼痛，其中43.1%的女性报告在每一次月经期间发生疼痛，41%的女性报告在某些时期发生疼痛。月经疼痛的女性月经初潮早(P=0.0002)，月经流量长(P=0.006)，吸烟者比例高(P=0.031)，激素避孕比例低(P=0.015)。疼痛强度与月经流长(CR=0.336)、流产史(CR=3.640)、妇科疾病(CR=0.948)呈正相关(r=0.302，P<；0.0001)，与初潮年龄(CR=−0.225)、激素避孕史(CR=−0.787)、妇科手术史(CR=−2.115)呈负相关。考虑到月经疼痛、需要用药和无法正常工作(缺席学习或社交活动)等参数，单独或同时考虑月经疼痛时，痛经的患病率为84.1%，考虑月经疼痛和需要用药之间的联系时，痛经的发生率为55.2%，考虑经痛和旷工之间的联系时，痛经的患病率为31.9%，考虑月经疼痛、需要用药和旷工之间的联系时，痛经的发生率为25.3%(P<；0.0001)。出现更严重痛经的可能性与视觉模拟标尺测量的疼痛强度直接相关，但与此并不一致。月经疼痛是一个非常常见的问题，但需要药物治疗和无法正常工作的情况较少发生。然而，至少四分之一的女性经历了令人痛苦的月经疼痛，其特征是需要药物治疗和缺席学习或社交活动。
This study aimed to determine the frequency of dysmenorrhea, as identified by different definitions, in a population of young women, and to investigate factors associated with this complaint. A final group of 408 young women completed a self-assessment questionnaire. This was a cross-sectional analytical study. Menstrual pain was reported by 84.1% of women, with 43.1% reporting that pain occurred during every period, and 41% reporting that pain occurred during some periods. Women with menstrual pain had an earlier menarche (P = 0.0002) and a longer menstrual flow (P = 0.006), and this group was characterized as having a higher prevalence of smokers (P = 0.031) and a lower prevalence of hormonal contraception users (P = 0.015). Pain intensity was correlated (r = 0.302, P < 0.0001) positively with menstrual flow length (CR = 0.336), history of abortions (CR = 3.640), and gynecological pathologies (CR = 0.948), and negatively with age at menarche (CR = −0.225), use of hormonal contraception (CR = −0.787), and history of gynecological surgery (CR = −2.115). Considering the parameters of menstrual pain, a need for medication, and inability to function normally (absenteeism from study or social activities) alone or together, the prevalence of dysmenorrhea is 84.1% when considering only menstrual pain, 55.2% when considering the association between menstrual pain and need for medication, 31.9% when considering the association between menstrual pain and absenteeism, and 25.3% when considering the association between menstrual pain, need for medication, and absenteeism (P < 0.0001). The probability of having more severe dysmenorrhea is directly related to pain intensity as measured by a visual analog scale, but does not coincide with it. Menstrual pain is a very common problem, but the need for medication and the inability to function normally occurs less frequently. Nevertheless, at least one in four women experiences distressing menstrual pain characterized by a need for medication and absenteeism from study or social activities.