The burden and determinants of dysmenorrhoea: a population-based survey of 2262 women in Goa, India
The burden and determinants of dysmenorrhoea: a population-based survey of 2262 women in Goa, India
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DOI：
10.1111/j.1471-0528.2006.00874.x
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发表时间：
2006-04-01
影响因子：
5.8
通讯作者：
Nevrekar, P
中科院分区：
文献类型：
--
作者：
Patel, V;Tanksale, V;Nevrekar, P
描述印度一个社区中最常见的月经病--痛经的患病率和决定因素。横断面调查。印度果阿初级卫生中心集水区。随机选择3000名18-45岁的妇女。共有2494名妇女同意参加（83.1%）。合格的参与者被问及有关过去12个月月经投诉，社会人口，心理和生殖风险因素的标准化问题。收集阴道或尿液标本，诊断生殖道感染、中重度腹泻。共有2262名妇女符合条件。超过一半的受试者报告了排便困难; 755名受试者报告了中度至重度排便困难（33.4%，95% CI 31.4-35.4）。疼痛的严重程度和影响（药物和休息）与疼痛的发作（经前发作与更严重的疼痛相关）之间存在线性相关性。在多变量分析中，中度至重度痛经的风险与暴力经历相关（OR 2.23，95% CI 1.5-34）;其他躯体主诉（最高躯体形式症状评分类别与最低躯体形式症状评分类别相比的OR 3.67，95%CI 2.7-4.9）;妇科疾病（非月经性下腹痛：OR 1.78，95% CI 1.3-2.3;排尿困难：OR 1.98，1.4-2.7）;月经过多（OR 1.92，95% CI 1.4-2.6）;和文盲（OR 1.32，95% CI 1.0-1.7）。怀孕后（OR 0.53，95% CI 0.4-0.7），初潮年龄较大（OR 0.70，95% CI 0.5-0.9，年龄> 14岁与< 13岁相比）和老年（40-50岁与18-24岁相比，OR为0.43，0.3-0.6）具有保护作用。并且与重大影响有关。社会弱势、与其他躯体综合征的共病和生殖因素是这种投诉的决定因素。
To describe the prevalence and determinants of dysmenorrhoea, the most common menstrual complaint, in a community in India.Cross-sectional survey.Catchment area of primary health centre in Goa, India.Three thousand women aged 18-45 years randomly selected. A total of 2494 women consented to participate (83.1%).Eligible participants were asked standardised questions regarding menstrual complaints over the past 12 months, and socio-demographic, psychosocial and reproductive risk factors. Vaginal or urine specimens were collected for the diagnosis of reproductive tract infections.Dysmenorrhoea of moderate to severe intensity.A total of 2262 women were eligible. More than half reported dysmenorrhoea; moderate to severe dysmenorrhoea was reported by 755 participants (33.4%, 95% CI 31.4-35.4). There was a linear association between severity of pain and impact (medication and taking rest) and the onset of pain (premenstrual onset associated with more severe pain). On multivariate analyses, the risk of moderate-severe dysmenorrhoea was associated with the experience of violence (OR 2.23, 95% CI 1.5-34); other somatic complaints (OR 3.67, 95% CI 2.7-4.9 for highest somatoform symptom score category compared with the lowest); gynaecological complaints (non-menstrual lower abdominal pain: OR 1.78, 95% CI 1.3-2.3; dysuria: OR 1.98, 1.4-2.7); menorrhagia (OR 1.92, 95% CI 1.4-2.6); and illiteracy (OR 1.32, 95% CI 1.0-1.7). Having had a pregnancy (OR 0.53, 95% CI 0.4-0.7), older age of menarche (OR 0.70, 95% CI 0.5-0.9, for age > 14 compared with < 13 years) and older age (OR 0.43, 0.3-0.6 for age 40-50, compared with 18-24 years) were protective.The burden of dysmenorrhoea is greater than any other gynaecological complaint, and is associated with significant impact. Social disadvantage, co-morbidity with other somatic syndromes and reproductive factors are determinants of this complaint.