Poor reproductive health among a group of socially damaged Middle Eastern women: a cross-sectional study
Poor reproductive health among a group of socially damaged Middle Eastern women: a cross-sectional study
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DOI：
10.2147/ijwh.s26623
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发表时间：
2011-01-01
影响因子：
2.3
通讯作者：
Majd, Hamid Alavi
中科院分区：
文献类型：
--
作者：
Mohammadi, Gohar;Amiraliakbari, Sedigheh;Majd, Hamid Alavi
背景资料：尽管暴力侵害妇女行为的范围很广，而且对生殖健康很重要，但关于遭受暴力侵害的妇女的生殖健康问题的数据很少。这项研究描述了98名在社会上受到损害的妇女在救助中心寻求照顾时出现的生殖疾病并发社会伤害，这些妇女有波斯血统，能够交流和理解问卷的内容，有家庭暴力史问卷有五个维度：人口统计学、生殖健康、性表现、性行为和暴力。生殖健康包括关于妊娠、计划外妊娠、堕胎、避孕和宫颈癌筛查的数据。通过波斯语版的性功能量表获得性表现数据，该量表已被证明在伊朗人群中具有可接受的外部效度。对于性功能，数据收集的年龄在第一次性交，是否参与者曾经从事过口交或肛交activity.Results：平均年龄的参与者为33.4岁。47%的参与者已婚，34.8%离婚，9.8%丧偶，8.7%单身。初婚平均年龄为16.4（4.3）岁，首次性关系平均年龄为16（3.9）岁。18.5%的参与者为文盲。22.8%的参与者报告接受过初等教育，而只有3.3%的参与者报告接受过学术研究。55%的人失业，44.6%的人报告在研究时正在工作。据观察，72.8%的参与者受到身体，情感和性的伤害。据报告，施暴者为丈夫（42.6%）、父母（38.4%）或双方（19.0%）。在39名离家出走的参与者中，38名参与者报告说受到暴力侵害。64.6%的参与者报告了意外怀孕。50.0%的参与者报告流产。44.6%的参与者完全忽略了避孕措施。在符合条件的妇女中，53.3%从未参加过宫颈癌筛查检查。平均性行为量表得分为21.9分（5.5分），75名（83.3%）参与者得分低于28分。结论：在一组中东社会受损的妇女中，生殖健康不良的患病率很高。
Background: Despite the scope of violence against women and its importance for reproductive health, few data are available on the reproductive health issues among women having experienced violence.Methods: This study described the reproductive disorders complicating social harm among 98 socially damaged women seeking care from drop-in centers who were of Persian ancestry, able to communicate and comprehend the contents of the questionnaire, and had history of domestic violence. The questionnaire had five dimensions: demographics, reproductive health, sexual performance, sexual behavior, and violence. Reproductive health included data on gestation, unplanned pregnancy, abortion, contraception, and cervical cancer screening. Data on sexual performance was acquired via the Persian version of sexual function scale, which has been demonstrated to have acceptable external validity in Iranian population. For sexual function, data was gathered on age at first intercourse and whether a participant had ever engaged in an oral or anal sexual activity.Results: Mean age of participants was 33.4 years. Forty-seven percent of participants were married, 34.8% were divorced, 9.8% were widowed, and 8.7% were single. Mean age at first marriage was 16.4 (4.3) years and mean age at first sexual relationship was 16 (3.9) years. Illiteracy was observed among 18.5% of participants. Elementary education was reported by 22.8%, while only 3.3% of participants reported academic studies. Fifty-five percent were unemployed and 44.6% reported to be working at the time of the study. It was observed that 72.8% of participants were inflicted physically, as well as emotionally and sexually. The violence was reported to be exerted by husband (42.6%), parents (38.4%), or both (19.0%). Among 39 participants who ran away from home, 38 participants reported to be inflicted by violence. Unwanted pregnancy was reported by 64.6% of the participants. Abortion was reported in 50.0% of participants. Contraception was completely ignored in 44.6% of participants. Among eligible women, 53.3% never participated in cervical cancer screening examination. Mean sexual performance scale score was 21.9 (5.5) and 75 (83.3%) participants scored less than 28.Conclusion: A high prevalence of poor reproductive health was documented among a group of Middle Eastern socially damaged women.