2021年埃塞俄比亚南部加莫区Arba Minch健康和人口监测站妇女盆底疾病患病率及相关因素

Berhanu Negese Kebede, Desta Haftu Hayelom, Gebremaryam Temesgen Birgoda, Awol Arega Yimer, Bezawit Afework Mesfin, Mesfin Difer Tetema, Solomon Seyife Alemu, Kassaw Beyene Getahun
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引用次数: 0

摘要

在全球范围内,数以百万计的女性患有盆底疾病。它给妇女的生活带来了相当大的情感、社会和经济负担。尽管如此,在发展中国家,近一半患有盆底障碍的妇女由于感到孤立、抑郁、羞耻和失去控制而不寻求任何帮助。因此,这个问题的严重程度在很大程度上是未知的。本研究的目的是评估Arba Minch健康和人口监测站妇女盆底疾病的患病率及其相关因素。方法以社区为单位,采用简单随机抽样的横断面调查方法。将数据输入EpiData 3.1版本,然后导出到Statistical Package for Social Sciences version 25进行数据清洗和分析。采用二元逻辑回归进行双变量和多变量分析,以确定与盆底疾病相关的因素。显著性水平的p值为<0.05. 结果盆底疾病患病率为31.4% (95% CI = 26.9% ~ 35.8%)。大产子(AOR= 3.919, 95% CI = 1.495 ~ 10.276)、有器械分娩史(AOR= 3.042, 95% CI = 1.483 ~ 6.241)、有肛周撕裂史(AOR= 2.972, 95% CI = 1.491 ~ 5.927)、有内科疾病(AOR= 2.698, 95% CI = 1.526 ~ 4.770)是盆底障碍的相关因素。结论和建议研究地区盆底疾病的患病率较高。胎次、辅助分娩、肛周撕裂和医疗问题是影响盆底疾病患病率的因素。有必要改进以预防和治疗服务为重点的政策和战略,以缓解这一问题。
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Prevalence of pelvic floor disorder and associated factors among women in Arba Minch Health and Demographic Surveillance Site, Gamo Zone, Southern Ethiopia, 2021
Background Globally, millions of women develop pelvic floor disorder. It imposes a considerable emotional, social, and financial burden on women’s lives. Despite this, in developing countries, nearly half of women with pelvic floor disorder do not seek any help due to feelings of isolation, depression, shame, and loss of control. Thus, the magnitude of the problem is largely unknown. The aim of this study was to assess the prevalence of pelvic floor disorder and associated factors among women at Arba Minch Health and Demographic surveillance site. Methods A cross-sectional study with a simple random sampling technique was employed on a community basis. The data were entered into EpiData version 3.1 and then exported to Statistical Package for Social Sciences version 25 for data cleaning and analysis. Bivariate and multivariable analyses using binary logistic regressions were carried out to identify factors associated with pelvic floor disorder. The level of significance was declared at a p -value of &lt; 0.05. Results The prevalence of pelvic floor disorder was 31.4% (95% CI = 26.9% to 35.8%). Being grand multiparous (AOR = 3.919, 95% CI = 1.495–10.276), having a history of instrumental delivery (AOR = 3.042, 95% CI = 1.483 to 6.241), having a history of perianal tearing (AOR = 2.972, 95% CI = 1.491 to 5.927), and having a medical disease (AOR= 2.698, 95% CI = 1.526 to 4.770) were factors associated with pelvic floor disorder. Conclusions and recommendations The prevalence of pelvic floor disorder was high in the study area. Parity, instrumental delivery, perianal tears, and medical problems were factors affecting the prevalence of pelvic floor disorder. There is a need for an improvement of policies and strategies focusing on prevention and treatment services to alleviate the problem.
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