Eskisehir Osmangazi University, Public Health Department, Meselik-Eskisehir, Turkey.
Ups J Med Sci. 2010 May;115(2):138-45. doi: 10.3109/03009730903457218.
The objective was to evaluate the prevalence of dysmenorrhea and determine its effect on health-related quality of life (HRQoL) among a group of female university students. This cross-sectional study was conducted between 15 March and 15 April 2009 at Dumlupinar University, Kutahya, Health High School, Western Turkey. The study group included 623 female students. The severity of dysmenorrhea was determined with a 10-point visual analog scale. The Short Form-36 (SF-36) form was used to determinate HRQoL. Chi-square test, Student's t test, and logistic regression and variance analyses (ANOVA) were used for statistical analyses. The average age of the study group was 20.8 +/- 1.8 years (range 17-30). Prevalence of dysmenorrhea was found to be 72.7% and was significantly higher in coffee consumers, females with menstrual bleeding duration > or =7 days, and those who had a positive family history of dysmenorrhea when compared to the others (P < 0.05, for each one). By multivariate analysis, coffee consumption (OR 2.084), menstrual bleeding duration > or =7 days (OR 1.590), and positive family history of dysmenorrhea (OR 3.043) were important risk factors for dysmenorrhea. Except for social functioning, role-emotional, and mental health domains, the SF-36 points received from the other domains were higher in females with dysmenorrhea (for each one P < 0.05). With the exception of the scores received from physical functioning and role-emotional domains, the scores received from the other domains of the SF-36 scale showed a decrease with increasing severity of dysmenorrhea (P < 0.05, for each one). Dysmenorrhea is a common health problem, having negative effects on the HRQoL among university female students.
目的在于评估一组女大学生痛经的发生率，并确定其对健康相关生活质量（HRQoL）的影响。这是一项在 2009 年 3 月 15 日至 4 月 15 日期间于土耳其西部屈塔希亚杜鲁普纳尔大学健康高中进行的横断面研究。研究组包括 623 名女学生。痛经的严重程度采用 10 分制视觉模拟评分法进行评估。使用 36 项简短健康调查问卷（SF-36）来确定 HRQoL。采用卡方检验、学生 t 检验、逻辑回归和方差分析（ANOVA）进行统计学分析。研究组平均年龄为 20.8±1.8 岁（17-30 岁）。痛经发生率为 72.7%，与其他人群相比，咖啡饮用者、月经出血持续时间≥7 天者、痛经家族史阳性者痛经发生率更高（P<0.05，各因素）。多因素分析显示，咖啡饮用（OR 2.084）、月经出血持续时间≥7 天（OR 1.590）、痛经家族史阳性（OR 3.043）是痛经的重要危险因素。除社会功能、情感角色和心理健康领域外，痛经女性在其他领域的 SF-36 评分均较高（各因素 P<0.05）。除生理功能和情感角色领域的评分外，SF-36 量表其他领域的评分随痛经严重程度的增加而降低（各因素 P<0.05）。痛经是一个常见的健康问题，对女大学生的 HRQoL 有负面影响。
