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不孕夫妇的健康和生活方式。

Health and life style among infertile men and women.

机构信息

University of Tampere, Tampere School of Public Health, Tampere, Finland.

出版信息

Sex Reprod Healthc. 2010 Aug;1(3):91-8. doi: 10.1016/j.srhc.2010.06.002. Epub 2010 Jun 25.

DOI:10.1016/j.srhc.2010.06.002
PMID:21122604
Abstract

OBJECTIVE

Lifetime prevalence of infertility among couples is approximately 10-15%, but studies addressing their health behavior are few. Our aim was to describe health and life style of Finnish men and women who had experienced infertility.

DESIGN

Cross-sectional survey.

SETTING

Finland.

POPULATION AND METHODS

Data from a population-based survey (n=7021) was utilized. Life style of infertile men (n=289) and women (n=155) were compared to other men and fertile women.

MAIN OUTCOME MEASURES

Life style (dietary factors, use of alcohol, physical activity), reproductive factors, other diseases and symptoms.

RESULTS

After adjusting for age, area and education, infertile women under 50 years consumed more polyunsaturated fat (OR 1.23, 95% CI 1.03-1.46), less saturated fat (OR 0.83, 95% CI 0.74-0.92) and had experienced more hangovers during previous year (OR 1.02, 95% CI 1.00-1.05) than fertile women. Infertile men under 50 years consumed more total fat (OR 1.06, 95% CI 1.03-1.10), polyunsaturated fat (OR 1.20, 95% CI 1.05-1.37) and monounsaturated fat (OR 1.17, 95% CI 1.06-1.28) compared to other men. Infertile men did not consume more alcohol nor smoke more cigarettes but reported more often allergies than fertile men. Infertile women also had Chlamydia trachomatis infection, benign tumor in their uterus and intestinal disease more often than fertile women. Infertile women over 50 years were more often current smokers than fertile women, but the differences in other age-groups were not significant.

CONCLUSIONS

Women with infertility experience reported more diseases and less use of oral contraceptives than other women, possibly reflecting reasons to infertility. Since both infertility and unhealthy use of alcohol are an increasing public health issues in western societies, more attention should be paid towards life style, especially alcohol use of infertile women.

摘要

目的

夫妇不孕的终生患病率约为 10-15%,但研究其健康行为的研究很少。我们的目的是描述经历过不孕的芬兰男性和女性的健康和生活方式。

设计

横断面调查。

地点

芬兰。

人群和方法

利用基于人群的调查(n=7021)的数据。将不孕男性(n=289)和女性(n=155)的生活方式与其他男性和生育女性进行比较。

主要观察指标

生活方式(饮食因素、饮酒、体力活动)、生殖因素、其他疾病和症状。

结果

在调整年龄、地区和教育程度后,50 岁以下的不孕女性摄入更多的多不饱和脂肪(OR 1.23,95%CI 1.03-1.46),更少的饱和脂肪(OR 0.83,95%CI 0.74-0.92),并且在前一年经历过更多的宿醉(OR 1.02,95%CI 1.00-1.05),而生育女性则更少。50 岁以下的不孕男性摄入更多的总脂肪(OR 1.06,95%CI 1.03-1.10)、多不饱和脂肪(OR 1.20,95%CI 1.05-1.37)和单不饱和脂肪(OR 1.17,95%CI 1.06-1.28),而不是其他男性。不孕男性的饮酒量和吸烟量并不多,但报告的过敏症比生育男性多。不孕女性也比生育女性更常患有沙眼衣原体感染、子宫良性肿瘤和肠道疾病。50 岁以上的不孕女性比生育女性更经常吸烟,但在其他年龄组中差异不显著。

结论

患有不孕的女性报告的疾病比其他女性多,使用口服避孕药的情况比其他女性少,这可能反映了不孕的原因。由于不孕和不健康饮酒在西方社会都是日益严重的公共卫生问题,因此应该更加关注生活方式,尤其是不孕女性的饮酒问题。

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