基于人群样本的外阴痛患病率及人口学特征。
Prevalence and demographic characteristics of vulvodynia in a population-based sample.
机构信息
Department of Family Medicine, School of Medicine, University of Michigan, Ann Arbor, MI 48104-1213, USA.
出版信息
Am J Obstet Gynecol. 2012 Feb;206(2):170.e1-9. doi: 10.1016/j.ajog.2011.08.012. Epub 2011 Aug 22.
OBJECTIVE
The objective of the study was to determine the prevalence and characteristics of vulvodynia among women in southeast Michigan.
STUDY DESIGN
A population-based study of adult women was conducted, using telephone recruitment and completion of a self-administered survey. Weighted estimates of vulvodynia prevalence and characteristics were determined.
RESULTS
Over a year, 2542 women were recruited and 2269 (89.3%) completed the self-administered survey. The weighted prevalence of vulvodynia was 8.3% (95% confidence interval, 7.0-9.8) or approximately 101,000 women in the targeted population. Prevalence remained stable through age 70 years and declined thereafter. Among sexually active women, the prevalence was similar at all ages. Of 208 women meeting vulvodynia criteria, 101 (48.6%) had sought treatment, and only 3 (1.4%) had been diagnosed with vulvodynia (unweighted values). Previous vulvodynia symptoms had resolved in 384 women (16.9%) after a mean duration of 12.5 years.
CONCLUSION
Vulvodynia is common, although rarely diagnosed. Prevalence remains high among sexually active women of any age.
目的
本研究旨在确定密歇根州东南部女性中外阴痛的流行率和特征。
研究设计
采用电话招募和完成自我管理问卷调查的方法，对成年女性进行了一项基于人群的研究。确定了外阴痛的加权流行率和特征。
结果
在一年的时间里，共招募了 2542 名女性，其中 2269 名（89.3%）完成了自我管理调查。外阴痛的加权流行率为 8.3%（95%置信区间，7.0-9.8），即目标人群中约有 101,000 名女性患有外阴痛。患病率在 70 岁之前保持稳定，此后下降。在有性生活的女性中，各年龄段的患病率相似。在符合外阴痛标准的 208 名女性中，有 101 名（48.6%）寻求过治疗，仅有 3 名（1.4%）被诊断为外阴痛（未加权值）。384 名女性（16.9%）在平均 12.5 年的时间后，先前的外阴痛症状已经缓解。
结论
外阴痛很常见，但很少被诊断。在任何年龄段有性生活的女性中，患病率仍然很高。
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