社会受损的中东女性群体生殖健康状况较差：一项横断面研究。
Poor reproductive health among a group of socially damaged Middle Eastern women: a cross-sectional study.
机构信息
The International Branch of Shahid Beheshti University of Medical Sciences, Tehran, Iran.
出版信息
Int J Womens Health. 2011;3:399-403. doi: 10.2147/IJWH.S26623. Epub 2011 Nov 24.
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.
背景
尽管针对妇女的暴力行为范围广泛，对生殖健康也很重要，但有关遭受暴力的妇女的生殖健康问题的数据却很少。
方法
本研究描述了 98 名社会受损的女性在寻求中途之家护理时所经历的生殖障碍与社会伤害之间的关系，这些女性是波斯裔，能够沟通和理解问卷内容，并且有过家庭暴力史。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。生殖健康包括妊娠、意外怀孕、堕胎、避孕和宫颈癌筛查的数据。性表现的数据通过波斯语版的性功能量表获得，该量表在伊朗人群中具有可接受的外部有效性。对于性功能，收集了参与者首次性交的年龄以及是否进行过口交或肛交的数据。
结果
参与者的平均年龄为 33.4 岁。47%的参与者已婚，34.8%离婚，9.8%丧偶，8.7%单身。首次结婚年龄平均为 16.4（4.3）岁，首次性关系年龄平均为 16（3.9）岁。参与者中有 18.5%为文盲。22.8%的人接受过小学教育，只有 3.3%的人接受过学术研究。55%的人失业，44.6%的人在研究时报告正在工作。观察到 72.8%的参与者遭受过身体、情感和性暴力。暴力来自丈夫（42.6%）、父母（38.4%）或两者（19.0%）。在 39 名离家出走的参与者中，有 38 名报告遭受过暴力。64.6%的参与者报告意外怀孕。50.0%的参与者报告堕胎。44.6%的参与者完全忽略了避孕措施。在符合条件的女性中，53.3%的人从未参加过宫颈癌筛查检查。平均性表现量表评分为 21.9（5.5），75（83.3%）名参与者得分低于 28。
结论
中东社会受损女性群体的生殖健康状况不佳的发生率很高。
Zotero 插件