行为偏离社会规范的中东女性面临生殖健康不佳的巨大风险。

Socially-deviant middle eastern women at a great risk of poor reproductive health.

作者信息

Mohammadi G, Ramezankhani A, Amiraliakbari S, Alavi Majd H, Farsar A R

机构信息

School of Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Iran Red Crescent Med J. 2012 Mar;14(3):146-52. Epub 2012 Mar 1.

PMID:22737571

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3372026/

Abstract

BACKGROUND

It is important to examine scale and scope of the reproductive health among socially-vulnerable women. The study was aimed at testing the hypothesis that as compared to general population, reproductive health is poorer among socially-vulnerable women.

METHODS

We enrolled 100 cases and 203 controls conducted from January 2010 to January 2011. Cases were socially-vulnerable women seeking care from Tehran's Center for Improving Social Health of Socially-Damaged Women (Specific Center for Socially-Vulnerable Women). Controls were women referring to health centers of Tehran.

RESULTS

Mean age of cases and controls were 34.1 years and 33.8 years, respectively. Unwanted pregnancy was reported by 62.9% of cases and 33% of controls. Among socially-vulnerable women, 50.6% of abortions were reported to happen during the period in which they were using drugs. Among cases, 45.7% reported to give birth to low birth weight newborns and for controls was 11.7%. Among cases with low birth weight child, 64.9% used drug during pregnancy. Birth control was reported by 81.5% of cases and 92.8% controls. The most common method of contraception was condom among both cases (66%) and controls (31.2%). At least one screening test for cervical cancer was reported by 82.8% of controls and for 47% of cases. Mean age at first sexual intercourse was 15.7 years among cases and 20.9 years among controls. Mean Sexual Performance Scale score was lower among cases (22.3) than controls (25.9) and sexual dysfunction was more prevalent among cases (80.6%) than controls (59.1%).

CONCLUSION

A high prevalence of reproductive health disorders was documented among socially-damaged women as compared to the women from general population.

摘要

背景

研究社会弱势女性的生殖健康规模和范围很重要。本研究旨在检验以下假设：与普通人群相比，社会弱势女性的生殖健康状况更差。

方法

我们在2010年1月至2011年1月期间招募了100例病例和203名对照。病例为从德黑兰社会受损女性社会健康改善中心（社会弱势女性特定中心）寻求护理的社会弱势女性。对照是前往德黑兰健康中心的女性。

结果

病例组和对照组的平均年龄分别为34.1岁和33.8岁。62.9%的病例报告有意外怀孕，而对照组为33%。在社会弱势女性中，50.6%的堕胎报告发生在她们吸毒期间。病例组中，45.7%报告生下低体重新生儿，对照组为11.7%。在低体重儿童的病例中，64.9%在怀孕期间吸毒。81.5%的病例和92.8%的对照报告采取了避孕措施。病例组（66%）和对照组（31.2%）最常用的避孕方法都是避孕套。82.8%的对照和47%的病例报告至少进行过一次宫颈癌筛查。病例组首次性交的平均年龄为15.7岁，对照组为20.9岁。病例组的平均性功能量表得分（22.3）低于对照组（25.9），病例组性功能障碍的患病率（80.6%）高于对照组（59.1%）。