College of Public Health and Health Professions.
J Minim Invasive Gynecol. 2013 Nov-Dec;20(6):811-8. doi: 10.1016/j.jmig.2013.05.003. Epub 2013 Aug 24.
To describe rates of pelvic pain in university women ages 18 and older and to explore the barriers to adequate health care for pelvic pain in this population.
A cross-sectional study (Canadian Task Force classification II-2).
University of Florida, Gainesville, FL.
A total of 2000 female students at the University of Florida were randomly selected for participation.
The 2000 sample members were sent a questionnaire to be completed online.
The online questionnaire was hosted through the REDCap electronic data capture tool hosted at the University of Florida. This questionnaire included demographic items, general health and health behavior questions, measures to assess different types of pelvic pain (e.g., dysmenorrheal; dyspareunia; urinary, bowel, and vulvar pain), items regarding barriers to care for pelvic pain problems, and quality of life measures. Data were exported to SAS software (SAS Institute Inc., Cary, NC) for analysis. Of the 2000 subjects who received the questionnaire invitation, 390 filled out the questionnaire, yielding a response rate of 19.5%. Respondents' ages ranged from 18 to 62 with a mean of 23 years. A total of 72.8% of respondents reported experiencing pelvic pain over the past 12 months. Dysmenorrhea was reported by nearly 80% of participants, over one third of participants noted deep dyspareunia, and a significant proportion of participants reported symptoms related to bowel movements. Vulvar symptoms, including superficial dyspareunia, were reported by 21.5% of participants. Most participants with pelvic pain (78.8%) have not received any diagnosis for their pain, whereas 73.6% reported not yet having visited a doctor. Significant barriers to receiving adequate medical care were reported, including difficulty with insurance coverage and physicians' lack of time and knowledge or interest in chronic pelvic pain conditions.
Pelvic pain in younger women is a critical public health issue experienced by a significant portion of the population. Significant awareness deficits and barriers to care exist. Careful study of the barriers to receiving adequate medical care reported by these women will allow researchers to describe how best to improve care for these syndromes.
描述年龄在 18 岁及以上的大学女性中盆腔疼痛的发生率，并探讨该人群中盆腔疼痛充分治疗的障碍因素。
横断面研究（加拿大任务组分类 II-2）。
佛罗里达大学，盖恩斯维尔，佛罗里达州。
随机选择了 2000 名佛罗里达大学的女性学生参与这项研究。
这 2000 名样本成员被发送了一份在线完成的问卷。
在线问卷通过 REDCap 电子数据采集工具托管在佛罗里达大学。该问卷包括人口统计学项目、一般健康和健康行为问题、评估不同类型盆腔疼痛（例如痛经；性交痛；尿、肠和外阴疼痛）的措施、关于盆腔疼痛问题治疗障碍的项目，以及生活质量措施。数据被导出到 SAS 软件（SAS Institute Inc.， Cary，NC）进行分析。在收到问卷邀请的 2000 名受试者中，有 390 人填写了问卷，应答率为 19.5%。受访者的年龄从 18 岁到 62 岁不等，平均年龄为 23 岁。72.8%的受访者报告在过去 12 个月中经历过盆腔疼痛。近 80%的参与者报告有痛经，超过三分之一的参与者有深部性交痛，相当一部分参与者报告与排便相关的症状。外阴症状，包括浅部性交痛，21.5%的参与者有此症状。大多数有盆腔疼痛（78.8%）的患者没有接受过任何疼痛诊断，而 73.6%的患者报告尚未去看医生。报告存在明显的获得充分医疗服务的障碍因素，包括保险覆盖的困难以及医生缺乏时间、对慢性盆腔疼痛疾病缺乏了解或兴趣。
年轻女性的盆腔疼痛是一个严重的公共卫生问题，影响了很大一部分人群。存在明显的意识不足和治疗障碍。仔细研究这些女性报告的获得充分医疗服务的障碍因素，将使研究人员能够描述如何更好地改善这些综合征的治疗。
