Boulet Sheree L, Warner Lee, Adamski Alys, Smith Ruben A, Burley Kim, Grigorescu Violanda
1 Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention , Atlanta, Georgia .
2 Division of Health Informatics and Surveillance, Center for Surveillance, Epidemiology and Laboratory Services, Office of Public Health Scientific Services, Centers for Disease Control and Prevention , Atlanta, Georgia .
J Womens Health (Larchmt). 2016 Jun;25(6):565-70. doi: 10.1089/jwh.2016.5899. Epub 2016 May 26.
As the prevalence of chronic conditions among women of reproductive age continues to rise, studies assessing the intersection of chronic disease and women's reproductive health status are increasingly needed. However, many data systems collect only limited information on women's reproductive health, thereby hampering the appraisal of risk and protective factors across the life span. One way to expand the study of women's health with minimal investment in time and resources is to integrate questions on reproductive health into existing surveillance systems. In 2013, previously validated questions on women's self-reported reproductive history, use of contraception, and infertility were added to the Behavioral Risk Factor Surveillance System (BRFSS) by seven states (Connecticut, Kentucky, Massachusetts, Mississippi, Ohio, Texas, and Utah); all female respondents aged 18-50 years were included in the pool of respondents for these state-added questions. Of 8691 women who completed the questions, 13.2% reported ever experiencing infertility and 59.8% of those at risk for unintended pregnancy reported using contraception at last intercourse. The information garnered from the state-added reproductive health questions can be augmented with the BRFSS core questions on health-related risk behaviors, chronic conditions, and use of preventive services. Expanding existing data collection systems with supplemental questions on women's reproductive health can provide important information on risk factors and outcomes that may not be available from other sources.
随着育龄女性慢性病患病率持续上升，越来越需要开展评估慢性病与女性生殖健康状况交叉情况的研究。然而，许多数据系统仅收集关于女性生殖健康的有限信息，从而妨碍了对整个生命周期风险因素和保护因素的评估。以最少的时间和资源投入来扩大女性健康研究的一种方法，是将生殖健康问题纳入现有的监测系统。2013年，七个州（康涅狄格州、肯塔基州、马萨诸塞州、密西西比州、俄亥俄州、得克萨斯州和犹他州）将先前经过验证的关于女性自我报告的生殖史、避孕措施使用情况和不孕情况的问题添加到行为风险因素监测系统（BRFSS）中；所有18至50岁的女性受访者都被纳入这些州添加问题的受访者群体。在完成这些问题的8691名女性中，13.2%报告曾经历不孕，在有意外怀孕风险的女性中，59.8%报告在最后一次性交时使用了避孕措施。从州添加的生殖健康问题中收集到的信息，可以通过BRFSS关于健康相关风险行为、慢性病和预防服务使用情况的核心问题得到补充。用关于女性生殖健康的补充问题扩展现有的数据收集系统，可以提供可能无法从其他来源获得的关于风险因素和结果的重要信息。
