Faculty of Nursing, University of Iceland, Reykjavík, Iceland.
Surgical Services, Landspitali University Hospital, Reykjavík, Iceland.
J Clin Nurs. 2018 Feb;27(3-4):e503-e513. doi: 10.1111/jocn.14049. Epub 2017 Oct 23.
To explore young women's health-related quality of life (HRQOL) and investigate whether menstrual and menarche experiences and objectification predict mental and physical health components of HRQOL.
Menstruation plays a fundamental role in female biology, in women's relationship to their bodies and consequently in women's health and their HRQOL.
Cross-sectional explorative survey design.
A questionnaire that included the SF-36v2, the Self-objectification Questionnaire (SOQ), the Body Surveillance and Body Shame subscales of the Objectified Body Consciousness Scale, the Belief and Attitudes Towards Menstruation Questionnaire (four subscales), and questions on menarche and menstruation was administered at the end of 2013 to 319 Icelandic women who represented the population by age. The SF-36v2 includes eight dimensions addressing the mental and physical components of HRQOL. Scores are presented as raw data scores and scores based on standardised score of American women and range from 0 to 100 with higher scores indicating better HRQL. A hierarchical multiple linear regression model was employed to calculate significant predictors of mental and physical health components of HRQOL.
Mean raw data scores on SF36-v2 dimensions ranged from 54.7 to 91.5. The participants scored below the standardised, mean norm-based score for all dimensions. Secrecy of menstruation, experience of body shame and pain during menstruation predicted worse mental HRQOL. To believe in the proscriptive role and the unpleasantness of menstruation, experience of body shame, medication for menstrual pain and not holding a university education predicted worse physical HRQOL. These two models explained 30% and 22% of the variance of the mental and physical components of SF36-v2, respectively.
Young women's mental and physical HRQOL is influenced by the specific context of their lives.
Women's health education should take into account the various relationships women may have with their bodies.
探索年轻女性的健康相关生活质量（HRQOL），并研究月经和初潮经历以及客观化是否预测 HRQOL 的心理和身体健康成分。
月经在女性生物学中起着至关重要的作用，影响着女性与身体的关系，进而影响女性的健康和 HRQOL。
横断面探索性调查设计。
2013 年底，向 319 名冰岛女性发放了一份包含 SF-36v2、自我客观化问卷（SOQ）、客观身体意识量表的身体监测和身体羞耻分量表、关于月经的信念和态度问卷（四个分量表）以及初潮和月经问题的问卷。SF-36v2 包括 8 个维度，涵盖 HRQOL 的心理和身体健康成分。得分以原始数据得分和基于美国女性标准化得分的得分呈现，范围为 0 到 100，得分越高表示 HRQL 越好。采用分层多元线性回归模型计算 HRQOL 心理和身体健康成分的显著预测因子。
SF36-v2 维度的平均原始数据得分范围为 54.7 到 91.5。参与者在所有维度上的得分均低于标准化的基于均值的常模得分。对月经的保密性、身体羞耻感和月经期间的疼痛经历预测了较差的心理健康 HRQOL。相信月经的规定作用和不愉快、身体羞耻感、月经疼痛药物治疗以及没有接受大学教育预测了较差的身体健康 HRQOL。这两个模型分别解释了 SF36-v2 心理和身体成分的 30%和 22%的方差。
年轻女性的心理健康和身体健康 HRQOL 受到其生活具体情况的影响。
妇女健康教育应考虑妇女与身体可能存在的各种关系。
