Milaat Waleed Abdullah, Ibrahim Nahla Khamis, Albar Hussain Mohammed
Nahla Khamis Ibrahim, Department of Family and Community Medicine, King Abdulaziz University Faculty of Medicine,, Jeddah 21551, Saudi Arabia, M: +966501632237,
Ann Saudi Med. 2018 Mar-Apr;38(2):81-89. doi: 10.5144/0256-4947.2018.81.
Improving the reproductive health of females has be.come the focus of the developmental efforts of many nations.
To identify the reproductive health style of married females, and to determine the prevalence and predictors of circumcision among girls aged less than or equal 18 years in Hali semi-urban region.
A cross-sectional household survey SETTING: Houses in Hali, Al-Qunfudhah governorate, western Saudi Arabia during 2017.
A multistage systematic cluster random sampling method was used to select participants. A validated questionnaire was used in interviewing the head of the selected houses.
Reproductive health profile of women, and circumcision of girls.
365 households.
Reproductive life starts early in the Hali region as 41.4% of women are married at or before 18 years of age. Consanguinity was recorded in 57.0% of houses. The prevalence of grand multiparity (GMP) was 54.7%; it was significantly associated with current maternal age, age at marriage, low educational levels of both parents and husbands with non-professional jobs. Current use of birth control methods was reported by 28.9% of families, and oral contraceptives (OCs) were the commonest method. Contraceptive use was significantly associated with higher educational levels of both parents and with women having professional work. The prevalence of circumcision was 80.3%. Circumcision was most frequent (59.4%) at age 7 years or less, and almost always done by doctors (91.4%). Hemorrhage (2.9%) and fever (2.3%) were the minimal recorded complications. Girls with higher parental education, enough income, no parental consanguinity, and whose mothers married at an older age had slightly lower rates of circumcision, but the difference was without statistical significance.
The pattern of early female marriage, high consanguinity, GMP, low contraceptive use, and a high frequency of circumcision in girls was apparent in Hali. Public health education and legislative policies are needed.
Recall bias may affect the reported frequency of circumcision, and related complications.
None.
改善女性生殖健康已成为许多国家发展努力的重点。
确定已婚女性的生殖健康模式，并确定沙特阿拉伯西部哈利半城市地区18岁及以下女孩的割礼患病率及预测因素。
横断面家庭调查
2017年期间沙特阿拉伯西部宰赫兰省哈利的房屋。
采用多阶段系统整群随机抽样方法选取参与者。使用经过验证的问卷对所选房屋的户主进行访谈。
女性生殖健康状况以及女孩割礼情况。
365户家庭。
哈利地区女性的生殖生活开始得较早，41.4%的女性在18岁及之前结婚。57.0%的家庭存在近亲结婚情况。多产（GMP）患病率为54.7%；它与当前产妇年龄、结婚年龄、父母和丈夫教育水平低以及丈夫从事非专业工作显著相关。28.9%的家庭报告目前使用避孕方法，口服避孕药（OCs）是最常用的方法。避孕措施的使用与父母较高的教育水平以及女性从事专业工作显著相关。割礼患病率为80.3%。割礼在7岁及以下最为常见（59.4%），几乎总是由医生进行（91.4%）。记录到的并发症最少的是出血（2.9%）和发烧（2.3%）。父母教育程度较高、收入充足、无父母近亲结婚且母亲结婚年龄较大的女孩割礼率略低，但差异无统计学意义。
哈利地区女性早婚、近亲结婚率高、多产、避孕措施使用率低以及女孩割礼率高的模式明显。需要开展公共健康教育和制定立法政策。
回忆偏倚可能会影响报告的割礼频率及相关并发症。
无。
