Shephard Steven N, Mamven Oluwatobi V, Lee Eunjin, Lengmang Sunday J
Evangel VVF Centre, Bingham University Teaching Hospital, Jos, Plateau State, Nigeria.
Int Urogynecol J. 2019 Feb;30(2):307-312. doi: 10.1007/s00192-018-3729-9. Epub 2018 Aug 1.
Marital disruption is a commonly identified sequela of genital fistula in developing countries. This study is aimed at identifying factors that correlate with marital outcomes.
All new patients presenting to Evangel VVF Centre in Jos, Nigeria, between August 2015 and August 2017, were retrospectively reviewed with regard to demographics, medical history, and fistula details to identify variables correlating with marital status, particularly whether currently married or presently divorced, separated, or divorced and remarried (cumulatively the "divorce group").
Among 581 new patients, 66% were married and 18% experienced marital disruption. Presence of living children in the home and having attended any level of formal education were found to be protective of marriage (p values <0.0001 and 0.0045 respectively). Patients in the divorce group were more likely to have delivered a baby before the age of 18, be of Muslim background, and have a longer time since fistula formation (p values all <0.0001), as were those married younger than 18 and those whose fistula followed a vaginal delivery (p values 0.0015 and 0.0017 respectively).
Several factors correlate with disruption of the marriage relationship. Patients at highest risk for marital disruption should be identified early and provided with interventions aimed at protecting their marriage and social support system.
在发展中国家，婚姻破裂是公认的生殖瘘后遗症。本研究旨在确定与婚姻结局相关的因素。
对2015年8月至2017年8月期间在尼日利亚乔斯的伊芙琳生殖瘘中心就诊的所有新患者进行回顾性研究，内容包括人口统计学、病史和瘘管详细信息，以确定与婚姻状况相关的变量，特别是当前已婚或目前已离婚、分居、丧偶或离婚后再婚（累计为“离婚组”）。
在581名新患者中，66%已婚，18%经历了婚姻破裂。家中有存活子女以及接受过任何程度的正规教育被发现对婚姻有保护作用（p值分别<0.0001和0.0045）。离婚组的患者更有可能在18岁之前生育、具有穆斯林背景，并且自瘘管形成以来的时间更长（p值均<0.0001），18岁之前结婚的患者以及瘘管发生在阴道分娩后的患者也是如此（p值分别为0.0015和0.0017）。
有几个因素与婚姻关系破裂相关。应尽早识别婚姻破裂风险最高的患者，并为其提供旨在保护其婚姻和社会支持系统的干预措施。
