尼泊尔某农村地区盆腔器官脱垂与生育间隔短之间的关系。
The relationship between pelvic organ prolapse and short birth intervals in a rural area of Nepal.
作者信息
Singh Rupa, Mahat Sandeep, Singh Sonam, Nyamasege Carolyn K, Wagatsuma Yukiko
机构信息
Graduate School of Comprehensive Human Sciences, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan.
Resident Medical Officer, Department of Radiology, Bir Hospital, Kathmandu, Nepal.
出版信息
Trop Med Health. 2021 Jan 15;49(1):5. doi: 10.1186/s41182-021-00298-z.
BACKGROUND
Pelvic organ prolapse (POP) is one of the main contributors to reproductive health problems that affect women's quality of life. Previous studies have reported the risk factors and prevalence of POP. The aim of this study is to examine the association between POP and short birth intervals in a rural area of Nepal.
METHODS
A cross-sectional study was conducted in Panchapuri municipality, located in Surkhet District of Karnali Province in Nepal. A questionnaire was used to collect information on POP, birth intervals, and other known confounding factors, such as age and parity. Multiple logistic regression analysis was used to examine the association between minimum birth intervals and POP.
RESULTS
The study recruited 131 women. The prevalence of POP was 29.8%. The mean (SD) of maternal age was 32.3 (0.7) years. The median parity was 2, with a range of 2-6 children. More than half (64.9%) of the women reported a minimum birth interval of less than 2 years. Maternal age at birth, minimum birth interval, parity, and latest birth interval were significantly associated with POP in univariate analyses. After adjusting for the potential confounding factors such as age and occupation, the minimum birth interval was significantly associated with POP [AOR = 3.08, 95% CI 1.04-9.19].
CONCLUSION
The prevalence of POP was high in this rural area of Nepal. Age, parity, occupation, and minimum birth interval were significantly associated with POP.
背景
盆腔器官脱垂（POP）是影响女性生活质量的生殖健康问题的主要原因之一。以往研究报道了POP的危险因素和患病率。本研究旨在探讨尼泊尔农村地区POP与短生育间隔之间的关联。
方法
在尼泊尔卡纳利省苏尔凯特区的潘查普里市进行了一项横断面研究。采用问卷调查收集有关POP、生育间隔及其他已知混杂因素（如年龄和胎次）的信息。采用多因素logistic回归分析来检验最短生育间隔与POP之间的关联。
结果
该研究招募了131名女性。POP的患病率为29.8%。产妇年龄的均值（标准差）为32.3（0.7）岁。中位胎次为2，子女数范围为2至6个。超过一半（64.9%）的女性报告最短生育间隔小于2年。单因素分析中，生育时的产妇年龄、最短生育间隔、胎次和最近生育间隔与POP显著相关。在调整年龄和职业等潜在混杂因素后，最短生育间隔与POP显著相关[AOR = 3.08，95%CI 1.04 - 9.19]。
结论
尼泊尔这个农村地区POP的患病率较高。年龄、胎次、职业和最短生育间隔与POP显著相关。
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