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埃塞俄比亚东部哈拉马亚大学学生痛经患病率及相关因素

Prevalence of Dysmenorrhea and Associated Factors Among Haramaya University Students, Eastern Ethiopia.

作者信息

Mesele Tiruye Tilahun, Dheresa Merga, Oljira Lemessa, Wakwoya Elias Bekele, Gemeda Getu Megersa

机构信息

School of Midwifery, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.

School of Nursing and Midwifery, College of Health and Medical Science, Haramaya University, Haramaya, Ethiopia.

出版信息

Int J Womens Health. 2022 Apr 12;14:517-527. doi: 10.2147/IJWH.S333447. eCollection 2022.

Abstract

PURPOSE

Dysmenorrhea is the most common gynecological problem among adolescents and a common cause of school absenteeism. Previously, there was no study conducted on prevalence of dysmenorrhea and associated factors among university students in Ethiopia. Therefore, the aim of this study was to assess prevalence and associated factors of dysmenorrhea among Haramaya university undergraduate regular students in Eastern Ethiopia.

MATERIALS AND METHODS

An institution-based cross-sectional study design was conducted from February to March 2020. A multistage random sampling technique was applied and a total of 569 participants were included into the study. The total sample size was proportionally allocated based on the total number of students in each departments, and simple random sampling technique was employed to select participants. The data were entered to EPI‑info version 3.5.4 and then exported to Statistical Package for Social Science version 23.0 software for analysis. The associations between independent variables and outcome variable were explored using bivariate and multivariable logistic regression models. The results of these analysis were reported as odds ratios with 95% confidence intervals.

RESULTS

The prevalence of dysmenorrhea in this study was 356 (64.7%) 95% CI [60.7%, 68.7%]. Premenstrual syndrome (AOR = 5.20:95% CI [2.82, 9.61]), early menarche (AOR = 4.67:95% CI [2.33, 9.37]), history of anxiety (AOR = 4.08:95% CI [2.31, 7.19]), taking of ≥4 glass of tea per day (AOR = 5.69:95% CI [1.49, 21.77]), usually eating fat and oil (AOR = 2.03:95% CI [1.15, 3.59]) and usual use of meat food (AOR = 3.61:95% CI [2.03, 6.39]) were positively and independently associated with the occurrence of dysmenorrhea.

CONCLUSION

Dysmenorrhea was a common problem among Haramaya University female students. History of anxiety, early menarche, premenstrual syndrome, tea consumption, usual use of fat and oil containing food and usual use of meat food were significantly associated to dysmenorrhea. We recommend Haramaya University to provide accessible and appropriate medical treatment and counseling service for dysmenorrhea affected students.

摘要

目的

痛经是青少年中最常见的妇科问题,也是缺课的常见原因。此前,埃塞俄比亚尚未对大学生痛经的患病率及相关因素进行研究。因此,本研究的目的是评估埃塞俄比亚东部哈拉马亚大学本科正规学生中痛经的患病率及相关因素。

材料与方法

于2020年2月至3月进行了一项基于机构的横断面研究设计。采用多阶段随机抽样技术,共纳入569名参与者。总样本量根据各系学生总数按比例分配,并采用简单随机抽样技术选择参与者。数据录入EPI-info 3.5.4版本,然后导出到社会科学统计软件包23.0版本进行分析。使用双变量和多变量逻辑回归模型探讨自变量与结果变量之间的关联。这些分析结果以比值比和95%置信区间的形式报告。

结果

本研究中痛经的患病率为356例(64.7%),95%置信区间为[60.7%,68.7%]。经前综合征(调整后比值比=5.20:95%置信区间[2.82,9.61])、初潮早(调整后比值比=4.67:95%置信区间[2.33,9.37])、焦虑史(调整后比值比=4.08:95%置信区间[2.31,7.19])、每天饮用≥4杯茶(调整后比值比=5.69:95%置信区间[1.49,21.77]))、通常食用油脂类食物(调整后比值比=2.03:95%置信区间[1.15,3.59])以及通常食用肉类食物(调整后比值比=3.61:95%置信区间[2.03,6.39])与痛经的发生呈正相关且独立相关。

结论

痛经是哈拉马亚大学女生中的常见问题。焦虑史、初潮早、经前综合征、饮茶、通常食用含油脂食物以及通常食用肉类食物与痛经显著相关。我们建议哈拉马亚大学为痛经学生提供可及且适当的医疗和咨询服务。

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