Ibrahim Pendo Mussa, Samwel Ednah Loishiye
Kilimanjaro Christian Medical University College.
East Afr Health Res J. 2023;7(1):1-6. doi: 10.24248/eahrj.v7i1.702. Epub 2023 Jul 12.
Women of reproductive age experience a lower quality of life and considerable morbidity as a result of heavy menstrual bleeding. This issue needs to be addressed to achieve gender equality and permit women and girls to engage in a range of economic activities. In this study, we aimed to determine the prevalence and the most common factors associated with heavy menstrual bleeding.
Cross-sectional study was conducted at a zonal referral hospital in Northern Eastern, Tanzania. Data was extracted from women files who attended the hospital obstetrics and gynaecology clinic retrospectively. Data were analysed using Statistical Package for Social Sciences (SPSS) version 20.0. Descriptive statistics were used to summarize the data. A univariate logistic regression model was fitted to assess the strength of the association between heavy menstrual bleeding and exposure variables.
A total of 162 women aged 15-54 years were enrolled. The prevalence of heavy menstrual bleeding was found to be 24.1%. The following factors were found to be significantly associated with heavy menstrual bleeding; age range of 20-44 years (OR: 0.16;95% CI: 0.02-1.01), hormonal contraceptives (OR: 3.16; 95% CI: 1.15-8.69), having no clots on menstrual blood (OR: 0.19; 95% CI: 0.58-0.651), low haemoglobin level (OR: 5.61; 95% CI: 1.44-21.90), and uterine fibroid (OR: 0.35; 95% CI: 0.17-0.73).
Despite the extreme measurements of Heavy Menstrual Bleeding (HMB) in this study, its prevalence remained high. To spread awareness of HMB and its consequences, we recommend screening the general public and offering health education initiatives.
育龄期女性因月经过多而生活质量下降且发病率较高。为实现性别平等并使妇女和女孩能够参与一系列经济活动，这一问题需要得到解决。在本研究中，我们旨在确定月经过多的患病率及与之相关的最常见因素。
在坦桑尼亚东北部的一家地区转诊医院开展了横断面研究。回顾性地从在该医院妇产科门诊就诊的女性病历中提取数据。使用社会科学统计软件包（SPSS）20.0版对数据进行分析。采用描述性统计来汇总数据。拟合单因素逻辑回归模型以评估月经过多与暴露变量之间关联的强度。
共纳入162名年龄在15至54岁之间的女性。发现月经过多的患病率为24.1%。发现以下因素与月经过多显著相关：年龄范围在20至44岁（比值比：0.16；95%置信区间：0.02 - 1.01）、使用激素避孕药（比值比：3.16；95%置信区间：1.15 - 8.69）、月经血无血块（比值比：0.19；95%置信区间：0.58 - 0.651）、血红蛋白水平低（比值比：5.61；95%置信区间：1.44 - 21.90）以及子宫肌瘤（比值比：0.35；95%置信区间：0.17 - 0.73）。
尽管本研究对月经过多（HMB）进行了极端测量，但其患病率仍然很高。为提高对月经过多及其后果的认识，我们建议对公众进行筛查并开展健康教育活动。
