Bahçelievler District Health Directorate, İstanbul, Turkey.
Public Health Department, Faculty of Medicine, Eskisehir Osmangazi University, Eskisehir, Turkey.
BMC Womens Health. 2024 Sep 11;24(1):503. doi: 10.1186/s12905-024-03348-w.
This study aimed to determine the prevalence of chronic pelvic pain(CPP) in refugee and non-refugee women, determine the factors associated with CPP, and evaluate the effect of CPP on life quality.
This was a cross-sectional study conducted among 283 non-refugee and 278 refugee women in Turkey. A questionnaire including questions assessing chronic pelvic pain and related factors, World Health Organization Quality of Life Scale Short Form(WHOQOL-BREF), Depression Anxiety Stress Scale-21, were administered to the participants. Chi-square test, Mann-Whitney U test and multiple logistic regression analysis were used for statistical analysis.
The prevalence of chronic pelvic pain was 41.0% in refugee women and 19.1% in non-refugee women (p< 0.001). The prevalence of CPP was 1.68 times higher in refugee women than in non-refugee women (OR;95%CI:1.68;1.01-2.81). In the multivariate analysis performed in the study group, refugee status, low family income status(OR;95%CI:2.09;1.26-3.46), low back pain(OR;95%CI:2.02;1.21-3.35), dyspareunia (OR; 95%CI:2.96;1.75-4.99), number of three or more miscarriages (OR;95%CI:3.07;1.18-8.01), history of gynaecological surgery (OR;95%CI:2.44;1.33-4.50), diarrhea (OR;95%CI:2.01;1.07-3.76), urinary tract infections(OR; 95%CI:1.66;1.02-2.71) and anxiety(OR; 95%CI:1.17;1.10-1.24) were found to be risk factors for CPP. In the refugee and non-refugee groups, those with CPP had lower scores in all subdomains of the WHOQOL-BREF scale than those without CPP (p < 0.05).
Refugee status independently contributes to the risk of developing CPP. Targeted interventions to address CPP and its associated risk factors are needed, particularly in vulnerable refugee populations, to improve their quality of life.
本研究旨在确定慢性盆腔痛（CPP）在难民和非难民女性中的流行率，确定与 CPP 相关的因素，并评估 CPP 对生活质量的影响。
这是一项在土耳其进行的 283 名非难民和 278 名难民女性的横断面研究。向参与者发放包括评估慢性盆腔痛和相关因素的问卷、世界卫生组织生活质量量表简表（WHOQOL-BREF）、抑郁焦虑压力量表-21。采用卡方检验、Mann-Whitney U 检验和多因素 logistic 回归分析进行统计学分析。
难民女性慢性盆腔痛的患病率为 41.0%，非难民女性为 19.1%（p<0.001）。难民女性 CPP 的患病率是非难民女性的 1.68 倍（OR；95%CI：1.68；1.01-2.81）。在研究组进行的多因素分析中，难民身份、低收入家庭状况（OR；95%CI：2.09；1.26-3.46）、腰痛（OR；95%CI：2.02；1.21-3.35）、性交痛（OR；95%CI：2.96；1.75-4.99）、三次或更多次流产史（OR；95%CI：3.07；1.18-8.01）、妇科手术史（OR；95%CI：2.44；1.33-4.50）、腹泻（OR；95%CI：2.01；1.07-3.76）、尿路感染（OR；95%CI：1.66；1.02-2.71）和焦虑（OR；95%CI：1.17；1.10-1.24）被认为是 CPP 的危险因素。在难民和非难民组中，有 CPP 的患者在 WHOQOL-BREF 量表的所有子领域的得分均低于无 CPP 的患者（p<0.05）。
难民身份独立增加 CPP 的发病风险。需要针对 CPP 及其相关危险因素进行有针对性的干预，特别是在弱势难民群体中，以提高他们的生活质量。
