Kebede Berhanu Negese, Hayelom Desta Haftu, Birgoda Gebremaryam Temesgen, Yimer Awol Arega, Mesfin Bezawit Afework, Tetema Mesfin Difer, Alemu Solomon Seyife, Getahun Kassaw Beyene
Department of Midwifery, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
School of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.
Front Urol. 2023 Sep 11;3:1196925. doi: 10.3389/fruro.2023.1196925. eCollection 2023.
Globally, millions of women develop pelvic floor disorder. It imposes a considerable emotional, social, and financial burden on women's lives. Despite this, in developing countries, nearly half of women with pelvic floor disorder do not seek any help due to feelings of isolation, depression, shame, and loss of control. Thus, the magnitude of the problem is largely unknown. The aim of this study was to assess the prevalence of pelvic floor disorder and associated factors among women at Arba Minch Health and Demographic surveillance site.
A cross-sectional study with a simple random sampling technique was employed on a community basis. The data were entered into EpiData version 3.1 and then exported to Statistical Package for Social Sciences version 25 for data cleaning and analysis. Bivariate and multivariable analyses using binary logistic regressions were carried out to identify factors associated with pelvic floor disorder. The level of significance was declared at a -value of < 0.05.
The prevalence of pelvic floor disorder was 31.4% (95% CI = 26.9% to 35.8%). Being grand multiparous (AOR = 3.919, 95% CI = 1.495-10.276), having a history of instrumental delivery (AOR = 3.042, 95% CI = 1.483 to 6.241), having a history of perianal tearing (AOR = 2.972, 95% CI = 1.491 to 5.927), and having a medical disease (AOR= 2.698, 95% CI = 1.526 to 4.770) were factors associated with pelvic floor disorder.
The prevalence of pelvic floor disorder was high in the study area. Parity, instrumental delivery, perianal tears, and medical problems were factors affecting the prevalence of pelvic floor disorder. There is a need for an improvement of policies and strategies focusing on prevention and treatment services to alleviate the problem.
在全球范围内，数百万女性患有盆底功能障碍。这给女性的生活带来了相当大的情感、社会和经济负担。尽管如此，在发展中国家，近一半患有盆底功能障碍的女性由于感到孤立、抑郁、羞耻和失去控制感而未寻求任何帮助。因此，该问题的严重程度在很大程度上尚不明确。本研究的目的是评估阿尔巴明奇健康与人口监测点女性盆底功能障碍的患病率及相关因素。
采用基于社区的简单随机抽样技术进行横断面研究。数据录入EpiData 3.1版本，然后导出到社会科学统计软件包25版本进行数据清理和分析。使用二元逻辑回归进行双变量和多变量分析，以确定与盆底功能障碍相关的因素。显著性水平设定为P值<0.05。
盆底功能障碍的患病率为31.4%（95%置信区间=26.9%至35.8%）。多产（调整后比值比[AOR]=3.919，95%置信区间=1.495 - 10.276）、有器械助产史（AOR = 3.042，95%置信区间=1.483至6.241）、有肛周撕裂史（AOR = 2.972，95%置信区间=1.491至5.927）以及患有内科疾病（AOR = 2.698，95%置信区间=1.526至4.770）是与盆底功能障碍相关的因素。
研究区域内盆底功能障碍的患病率较高。产次、器械助产、肛周撕裂和内科问题是影响盆底功能障碍患病率的因素。需要改进侧重于预防和治疗服务的政策和策略，以缓解该问题。
