生殖年龄的异常子宫出血:巴西五个地理区域之间的比较分析
Gabriela Pravatta Rezende1, Daniela Angerame Yela Gomes1, Cristina Laguna Benetti-Pinto1
1Universidade Estadual de Campinas, School of Medical Sciences, Department of Obstetrics and Gynecology - Campinas (SP), Brazil.
概括
异常子宫出血 (AUB) 在巴西北部和东北部地区更为常见,影响社会经济地位较低的女性. AUB显著影响生活质量,需要有针对性的健康干预措施.
科学领域:
- 生殖健康 生殖健康
- 公共卫生 公共卫生
- 妇科 妇科医生 妇科
背景情况:
- 异常子宫出血 (AUB) 是一个常见的妇科问题,具有重大公共卫生影响.
- 在获得医疗保健的区域差异和社会经济因素可能会影响巴西的AUB流行和管理.
研究的目的:
- 对巴西五个地理区域的女性中异常子宫出血 (AUB) 和相关因素的患病率进行比较评估.
- 确定AUB的区域差异及其对妇女生活质量的影响.
主要方法:
- 这是一项以人口为基础,多中心的横截面研究,涉及巴西五个地区的生育年龄妇女.
- 通过个人,社会经济和子宫出血特征 (自我感知和客观数据) 的问卷收集数据.
主要成果:
- 根据地区,AUB的患病率差异很大,在北方 (37.56%) 和东北地区 (39.46%) 患病率最高,在中西部 (21.54%) 患病率最低.
- 在北方和东北地区,AUB更为普遍,与更低的购买力,更高的怀孕率和更大的女性财务责任有关.
- 超过一半的女性报告说,由于出血而导致的生活质量恶化,不管AUB的自我感知如何,许多人没有接受治疗.
结论:
- 在巴西,AUB患病率存在区域差异,北部和东北部的患病率更高.
- 在所有地区,AUB对妇女的生活质量产生了负面影响,强调需要改进管理策略.
- 这些发现可以指导卫生管理人员制定针对异常子宫出血的有针对性的干预措施.
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