印度子宫切除术的患病率和决定因素
Dejalin Rout1, Abhinav Sinha1, Subrata Kumar Palo1
1ICMR-Regional Medical Research Centre, Bhubaneswar, Bhubaneswar, 751023, Odisha, India.
Scientific reports
|September 4, 2023
概括
印度子宫切除术的患病率为11.35%,过度的月经出血和纤维瘤是主要的驱动因素. 城市,富裕和工作的妇女,以及患有某些非传染性疾病的妇女,患病率更高,需要有针对性的卫生干预措施.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 妇女健康 妇女健康
背景情况:
- 像印度这样的低收入和中等收入国家 (LMICs) 的子宫切除率上升是一个越来越令人担忧的问题.
- 有限的国家级数据存在于印度的子宫切除率及其决定因素.
- 迫切需要基于证据的见解,以告知公共卫生政策和计划.
研究的目的:
- 估计印度子宫切除术的全国患病率.
- 确定与子宫切除相关的社会人口和临床决定因素.
主要方法:
- 使用印度长度衰老研究 (LASI),2017-2018年的数据进行观测分析.
- 包括38154名年龄超过18岁的女性.
- 多变量后勤回归模型用于评估关联,调查权重考虑研究设计的复杂性.
主要成果:
- 整体子宫切除术的患病率为11.35%.
- 主要原因被确定为过度月经出血和子宫肌瘤.
- 重要决定因素包括城市居住,其他落后阶级 (OBC) 地位,工作妇女,富裕群体以及与癌症,糖尿病,高血压和关节疾病的关联.
结论:
- 印度的子宫切除术患病率很大,需要注意.
- 针对性健康促进对于城市居民,富裕女性和BMI较高的人来说至关重要.
- 在健康计划中,建议采取一贯的方法,优先考虑女性的整体福祉,超越生殖年龄.
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