严重的月经出血和与月经特定资源的关联:在低收入和中等收入国家进行的一项跨国横截面研究
Zarmeen Shakil1, Bethany A Caruso1, Madeleine Patrick1
1Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, USA.
财务依赖和时间上的有限控制与严重的月经出血 (HMB) 有关. 改善获得月经资源和负担得起的产品的机会,可以在全球范围内改善女性的月经健康.
科学领域:
- 公共卫生 公共卫生
- 全球健康 全球健康
- 妇女健康 妇女健康
背景情况:
- 严重的月经出血 (HMB) 是一个普遍的全球健康问题,影响妇女的生活质量.
- 尽管HMB的影响很大,但仍未得到充分的研究.
研究的目的:
- 检查HMB和与月经有关的资源之间的关联.
- 在五个国家的城市人口中确定导致HMB的因素.
主要方法:
- 对来自孟加拉国,印度,塞内加尔,乌干达和赞比亚的3962名妇女的家庭调查数据的二次分析.
- 经过验证的尺度 (SAMANTA) 用于评估HMB和月经特定资源 (安全,保安,隐私,财务资产,时间).
- 对人口共变量和聚类进行控制的回归分析.
主要成果:
- 44.7%的参与者经历了HMB.
- 对月经费用的财务依赖和对时间的有限控制与更高的HMB患病率显著相关.
- 使用不适当的月经材料也与增加的HMB相关.
结论:
- 控制财务资源和时间对月经健康至关重要.
- 改善对价格实惠,高质量的月经产品的获取对于城市女性来说至关重要.
- 解决资源差距可以减轻HMB的影响.
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