摘要
目的了解上海市医科女大学生异常子宫出血(AUB)现状及其出血模式构成,为女大学生月经健康提供依据。方法整群抽取上海市某高校医学专业912名女大学生为调查对象,于2021年3月进行月经史及相关因素匿名问卷调查。结果医科女大学生AUB检出率为39.9%,周期紊乱型和非周期紊乱型检出率分别为24.7%和15.2%。在AUB女大学生中,21.7%同时存在2种或3种月经异常症状。多因素Logistic回归分析显示,睡眠质量较差/差的女大学生检出周期紊乱型AUB(OR=2.05)和非周期紊乱型AUB(OR=2.00)的风险均增加;低体质量指数(BMI)(OR=1.66)、体重时增时减(OR=1.76)与周期紊乱型AUB风险增加有关;经常失眠(OR=2.45)与非周期紊乱型AUB风险增加均有关(P值均<0.05)。结论女大学生AUB常见,且存在多种出血模式共存的现象,周期紊乱型和非周期紊乱型AUB的影响因素存在差异,睡眠质量可能是共同的影响因素。
Objective To understand the prevalence and pattern of abnormal uterine bleeding(AUB)among female medical college students in Shanghai,to provide a basis for menstrual health intervention for female college students.Methods A total of 912 female medical students from a university in Shanghai were selected through cluster sampling.An anonymous questionnaire survey on menstrual history and related factors was conducted in March 2021.Results The prevalence of AUB among female medical college students was 39.9%,with cycle-disordered and non-cycle-disordered AUB of 24.7%and 15.2%,respectively.Among female college students with AUB,21.7%had two or three abnormal menstrual symptoms.Multivariate Logistic analysis showed that sleep quality was associated with both types of AUB,and female undergraduates with poorer and poor sleep quality were at increased risk of both cyclic-disordered AUB(OR=2.05)and non-cyclic-disordered AUB(OR=2.00).Low BMI(OR=1.66)and weight gain and loss(OR=1.76)were associated with cycle-disordered AUB.Frequent insomnia(OR=2.45)was associated with non-cyclic-disordered AUB(P<0.05).Conclusion Abnormal uterine bleeding(AUB)is common in female college students,female medical college students with AUB have multiple concurrent abnormal bleeding patterns.Factors associated with AUB varied according to the type of AUB,with sleep quality correlates with both types of AUB.
作者
陆璇
肖彤彤
尤小芳
谭晖
钱序
LU Xuan;XIAO Tongtong;YOU Xiaofang;TAN Hui;QIAN Xu(School of Public Health,Fudan University/Key Laboratory of Public Health Safety of Ministry of Education,Shanghai(200032),China)
出处
《中国学校卫生》
CAS
北大核心
2023年第1期110-114,共5页
Chinese Journal of School Health
基金
上海市第五轮公共卫生体系建设三年行动计划重点学科项目(GWV-10.1-XK08)。
