Abstract

Objective To discuss the influence factors of abnormal uterine bleeding in adolescents in Jingzhou area, Hubei Province, in order to reduce the incidence rate of abnormal uterine bleeding in adolescents. Methods A total of 5 000 junior high school girls, aged 12-16 years old, were randomly chosen from 13 middle schools in Jingzhou area during November 2012 to May 2013. All of the 5 000 girls completed two self-designed questionnaires (Questionnaire on Menstruation Situation in Adolescent Girls and Influence of Psychological Factors on Abnormal Uterine Bleeding in Adolescents). Questionnaire on Menstruation Situation in Adolescent Girls included the following items: general information (age, family address, body height and weight), menstrual status (menarche age, menstrual cycle, menstrual period, menstrual quantity), and other factors (living environment, menstrual nursing, health situation and nutrition). Influence of Psychological Factors on Abnormal Uterine Bleeding in Adolescents mainly focused on psychological factors. Results A total of 5 000 questionnaires were distributed and 4 564 effective questionnaires were collected (436 girls without menstruation). The effective rate of questionnaires was 91.28%. According to the questionnaire results, the incidence rate of abnormal uterine bleeding in adolescents was 47.69% (2 177/4 564). There was no significant difference of incidence rates of abnormal uterine bleeding in adolescents among different living environments (χ2=4.08, P>0.05). There were significant differences of incidence rates of abnormal uterine bleeding among different health situation, menstrual nursing and psychological pressure (χ2=13.39, 12.82, 10.43; P<0.05). Health situation, menstrual nursing and psychological pressure were risk factors for abnormal uterine bleeding in adolescents (OR=3.65, 95%CI: 2.53-4.34, P<0.05; OR=0.97, 95%CI: 0.86-1.09, P<0.05; OR=0.57, 95%CI: 0.33-0.64, P<0.05). Conclusion Moderate exercises, balanced nutrition, good mentality and menstrual nursing can promote women's reproductive health. Key words: Puberty; Uterine hemorrhage; Factor analysis, statistical

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