摘要
目的探讨广东省21市育龄女性生育力危险因素暴露现状与卵巢储备功能认知度相关性。方法采用横断面研究,分层抽样选取广东省2个副省级市及19个地级市常住居民中2533名20~40岁智力正常女性作为调查对象。采用问卷调查法收集调查对象的社会人口学特征、生育力危险因素暴露情况和卵巢储备功能认知度信息,并对数据进行统计分析。结果不同年龄段及不同学历调查对象的生育力危险因素暴露条数差异均具有统计学意义(P<0.05),其中36~40岁年龄段调查对象和大专及以下学历的调查对象生育力危险因素暴露条数最多。在影响生育力的危险因素中,痛经是暴露率最高的生殖因素(54.84%),其次为月经周期不规律(35.69%),第3位为月经周期>35d(17.77%);生活方式因素中,体质指数>24kg/m2是暴露率最高的因素(9.55%),其次为压力(9.51%)。调查对象的卵巢储备功能认知度得分为(40.23±13.79)分。多元逐步回归结果显示:年龄、卵巢储备功能认知度分数联合可解释因变量的26.9%,其中,卵巢储备功能认知度分数的Beta值为-0.501,年龄的Beta值为0.094,说明卵巢储备功能认知越差、年龄越大的调查对象有更多的生育力危险因素暴露(P<0.05)。结论提高卵巢储备功能相关知识的认知水平可以帮助育龄女性增强自我保健意识,调整生活方式,减少生育力危险因素的暴露,实现最佳的生殖健康。
Objective To investigate the correlation between current exposure to fertility risk factors and the awareness of ovarian reserve function among women of reproductive age in 21 cities in Guangdong province.Methods A cross-sectional study was conducted using a stratified sample of 2533 women aged 20-40 years with normal intelligence among the permanent residents of 2 sub-provincial cities and 19 prefecture-level cities in Guangdong province as surveysubjects.A questionnaire was used to collect information on the sociodemographic characteristics,exposure to fertility risk factors and ovarian reserve function awareness of the respondents,and the data were statistically analyzed.Results The differences in the number of exposures to risk factors for fertility were statistically significant(P<0.05)among the respondents of different age groups and different education levels,with the highest number of exposures to risk factors for fertility among the respondents in the age group of 36-40 years and those with college education and below.Among the risk factors affecting fertility,dysmenorrhea was the most exposed reproductive factor(54.84%),followed by irregular menstrual cycle(35.69%),and the third highest was menstrual cycle>35 d(17.77%);among the lifestyle factors,body mass index>24 kg/m2 was the most exposed factor(9.55%),followed by stress(9.51%).The ovarian reserve function awareness score of the survey respondents was 40.23±13.79.The results of multiple stepwise regression showed that age and ovarian reserve function awareness scores jointly explained 26.9%of the dependent variables,with a Beta value of-0.501 for ovarian reserve function awareness scores and 0.094 for age indicating that survey respondents with poorer ovarian reserve function awareness and older age had more exposure to fertility risk factors(P<0.05).Conclusion Improving the level of knowledge related to ovarian reserve function can help women of reproductive age to enhance their self-care awareness,adjust their lifestyle,reduce exposure to fertility risk factors,and achieve optimal reproductive health.
作者
郭雯雯
苏丽嬛
何可人
Guo Wenwen;Su Lihuan;He Keren(Zhaoqing Medical College of Higher Education,Zhaoqing Guangdong 526040,China;Shenzhen Institute of Vocational Technology,Shenzhen Guangdong 518055,China)
出处
《保健医学研究与实践》
2021年第3期50-54,59,共6页
Health Medicine Research and Practice
基金
2018年肇庆市科技创新类指导项目(201804030903)
2018年度广东省普通高校重点科研平台和科研项目(2018GkQNCX124)
关键词
生育力
卵巢储备功能
认知度
影响因素
Fertility
Ovarian reserve function
Awareness
Influencing factors
作者简介
第一作者:郭雯雯,E-mail:383178461@qq.com;通信作者:苏丽嬛,E-mail:fck08@126.com。
