| Title | Heavy menstrual bleeding among women aged 18-50years living in Beijing, China: prevalence, risk factors, and impact on daily life |
| Authors | Ding, Chengyi Wang, Jing Cao, Yu Pan, Yuting Lu, Xueqin Wang, Weiwei Zhuo, Lin Tian, Qinjie Zhan, Siyan |
| Affiliation | UCL, Res Dept Epidemiol & Publ Hlth, London, England Royal Childrens Hosp, Murdoch Childrens Res Inst, Parkville, Vic 3052, Australia Peking Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Beijing, Peoples R China Capital Med Univ, Beijing Anding Hosp, Natl Clin Res Ctr Mental Disorders, Beijing, Peoples R China Capital Med Univ, Beijing Anding Hosp, Beijing Key Lab Mental Disorders, Beijing, Peoples R China Chinese Acad Med Sci, Dept Obstet & Gynecol, Peking Union Med Coll Hosp, Peking Union Med Coll, Beijing, Peoples R China |
| Keywords | China Cross-sectional study Heavy menstrual bleeding Prevalence Quality of life Risk factors |
| Issue Date | 2019 |
| Publisher | BMC WOMENS HEALTH |
| Abstract | BackgroundHeavy menstrual bleeding (HMB) has been shown to have a profound negative impact on women's quality of life and lead to increases in health care costs; however, data on HMB among Chinese population is still rather limited. The present study therefore aimed to determine the current prevalence and risk factors of subjectively experienced HMB in a community sample of Chinese reproductive-age women, and to evaluate its effect on daily life.MethodsWe conducted a questionnaire survey in 2356 women aged 18-50years living in Beijing, China, from October 2014-July 2015. A multivariate logistic regression model was used to identify risk factors for HMB.ResultsOverall, 429 women experienced HMB, giving a prevalence of 18.2%. Risk factors associated with HMB included uterine fibroids (adjusted odds ratio [OR] =2.12, 95% confidence interval [CI]=1.42-3.16, P<0.001) and multiple abortions (3) (adjusted OR=3.44, 95% CI=1.82-6.49, P<0.001). Moreover, women in the younger age groups (24 and 25-29years) showed higher risks for HMB, and those who drink regularly were more likely to report heavy periods compared with never drinkers (adjusted OR=2.78, 95% CI=1.20-6.46, P=0.017). In general, women experiencing HMB felt more practical discomforts and limited life activities while only 81 (18.9%) of them had sought health care for their heavy bleeding.ConclusionsHMB was highly prevalent among Chinese women and those reporting heavy periods suffered from greater menstrual interference with daily lives. More information and health education programs are urgently needed to raise awareness of the consequences of HMB, encourage women to seek medical assistance and thus improve their quality of life. |
| URI | http://hdl.handle.net/20.500.11897/550811 |
| ISSN | 1472-6874 |
| DOI | 10.1186/s12905-019-0726-1 |
| Indexed | SCI(E) SSCI(E) EI |
| Appears in Collections: | 公共卫生学院 |
