农村育龄妇女月经相关状况与婚姻质量关系.docVIP

农村育龄妇女月经相关状况与婚姻质量关系 【摘要】目的了解农村已婚育龄妇女月经相关状况，探讨其与婚姻质量关系，为促进农村育龄妇女生殖健康提供依据。方法运用Olson量表修改形成的婚姻质量量表、焦虑量表(SAS)和抑郁量表(SDS)以及自行设计的月经状况问卷，通过方便整群抽样方法抽取安徽省3个县3个乡镇的1398名49岁以下农村已婚育龄妇女进行入户面访。结果应答率为87.3％。痛经情况与性格相容性、解决冲突、经济安排得分呈负相关，但相关性主要集中在36岁～组。经前期综合征与婚姻质量多个维度呈负相关。其中文盲组经前抑郁症状与婚姻满意度、性格相容性、夫妻交流等相关性较大(r=0.366，-0.304和-0.330，P0.01)。结论月经相关状况与婚姻质量相关。 【关键词】 生殖健康 月经 婚姻质量 农村育龄妇女 Relationships between menstruation-related conditions and marital quality among married rural women in child-bearing age ZHU Linhong,WANG Debin,HONG Qian,et al. School of Health Administration,Anhui Medical University (Hefei 230032,China) Abstract： Objective To study menstruation-related conditions among married rural women in child-bearing age and to explore their relationships with marital quality.Methods A total of 1398 married women under 49 years old were drawn from three counties in Anhui province using convenience cluster sampling.The Olson inventory tailed to local culture via rounds of field piloting,Self-Rating Anxiety Scale and Depression Scale,and structured questions on menstruation-related conditions were used in collecting data.The questionnaire was administered by trained interviewers at the responders households.Results 1221 completed questionnaire were collected.Dysmenorrhea was negatively related with personality issues,conflict resolution and financial management,but the relationship was focused on group of 36～40 years old.Premenstrual physical symptoms were negatively related with some dimensions of marital quality.The illiteracy groups marriage satisfaction,personality issues and couple communication were all negatively linked to depression symptom (r=-0.366,-0.304 and -0.330,P0.01).Conclusion Marital quality is closely linked to menstruation-related conditions. Key words： reproductive health;menstruation;marital quality;rural women child-bearing age 女性生殖健康受多种因素影响，婚姻质量也是重要因素之一〔1,2〕。良好的婚姻可以减少自身压力、紧张、抑郁等情绪，这些负面情绪是健康的危险因素之一。月经情况能在一定程度上反映女性的生殖健康状况，也受到社会心理因素的影响〔3,4〕。本文在了解安徽农村已婚育龄妇女月经相关状况与婚姻质量