Abnormal uterine bleeding and associated factors among female medical college students in Shanghai

LU Xuan; XIAO Tongtong; YOU Xiaofang; TAN Hui; QIAN Xu

doi:10.16835/j.cnki.1000-9817.2023.01.024

Volume 44 Issue 1

Jan. 2023

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LU Xuan, XIAO Tongtong, YOU Xiaofang, TAN Hui, QIAN Xu. Abnormal uterine bleeding and associated factors among female medical college students in Shanghai[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(1): 110-114. doi: 10.16835/j.cnki.1000-9817.2023.01.024

Citation:

LU Xuan, XIAO Tongtong, YOU Xiaofang, TAN Hui, QIAN Xu. Abnormal uterine bleeding and associated factors among female medical college students in Shanghai[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(1): 110-114. doi: 10.16835/j.cnki.1000-9817.2023.01.024

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Abnormal uterine bleeding and associated factors among female medical college students in Shanghai

doi: 10.16835/j.cnki.1000-9817.2023.01.024

School of Public Health, Fudan University/Key Laboratory of Public Health Safety of Ministry of Education, Shanghai(200032), China

Received Date: 2022-08-30
Rev Recd Date: 2022-11-02

Available Online: 2023-02-06

Publish Date: 2023-01-25

Abstract

Abstract

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.
- Metrorrhagia,
- Regression analysis,
- Students,
- Female

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References(25)

References

[1]	FRASER I S, CRITCHLEY H O, MUNRO M G, et al. A process designed to lead to international agreement on terminologies and definitions used to describe abnormalities of menstrual bleeding[J]. Fertil Steril, 2007, 87(3): 466-476. doi: 10.1016/j.fertnstert.2007.01.023
[2]	中华医学会妇产科学分会妇科内分泌学组. 异常子宫出血诊断与治疗指南[J]. 中华妇产科杂志, 2014, 49(11): 801-806. doi: 10.3760/cma.j.issn.0529-567x.2014.11.001 Chinese Society of Obstetries and Gynecology. Guidelines for the diagnosis and treatment of abnormal uterine bleeding[J]. Chin J Obstet Gynecol, 2014, 49(11): 801-806. (in Chinese) doi: 10.3760/cma.j.issn.0529-567x.2014.11.001
[3]	万黎萍, 赵焕虎. 某高校大学生妇科疾患就诊状况及相关因素探讨[J]. 中国妇幼健康研究, 2016, 27(8): 920-922, 976. doi: 10.3969/j.issn.1673-5293.2016.08.006 WAN L P, ZHAO H H. Gynecological disease treatment and related factors in students in a university[J]. Chin J Woman Child Health Res, 2016, 27(8): 920-922, 976. (in Chinese) doi: 10.3969/j.issn.1673-5293.2016.08.006
[4]	高玉萍, 邵玲. 女大学生患妇科疾病种类及疾病发生率追踪研究[J]. 中国妇幼保健, 2012, 27(13): 1939-1941. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB201213009.htm GAO Y P, SHAO L. A follow-up study on the types and incidence of gynecological diseases in female college students[J]. Matern Child Health Care Chin, 2012, 27(13): 1939-1941. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB201213009.htm
[5]	余学红. 女大学生妇科疾病发生率回顾性分析[J]. 中南民族大学学报(自然科学版), 2015, 34(3): 54-57. https://www.cnki.com.cn/Article/CJFDTOTAL-ZNZK201503015.htm YU X H. Retrospective analysis of the incidence of gynecological diseases in female college students[J]. J South-Central Minzu Univ(Natur Sci Edit), 2015, 34(3): 54-57. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZNZK201503015.htm
[6]	JACOBS M B, BOYNTON-JARRETT R D, HARVILLE E W. Adverse childhood event experiences, fertility difficulties and menstrual cycle characteristics[J]. J Psychosom Obstet Gynaecol, 2015, 36(2): 46-57. doi: 10.3109/0167482X.2015.1026892
[7]	ROWLAND A S, BAIRD D D, LONG S, et al. Influence of medical conditions and lifestyle factors on the menstrual cycle[J]. Epidemiology, 2002, 13(6): 668-674. doi: 10.1097/00001648-200211000-00011
[8]	排卵障碍性异常子宫出血诊治路径共识专家组, 中华预防医学会生育力保护分会生殖内分泌生育保护学组. 排卵障碍性异常子宫出血诊治路径[J]. 生殖医学杂志, 2020, 29(6): 703-715. doi: 10.3969/j.issn.1004-3845.2020.06.001 Expert Group on the Pathway of Diagnosis & Management of Abnormal Uterine Bleeding Caused by Ovulatory Dysfunction, Reproductive Endocrinology & Fertility Preservation Section of Chinese Society on Fertility Preservation under Chinese Preventive Medicine Association. Pathway of diagnosis and management of abnormal uterine bleeding caused by ovulatory dysfunction[J]. J Reproduct Med, 2020, 29(6): 703-715. (in Chinese) doi: 10.3969/j.issn.1004-3845.2020.06.001
[9]	OKELY A D, KONTSEVAYA A, NG J, et al. 2020 WHO guidelines on physical activity and sedentary behavior[J]. Sports Med Health Sci, 2021, 3(2): 115-118. doi: 10.1016/j.smhs.2021.05.001
[10]	《中国成人超重和肥胖症预防控制指南》修订委员会. 中国成人超重和肥胖症预防控制指南[M]. 北京: 人民卫生出版社, 2021. Guidelines for the Prevention and Control of Overweight and Obesity in Chinese Adults Revision Committee. Guidelines for the Prevention and Control of Overweight and Obesity in Chinese Adults[M]. Beijing: People's Medical Publishing House, 2021. (in Chinese)
[11]	罗伟, 李雪, 王琳琳, 等. 医学院女生月经疾病相关因素及健康干预效果分析[J]. 中国学校卫生, 2015, 36(6): 941-943. http://www.cjsh.org.cn/article/id/zgxxws201506047 LUO W, LI X, WANG L L, et al. Analysis of related factors and health intervention effect of menstrual diseases in female students in medical college[J]. Chin J Sch Health, 2015, 36(6): 941-943. (in Chinese) http://www.cjsh.org.cn/article/id/zgxxws201506047
[12]	贾凌玉, 桂诚, 李良全, 等. 蚌埠高校女大学生月经病发生状况及其影响因素分析[J]. 中国学校卫生, 2016, 37(4): 601-604. doi: 10.16835/j.cnki.1000-9817.2016.04.038 JIA L Y, GUI C, LI L Q, et al. Analysis on the occurrence and influencing factors of menstrual diseases among female college students in Bengbu[J]. Chin J Sch Health, 2016, 37(4): 601-604. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2016.04.038
[13]	包小娟, 巫红梅, 周霞. 广州某高校大一女生月经状况调查[J]. 中国校医, 2017, 31(12): 914-916. https://www.cnki.com.cn/Article/CJFDTOTAL-XIYI201712017.htm BAO X J, WU H M, ZHOU X. Investigation on menstrual status of freshman girls in a university in Guangzhou[J]. Chin J School Doctor, 2017, 31(12): 914-916. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XIYI201712017.htm
[14]	邓雪冰, 谭紫薇, 袁苗, 等. 株洲市高职高专大学生月经状况调查分析[J]. 中国社区医师, 2019, 35(33): 178-180. https://www.cnki.com.cn/Article/CJFDTOTAL-XCYS201933124.htm DENG X B, TAN Z W, YUAN M, et al. Investigation and analysis on menstrual status of higher vocational college students in Zhuzhou[J]. Chin Comun Doctor, 2019, 35(33): 178-180. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-XCYS201933124.htm
[15]	谢继平, 吕雯, 李武, 等. 人工流产后关爱服务对在校未婚女大学生生殖健康的影响[J]. 中国学校卫生, 2020, 41(4): 521-523. doi: 10.16835/j.cnki.1000-9817.2020.04.011 XIE J P, LYU W, LI W, et al. Evaluation of the post-abortion care services for unmarried female college students' reproductive health effect[J]. Chin J Sch Health, 2020, 41(4): 521-523. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2020.04.011
[16]	高丽丽, 沈洁, 张月, 等. 北京地区门诊青少年女性流产情况[J]. 中国学校卫生, 2019, 40(10): 1560-1561. doi: 10.16835/j.cnki.1000-9817.2019.10.035 GAO L L, SHEN J, ZHANG Y, et al. Abortion of adolescent females in outpatient clinics in Beijing[J]. Chin J Sch Health, 2019, 40(10): 1560-1561. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2019.10.035
[17]	中华医学会妇产科学分会妇科内分泌学组. 异常子宫出血诊断与治疗指南(2022更新版)[J]. 中华妇产科杂志, 2022, 57(7): 481-490. Gynecologic Endocrinology Subgroup, Chinese Society of Obstetrics and Gynecology, Chinese Medical Association. Guideline on diagnosis and treatment of abnormal uterine bleeding: 2022 revisions[J]. Chin J Obstet Gynecol, 2022, 57(7): 481-490. (in Chinese)
[18]	HE H, YU X, CHEN T, et al. Sleep status and menstrual problems among Chinese young females[J]. Biomed Res Int, 2021, 2021: 1549712.
[19]	XING X, XUE P, LI S X, et al. Sleep disturbance is associated with an increased risk of menstrual problems in female Chinese university students[J]. Sleep Breath, 2020, 24(4): 1719-1727.
[20]	AMGAIN K, SUBEDI P, YADAV G K, et al. Association of anthropometric indices with menstrual abnormality among nursing students of Nepal: a cross-sectional study[J]. J Obes, 2022, 2022: 6755436.
[21]	TAYEBI N, YAZDANPANAHI Z, YEKTATALAB S, et al. The relationship between body mass index(BMI) and menstrual disorders at different ages of menarche and sex hormones[J]. J Natl Med Assoc, 2018, 110(5): 440-447.
[22]	CHANG P J, CHEN P C, HSIEH C J, et al. Risk factors on the menstrual cycle of healthy Taiwanese college nursing students[J]. Aust N Z J Obstet Gynaecol, 2009, 49(6): 689-694.
[23]	ZHOU X, YANG X. Association between obesity and oligomenorrhea or irregular menstruation in Chinese women of childbearing age: a cross-sectional study[J]. Gynecol Endocrinol, 2020, 36(12): 1101-1105.
[24]	PARK S, YOON T W, KANG D R, et al. Prevalence of menstrual disorders according to body mass index and lifestyle factors: the national health insurance service-national health screening cohort in Korea, 2009-2016[J]. J Korean Acad Nurs, 2020, 50(3): 401-410.
[25]	TANG Y, CHEN Y, FENG H, et al. Is body mass index associated with irregular menstruation: a questionnaire study?[J]. BMC Womens Health, 2020, 20(1): 226.