重庆某区青春期女生月经来潮及其对生活质量的影响

了解月经来潮对女生生活质量的影响,为改善女生生活质量提供依据.方法 采用自编基本情况问卷、青春期生活质量量表,对分层整群抽取的8所中小学校1 690名女生进行问卷调查.结果 在控制混杂因素年龄的情况下,月经来潮对生活质量有影响(F=5.36,P=0.020);月经来潮组女生生活质量在生理维度、社会维度均低于月经未来潮组(F值分别为6.10,11.13,P值均<0.05).视年龄为协变量的偏相关分析发现,月经来潮时间与生活质量得分相关性无统计学意义(r=-0.01,P=0.79);健康教育、主动了解健康信息、能通过父母了解健康信息与月经来潮组生活质量呈正相关(β值分别为0.12,0.13,0.12,P值均<0.05);而与月经未来潮组的相关性无统计学意义(P值均>0.05).结论 月经来潮会降低青春期女生的生活质量,建议有针对性地加强该人群健康干预.

Effect of menarche on quality of life among adolescent girls in Chongqing

Objective To investigate possible influences of menarche on quality of life.Methods A questionnaire survey was conducted to collect information on quality of life,age at menarche among 1 690 adolescent girls selected through stratified cluster sampling from 8 schools (4 primary schools,4 middle schools) in Chongqing.Results Mter adjusting confounding factors (age),menarche has significant effects on physical and social dimension,as well as total quality of life (F=6.10,11.13 and 5.36,P<0.05).When age was included as an concomitant variable,partial correlation analysis showed that age at menarche has no correlation with quality of life.Health education,active learning by themselves and through parents associated with higher quality of life (β =0.120,0.130,0.120,P<0.05) only among girls had menstrual period.Conclusion Menarche has significant impact on quality of life among adolescent girls.Future specific intervention should be developed to improve quality of life among this population.