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The effect of pelvic pain and urinary incontinence on women's self-rated health in northern Mexico.

Abstract：

INTRODUCTION AND HYPOTHESIS:This study was designed to assess the effect of gynecological morbidities on Mexican women's self-rated health status and emotional health. METHODS:A cross-sectional population-based study was conducted among Mexican women aged 25-54. We analyzed information on 1,303 participants living in Hermosillo, Mexico. Multiple logistic regression was used to assess the effect of having any one of three kinds of pelvic pain, urinary incontinence or both of these conditions on women's self-rated health. Additionally, we conducted analysis of variance and multiple linear regression to test the effect of these gynecological morbidities on women's self-reported emotional health. RESULTS:Nearly one-third (31.2%) of participants rated their health as fair to very poor. Women reporting of at least one gynecological morbidity were more likely to rate their health as fair to very poor. In adjusted analyses, in addition to older age, low educational attainment, marital status other than single, lack of access to medical care, recurrent kidney infection, asthma, diabetes, and, reporting one or concurrent gynecological morbidities were associated with increased odds (adjusted odds ratios = 1.53-3.91) of reporting fair to very poor self-rated health. Women who did not report any gynecological morbidity had significantly lower mean scores for anxiety/fear 0.30 (±0.30) than women with two to four conditions (anxiety/fear 0.45 ± 0.31). CONCLUSION:Pelvic pain, urinary incontinence, and the co-occurrence of these conditions have a negative impact on women's perception of their health status and their emotional health.

journal_name

Int Urogynecol J

journal_title

International urogynecology journal

authors

García-Pérez H,Harlow SD,Denman C

doi

10.1007/s00192-017-3537-7

subject

Has Abstract

pub_date

2018-02-01 00:00:00

pages

243-250

issue

2

eissn

0937-3462

issn

1433-3023

pii

10.1007/s00192-017-3537-7

journal_volume

29

pub_type

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