现代条件下伊尔库茨克地区未成年人的生殖健康

Q3 Social Sciences
L Rychkova, Tatjana Astakhova, О Bugun, Е Khramova
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引用次数: 0

摘要

背景:少女的生殖潜力包括几个参数,如一般和妇科发病率、身体和性发育、伙伴关系和母亲的心理社会准备。因此,在评估不同环境下少女的生殖能力时,考虑这些参数是至关重要的。 目的:了解托法拉利地区女童生殖健康状况及生殖行为;材料与方法:共有194名女孩参与了这项研究,其中58名是Tofalars。这些女孩年龄在11至17岁之间,居住在伊尔库茨克地区的下诺伊丁斯克区。这项研究包括分析医疗记录,由妇产科医生进行检查,从泌尿生殖道收集临床样本进行显微镜检查以检测传播感染,并进行阴道镜检查。结果:研究参与者月经初潮的平均年龄在11.5 - 12.0岁之间。生育高峰期的女孩更容易出现月经周期紊乱,如少经和子宫异常出血。此外,青春期延迟在Tofalar女孩中更为常见。Tofalar女孩的生殖行为特点是早恋、滥交、性传播感染患病率高、意外怀孕比例高。 结论:有必要通过巩固地区和市两级民间社会机构和政府机构的努力,制定和实施一项维护伊尔库茨克地区青少年和年轻人生殖健康的长期战略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
REPRODUCTIVE HEALTH OF UNDERAGE LIVING IN THE IRKUTSK REGION UNDER MODERN CONDITIONS
BACKGROUND: The reproductive potential of adolescent girls includes several parameters, such as general and gynecological morbidity, physical and sexual development, psychosocial readiness for partnership and motherhood. Therefore, it is crucial to consider these parameters when assessing the reproductive capacity of adolescent girls in different settings. AIM: To study the reproductive health and reproductive behavior of girls residing in Tofalaria. MATERIAL AND METHODS: A total of 194 girls participated in the study, with 58 of them being Tofalars. These girls were aged between 11 and 17 years old and resided in the Nizhneudinsk district of the Irkutsk region. The study involved analyzing medical records, conducting examinations by an obstetrician-gynecologist, collecting clinical samples from the urogenital tract for microscopy to detect transmitted infections, and performing colposcopy. RESULTS: The average age of onset of menarche among the study participants was between 11.5 and 12.0 years. Tofalar girls were more likely to experience menstrual cycle disorders such as oligomenorrhea and abnormal uterine bleeding. Additionally, delayed puberty was more commonly observed among Tofalar girls. Reproductive behavior of the Tofalar girls was characterized by early engagement in relationships, promiscuity, high prevalence of sexually transmitted infections, and high proportion of unplanned pregnancies. CONCLUSION: There is a need to develop and implement a long-term strategy on preserving the reproductive health of adolescents and young people in the Irkutsk region through consolidating the efforts of civil society institutions and governmental agencies at both regional and municipal levels.
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来源期刊
Ekologiya Cheloveka (Human Ecology)
Ekologiya Cheloveka (Human Ecology) Medicine-Medicine (all)
CiteScore
1.00
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62
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