RESUMEN
Our objective in this study was to determine the prevalence of reproductive and related nonreproductive morbidities in a group of reproductive-aged women living in Jordan. The study was designed as a two-phase survey. The first phase consisted of a structured personal interview and the second phase was a follow-up physical examination. Three hundred seventeen women aged 18-49 years were randomly selected and answered the questionnaire in the first phase of the study. Two hundred sixty agreed to both the general physical and pelvic examination. The main outcome measures were selected reproductive and related nonreproductive morbidities. Results show reproductive tract infections were diagnosed in 55% of the women, a presumed chlamydia trachomatis genital infection in 40%, and genital prolapse in 22%. As for related nonreproductive morbidities, 14% were diagnosed with a urinary tract infection (UTI), 24% with urinary incontinence, and 40% with anemia. Our results of the study support the idea that in this community, women's health is at risk throughout their reproductive years, not only when they are pregnant or postpartum. We suggest further research in other Jordanian communities as well as solutions addressed to the health care community.
Asunto(s)
Enfermedades de los Genitales Femeninos/diagnóstico , Enfermedades de los Genitales Femeninos/epidemiología , Conductas Relacionadas con la Salud , Salud de la Mujer , Adulto , Anemia/diagnóstico , Anemia/epidemiología , Infecciones por Chlamydia/diagnóstico , Infecciones por Chlamydia/epidemiología , Servicios de Salud Comunitaria/normas , Femenino , Humanos , Infertilidad Femenina/diagnóstico , Infertilidad Femenina/epidemiología , Jordania/epidemiología , Persona de Mediana Edad , Enfermedades de Transmisión Sexual/diagnóstico , Enfermedades de Transmisión Sexual/epidemiología , Encuestas y Cuestionarios , Incontinencia Urinaria/diagnóstico , Incontinencia Urinaria/epidemiología , Infecciones Urinarias/diagnóstico , Infecciones Urinarias/epidemiología , Prolapso Uterino/diagnóstico , Prolapso Uterino/epidemiologíaRESUMEN
OBJECTIVE: The objective of this paper is to describe the prevalence of genital prolapse and its risk factors in semi urban and rural communities. We ultimately hope to heighten the attention of providers of care and program managers to the high prevalence of genital prolapse despite the presumed improved access to care, availability of well-trained staff and high rates of hospital deliveries. METHODS: This study was carried out in Giza, Egypt and Ein El-Basha, Jordan in 1997. Presence or absence of genital prolapse was assessed using well-trained physicians who performed full clinical assessment including vaginal examination. RESULTS: The study results showed that the prevalence in Egypt was 56.3% and in Jordan 34.1%; that age and parity remain the most predictive factors for the prevalence of prolapse despite controlling other factors; and that women suffer from accompanying symptoms including feeling of bulge, backaches, vaginal discharge, post coital discomfort and bleeding. CONCLUSION: We believe that women do not have to suffer from these morbid conditions when known preventive interventions exist. Application of standards of care along with designed health education programs are expected to reduce women's suffering. Cost effectiveness studies that show the price tag of surgical intervention in comparison to preventive activities are badly needed.