云南澄江农村女中学生月经卫生状况分析

Analysis of Menstrual Heath Status of Middle Schoolgirls in Chengjiang County of Yunnan Province

目的 了解农村女中学生月经卫生状况 ,为学校健康教育提供依据。方法 采用整群抽样的方法随机抽取云南省澄江县551名 1 3～ 2 1岁女中学生进行月经状况分析。结果 有 374名 (67.9% )女中学生月经已来潮 ,其初潮年龄主要集中在 1 3～ 1 4岁 ;在来月经时干重活的有 95人 (2 5 .4% ) ,下水田的有 62人 (1 6 .6 % ) ;痛经的患病率最高 (2 5 .7% ) ;有 84.8%的学生能自己发现患有妇科疾病 ;有43 .7%的人接受过青春期教育 ;接受过青春期教育的女学生在经期下水田劳动的人数明显低于未接受过青春期教育的女学生 ,发现自己有痛经以及在患有妇科疾病时能自己发现的阳性率明显高于未接受过青春期教育的女学生。结论 农村女中学生的月经卫生状况与其卫生知识有关 ,加强青春期教育有助于增强女学生月经期的卫生保健知识 ,养成良好的卫生行为。

Objective To understand menstrual heath status of rural middle school girl students and to provide basis for school health education. Methods Cluster sampling method was used to draw randomly 551 middle school girl students, aged 13～21 years, in Chengjiang county of Yunnan province to analyze their menstrual heath status. Results Three hundred and seventy four girls (67.9 percent) had experienced menses, the age of menarche ranged from 13 to 14 years old. Among girls who had experienced menses, 95 girls had heavy work and 62 girls worked in paddy field at menstrual phase. The rate of dysmenorrhoea was the highest (25.7 percent), 84.5 percent of girls could found gynecological diseases by themselves, 43.7 percent students had been given puberty education. The percentage of girls who worked in paddy field in the menstrual period or found out dysmenorrhoea and gynecological diseases by themselves was higher among girls given puberty education than girls accepted never puberty education. Conclusion Menstrual health status of rural middle school girl students were connected with their health knowledge, to increase puberty education will do help them to get more health care knowledge and develop health behaviors.