Examining the risk factors of chronic pelvic pain and its effect on the quality of life in refugee and non-refugee women.
Chronic pelvic pain
Quality of life
Refugee
Women
Journal
BMC women's health
ISSN: 1472-6874
Titre abrégé: BMC Womens Health
Pays: England
ID NLM: 101088690
Informations de publication
Date de publication:
11 Sep 2024
11 Sep 2024
Historique:
received:
12
06
2024
accepted:
02
09
2024
medline:
12
9
2024
pubmed:
12
9
2024
entrez:
11
9
2024
Statut:
epublish
Résumé
This study aimed to determine the prevalence of chronic pelvic pain(CPP) in refugee and non-refugee women, determine the factors associated with CPP, and evaluate the effect of CPP on life quality. This was a cross-sectional study conducted among 283 non-refugee and 278 refugee women in Turkey. A questionnaire including questions assessing chronic pelvic pain and related factors, World Health Organization Quality of Life Scale Short Form(WHOQOL-BREF), Depression Anxiety Stress Scale-21, were administered to the participants. Chi-square test, Mann-Whitney U test and multiple logistic regression analysis were used for statistical analysis. The prevalence of chronic pelvic pain was 41.0% in refugee women and 19.1% in non-refugee women (p< 0.001). The prevalence of CPP was 1.68 times higher in refugee women than in non-refugee women (OR;95%CI:1.68;1.01-2.81). In the multivariate analysis performed in the study group, refugee status, low family income status(OR;95%CI:2.09;1.26-3.46), low back pain(OR;95%CI:2.02;1.21-3.35), dyspareunia (OR; 95%CI:2.96;1.75-4.99), number of three or more miscarriages (OR;95%CI:3.07;1.18-8.01), history of gynaecological surgery (OR;95%CI:2.44;1.33-4.50), diarrhea (OR;95%CI:2.01;1.07-3.76), urinary tract infections(OR; 95%CI:1.66;1.02-2.71) and anxiety(OR; 95%CI:1.17;1.10-1.24) were found to be risk factors for CPP. In the refugee and non-refugee groups, those with CPP had lower scores in all subdomains of the WHOQOL-BREF scale than those without CPP (p < 0.05). Refugee status independently contributes to the risk of developing CPP. Targeted interventions to address CPP and its associated risk factors are needed, particularly in vulnerable refugee populations, to improve their quality of life.
Sections du résumé
BACKGROUND
BACKGROUND
This study aimed to determine the prevalence of chronic pelvic pain(CPP) in refugee and non-refugee women, determine the factors associated with CPP, and evaluate the effect of CPP on life quality.
METHODS
METHODS
This was a cross-sectional study conducted among 283 non-refugee and 278 refugee women in Turkey. A questionnaire including questions assessing chronic pelvic pain and related factors, World Health Organization Quality of Life Scale Short Form(WHOQOL-BREF), Depression Anxiety Stress Scale-21, were administered to the participants. Chi-square test, Mann-Whitney U test and multiple logistic regression analysis were used for statistical analysis.
RESULTS
RESULTS
The prevalence of chronic pelvic pain was 41.0% in refugee women and 19.1% in non-refugee women (p< 0.001). The prevalence of CPP was 1.68 times higher in refugee women than in non-refugee women (OR;95%CI:1.68;1.01-2.81). In the multivariate analysis performed in the study group, refugee status, low family income status(OR;95%CI:2.09;1.26-3.46), low back pain(OR;95%CI:2.02;1.21-3.35), dyspareunia (OR; 95%CI:2.96;1.75-4.99), number of three or more miscarriages (OR;95%CI:3.07;1.18-8.01), history of gynaecological surgery (OR;95%CI:2.44;1.33-4.50), diarrhea (OR;95%CI:2.01;1.07-3.76), urinary tract infections(OR; 95%CI:1.66;1.02-2.71) and anxiety(OR; 95%CI:1.17;1.10-1.24) were found to be risk factors for CPP. In the refugee and non-refugee groups, those with CPP had lower scores in all subdomains of the WHOQOL-BREF scale than those without CPP (p < 0.05).
CONCLUSIONS
CONCLUSIONS
Refugee status independently contributes to the risk of developing CPP. Targeted interventions to address CPP and its associated risk factors are needed, particularly in vulnerable refugee populations, to improve their quality of life.
Identifiants
pubmed: 39261782
doi: 10.1186/s12905-024-03348-w
pii: 10.1186/s12905-024-03348-w
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
503Informations de copyright
© 2024. The Author(s).
Références
Altındiş M. Türkiye’de mülteciler, salgın hastalıklar ve Korunma. Sağlık Düşüncesi Ve Tıp. Kültürü Dergisi. 2013;28:64–7.
Samari G. Syrian refugee women’s health in Lebanon, Turkey, and Jordan and recommendations for improved practice. World Med Health Policy. 2017;9(2):255–74. https://doi.org/10.1002/wmh3.231 .
doi: 10.1002/wmh3.231
pubmed: 29051840
pmcid: 5642924
Masterson AR, Usta J, Gupta J, Ettinger AS. Assessment of reproductive health and violence against women among displaced syrians in Lebanon. BMC Womens Health. 2014;14(1):25. https://doi.org/10.1186/1472-6874-14-25 .
doi: 10.1186/1472-6874-14-25
DeSa S, Gebremeskel AT, Omonaiye O, Yaya S. Barriers and facilitators to access mental health services among refugee women in high-income countries: a systematic review. Syst Reviews. 2022;11(1):62. https://doi.org/10.1186/s13643-022-01936-1 .
doi: 10.1186/s13643-022-01936-1
Steege JF, Siedhoff MT. Chronic pelvic pain. Obstet Gynecol. 2014;124(3):616–29. https://doi.org/10.1097/AOG.0000000000000417 .
doi: 10.1097/AOG.0000000000000417
pubmed: 25162265
Souza PP, Salata Romão A, Rosa-e-Silva JC, Candido dos Reis F, Nogueira AA, Poli-Neto OB. Qualitative research as the basis for a biopsychosocial approach to women with chronic pelvic pain. J Psychosom Obstet Gynecol. 2011;32(4):165–72. https://doi.org/10.3109/0167482X.2011.607523 .
doi: 10.3109/0167482X.2011.607523
Bruckenthal P. Chronic pelvic pain: approaches to diagnosis and treatment. Pain Manage Nurs. 2011;12(1):4–10. https://doi.org/10.1016/j.pmn.2010.11.004 .
doi: 10.1016/j.pmn.2010.11.004
Royal College of Obstetricians & Gynaecologist. Chronic Pelvic Pain. Initial Management (Green-top Guideline No. 41). 2012. https://www.rcog.org.uk/guidance/browse-all-guidance/green-top-guidelines/the-initial-management-of-chronic-pelvic-pain-green-top-guideline-no-41 . Accessed 02/05/2023.
Ahangari A. Prevalence of chronic pelvic pain among women: an updated review. Pain Physician. 2014;17(2):141–7. https://doi.org/10.36076/PPJ.2014/17/E141 .
doi: 10.36076/PPJ.2014/17/E141
Peinado-Molina RA, Hernández-Martínez A, Martínez-Vázquez S, Rodríguez-Almagro J, Martínez-Galiano JM. Pelvic floor dysfunction: prevalence and associated factors. BMC Public Health 14;23(1):2005. https://doi.org/10.1186/s12889-023-16901-3
Howard FM, The Differential Diagnosis of Chronic Pelvic Pain. Vercellini P, editör. Chronic Pelvic Pain. UK: Wiley; 2011. pp. 7–28.
doi: 10.1002/9781444391855.ch2
Carvalho ACF, Neto OBP, Crippa JADS, Hallak JEC, Osorioet FL. Associations between chronic pelvic pain and psychiatric disorders and symptoms. Arch Clin Psychiatry (São Paulo). 2015;42(1):25–30. https://doi.org/10.1590/0101-60830000000042 .
doi: 10.1590/0101-60830000000042
Teodorescu DS, Heir T, Siqveland J, Hauff E, Wentzel-Larsen T, Lien L. Chronic pain in multi-traumatized outpatients with a refugee background resettled in Norway: a cross-sectional study. BMC Psychol. 2015;3(1):7. https://doi.org/10.1186/s40359-015-0064-5 .
doi: 10.1186/s40359-015-0064-5
pubmed: 25815196
pmcid: 4369066
Grace VM, Zondervan KT. Chronic pelvic pain in New Zealand: prevalence, pain severity, diagnoses and use of the health services. Aust N Z J Public Health. 2004;28(4):369–75. https://doi.org/10.1111/j.1467-842x.2004.tb00446.x .
doi: 10.1111/j.1467-842x.2004.tb00446.x
pubmed: 15704703
Özdemir K, Özerdoğan N, Ünsal A. Assessment of Chronic Pelvic Pain and Quality of Life among women of Childbearing Age. Osmangazi J Med. 2015;37(3):13–22.
Coelho LSC, Brito LMO, Chein MBC, Mascarenhas TS, Costa JPL, Nogueiraet AA. Prevalence and conditions associated with chronic pelvic pain in women from São Luís, Brazil. Braz J Med Biol Res. 2014;47(9):818–25. https://doi.org/10.1590/1414-431x20143710 .
doi: 10.1590/1414-431x20143710
pubmed: 25075577
pmcid: 4143211
Silva GPOG, Nascimento AL, Michelazzo D, Junior FFA, Rocha MG, Rosa-e-Silva JC, et al. High prevalence of chronic pelvic pain in women in Ribeirão Preto, Brazil and direct association with abdominal surgery. Clinics(Sao Paulo). 2011;66(8):1307–12. https://doi.org/10.1590/s1807-59322011000800001 .
doi: 10.1590/s1807-59322011000800001
pubmed: 21915476
Whoqol Group Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychol Med. 1998;28(3):551–8. https://doi.org/10.1017/s0033291798006667 .
doi: 10.1017/s0033291798006667
Ohaeri JU, Awadalla AW. The reliability and validity of the short version of the WHO Quality of Life Instrument in an arab general population. Ann Saudi Med. 2009;29(2):98. https://doi.org/10.4103/0256-4947.51790 .
doi: 10.4103/0256-4947.51790
pubmed: 19318760
pmcid: 2813624
Eser E, Fidaner H, Fidaner C, Eser SY, Elbi H, Göker E. WHOQOL-100 ve WHOQOL-BREF’in psikometrik özellikleri. Psikiyatri Psikoloji Psikofarmakoloji (3P) Dergisi. 1999; 7(Suppl 2):23–40.
Antony MM, Bieling PJ, Cox BJ, Enns MW, Swinson RP. Psychometric properties of the 42-item and 21-item versions of the Depression anxiety stress scales in clinical groups and a community sample. Psychol Assess. 1998;10(2):176. https://doi.org/10.1037/1040-3590.10.2.176 .
doi: 10.1037/1040-3590.10.2.176
Yılmaz Ö, Boz H, Arslan A. Depresyon Anksiyete Stres Ölçeğinin (Dass 21) Türkçe Kisa Formunun Geçerlilik-Güvenilirlik Çalişmasi. Finans Ekonomi ve Sosyal Araştırmalar Dergisi (FESA). 2017;2(2):92–104.
Moussa MT, Lovibond P, Laube R, Megahead HA. Psychometric properties of an arabic version of the depression anxiety stress scales (DASS). Res Social work Pract. 2017;27(3):375–86. https://doi.org/10.1177/1049731516662916 .
doi: 10.1177/1049731516662916
Crichton N. Visual analogue scale (VAS). J Clin Nurs. 2001;10(5):706–6.
Patel V, Tanksale V, Sahasrabhojanee M, Gupte S, Nevrekar P. The burden and determinants of dysmenorrhoea: a population-based survey of 2262 women in Goa, India. BJOG. 2006;113(4):453–63. https://doi.org/10.1111/j.1471-0528.2006.00874.x .
doi: 10.1111/j.1471-0528.2006.00874.x
pubmed: 16489934
World Health Organization. WHO technical meeting on sleep and health: Bonn, Germany 22–24 January 2004. https://apps.who.int/iris/bitstream/handle/10665/349782/WHO-EURO-2004-4242-44001-62044-eng.pdf?sequence=1&isAllowed=y Accessed 02/04/2023.
Dede M. Akut Pelvik İnflamatuar Hastalık (PID). Turkiye Klinikleri J Surg Med Sci. 2006;2(24):73–7.
Eckstein B. Primary care for refugees. Am Fam Physician. 2011;83(4):429–36.
pubmed: 21322519
Loving S, Thomsen T, Jaszczak P, Nordling J. Female chronic pelvic pain is highly prevalent in Denmark. A cross-sectional population-based study with randomly selected participants. Scand J Pain. 2014;5(2):93–101. https://doi.org/10.1016/j.sjpain.2013.12.002 .
doi: 10.1016/j.sjpain.2013.12.002
pubmed: 29913678
Ayorinde AA, Bhattacharya S, Druceet KL, Jones GT, Macfarlane GJ. Chronic pelvic pain in women of reproductive and post-reproductive age: a population‐based study. Eur J Pain. 2017;21(3):445–55. https://doi.org/10.1002/ejp.938 .
doi: 10.1002/ejp.938
pubmed: 27634190
Mckenna Longacre M, Silver-Highfield E, Lama P, Grodin MA. Complementary and alternative medicine in the treatment of refugees and survivors of torture: a review and proposal for action. Torture. 2012;22(1):38–57.
pubmed: 23086004
El Sount CRO, Windthorst P, Denkingeret J, Ziser K, Nikendei C, Kindermann D, et al. Chronic pain in refugees with post-traumatic stress disorder (PTSD): a systematic review on patients’ characteristics and specific interventions. J Psychosom Res. 2019;118:83–97. https://doi.org/10.1016/j.jpsychores.2018.07.014 .
doi: 10.1016/j.jpsychores.2018.07.014
Zondervan KT, Cardon LR, Kennedy SH, Martin NG, Treloar SA. Multivariate genetic analysis of chronic pelvic pain and associated phenotypes. Behav Genet. 2005;35(2):177–88. https://doi.org/10.1007/s10519-004-1017-6 .
doi: 10.1007/s10519-004-1017-6
pubmed: 15685430
Da Luz RA, Deus JM, Conde DM. Quality of life and associated factors in Brazilian women with chronic pelvic pain. J Pain Res. 2018;11:1367. https://doi.org/10.2147/JPR.S168402 .
doi: 10.2147/JPR.S168402
pubmed: 30100751
pmcid: 6064161
Last AR, Hulbert K. Chronic low back pain: evaluation and management. Am Fam Physician. 2009;79(12):1067–74.
pubmed: 19530637
As-Sanie S, Harris RE, Harte SE, Tu FF, Neshewat G, Clauw DJ. Increased pressure pain sensitivity in women with chronic pelvic pain. Obstet Gynecol. 2013;122(5):1047–55. https://doi.org/10.1097/AOG.0b013e3182a7e1f5 .
doi: 10.1097/AOG.0b013e3182a7e1f5
pubmed: 24104772
pmcid: 3897295
Graziottin A. Psychogenic causes of Chronic Pelvic Pain, and its impact on psychological status. In: Vercellini P, editor. Chronic Pelvic Pain. UK: Wiley; 2011. pp. 29–39.
doi: 10.1002/9781444391855.ch3
Latthe P, Mignini L, Gray R, Hills R, Khan K. Factors predisposing women to chronic pelvic pain: systematic review. BMJ. 2006;332(7544):749–55. https://doi.org/10.1136/bmj.38748.697465.55 .
doi: 10.1136/bmj.38748.697465.55
pubmed: 16484239
pmcid: 1420707
Rhudy J, Meagher MW. Fear and anxiety: divergent effects on human pain thresholds. Pain. 2000;84(1):65–75. https://doi.org/10.1016/S0304-3959(99)00183-9 .
doi: 10.1016/S0304-3959(99)00183-9
pubmed: 10601674
Keogh E, Cochrane M. Anxiety sensitivity, cognitive biases, and the experience of pain. J Pain. 2002;3(4):320–9. https://doi.org/10.1054/jpai.2002.125182 .
doi: 10.1054/jpai.2002.125182
pubmed: 14622756
Kaya B, Unal S, Ozenli Y, Gursoy N, Tekiner S, Kafkasli A. Anxiety, depression and sexual dysfunction in women with chronic pelvic pain. Sex Relatsh Ther. 2006;21(02):187–96. https://doi.org/10.1080/14681990500359897 .
doi: 10.1080/14681990500359897
Krsmanovic A, Tripp DA, Nickel JC, Shoskes DA, Pontari M, Litwin MS, et al. Psychosocial mechanisms of the pain and quality of life relationship for chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). Can Urol Assoc J. 2014;8(11–12):403–8. https://doi.org/10.5489/cuaj.2179 .
doi: 10.5489/cuaj.2179
pubmed: 25553153
pmcid: 4277519
Romão APMS, Gorayeb R, Romão GS, Poli-Neto OB, Dos Reis FJC, Rosa‐e‐Silva JC, et al. High levels of anxiety and depression have a negative effect on quality of life of women with chronic pelvic pain. Int J Clin Pract. 2009;63(5):707–11. https://doi.org/10.1111/j.1742-1241.2009.02034.x .
doi: 10.1111/j.1742-1241.2009.02034.x
pubmed: 19392920
Tripoli TM, Sato H, Sartori MG, Araujo FF, Girão MJBC, Schor E. Evaluation of quality of life and sexual satisfaction in women suffering from chronic pelvic pain with or without endometriosis. J Sex Med. 2011;8(2):497–503. https://doi.org/10.1111/j.1743-6109.2010.01976.x .
doi: 10.1111/j.1743-6109.2010.01976.x
pubmed: 20722779
Romão APMS, Gorayeb R, Romão GS, Poli-Neto OB, Reis FJC, Rosa‐e‐Silva JC, et al. Chronic pelvic pain: multifactorial influences. J Eval Clin Pract. 2011;17(6):1137–9. https://doi.org/10.1111/j.1365-2753.2010.01485.x .
doi: 10.1111/j.1365-2753.2010.01485.x
pubmed: 20630008