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dc.contributor.authorShrestha, Binjwala
dc.contributor.authorOnta, Sharad
dc.contributor.authorChoulagai, Bishnu
dc.contributor.authorPaudel, Rajan
dc.contributor.authorPetzold, Max
dc.contributor.authorKrettek, Alexandra
dc.date.accessioned2016-03-09T09:03:18Z
dc.date.available2016-03-09T09:03:18Z
dc.date.issued2015-08-10
dc.description.abstractBackground: Uterine prolapse (UP) is a reproductive health problem and public health issue in low-income countries including Nepal. Objective: We aimed to identify the contributing factors and stages of UP and its impact on quality of life in the Jhaukhel–Duwakot Health Demographic Surveillance Site of Bhaktapur, Nepal. Design: Our three-phase study used descriptive cross-sectional analysis to assess quality of life and stages of UP and case–control analysis to identify contributing factors. First, a household survey explored the prevalence of self-reported UP (Phase 1). Second, we used a standardized tool in a 5-day screening camp to determine quality of life among UP-affected women (Phase 2). Finally, a 1-month community survey traced self-reported cases from Phase 1 (Phase 3). To validate UP diagnoses, we reviewed participants’ clinical records, and we used screening camp records to trace women without UP. Results: Among 48 affected women in Phase 1, 32 had Stage II UP and 16 had either Stage I or Stage III UP. Compared with Stage I women (4.62%), almost all women with Stage III UP reported reduced quality of life. Decreased quality of life correlated significantly with Stages I–III. Self-reported UP prevalence (8.7%) included all treated and non-treated cases. In Phase 3, 277 of 402 respondents reported being affected by UP and 125 were unaffected. The odds of having UP were threefold higher among illiterate women compared with literate women (OR=3.02, 95% CI 1.76–5.17), 50% lower among women from nuclear families compared with extended families (OR=0.56, 95% CI 0.35–0.90) and lower among women with 1–2 parity compared to >5 parity (OR=0.33, 95% CI 0.14–0.75). Conclusions: The stages of UP correlated with quality of life resulting from varied perceptions regarding physical health, emotional stress, and social limitation. Parity, education, age, and family type associated with UP. Our results suggest the importance of developing policies and programs that are focused on early health care for UP. Through family planning and health education programs targeting women, as well as women empowerment programs for prevention of UP, it will be possible to restore quality of life related to UP.en_US
dc.descriptionPublished version. Source at <a href=http://doi.org/10.3402/gha.v8.28771>http://doi.org/10.3402/gha.v8.28771</a>.en_US
dc.identifier.citationGlobal health action 2015, 8(28771)en_US
dc.identifier.cristinIDFRIDAID 1297599
dc.identifier.doi10.3402/gha.v8.28771
dc.identifier.issn1654-9880
dc.identifier.urihttps://hdl.handle.net/10037/8789
dc.identifier.urnURN:NBN:no-uit_munin_8379
dc.language.isoengen_US
dc.publisherCoaction Publishingen_US
dc.rights.accessRightsopenAccess
dc.subjectuterine prolapseen_US
dc.subjectquality of lifeen_US
dc.subjectHealth Demographic Surveillance Siteen_US
dc.subjectNepalen_US
dc.subjectVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Gynekologi og obstetrikk: 756en_US
dc.subjectVDP::Medical disciplines: 700::Clinical medical disciplines: 750::Gynecology and obstetrics: 756en_US
dc.titleUterine prolapse and its impact on quality of life in the Jhaukhel-Duwakot Health Demographic Surveillance Site, Bhaktapur, Nepalen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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