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首页> 外文期刊>Journal of women’s health >Abnormal uterine bleeding, health status, and usual source of medical care: Analyses using the medical expenditures panel survey
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Abnormal uterine bleeding, health status, and usual source of medical care: Analyses using the medical expenditures panel survey

机译：子宫异常出血，健康状况和常规医疗服务：使用医疗支出面板调查进行分析

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Background: Traditionally, research on abnormal uterine bleeding (AUB) focused on measured menstrual blood loss. However, the main burden of this symptom from the patient perspective is its impact on quality of life. Better describing the demographic characteristics, quality of life, and utilization of medical care of women with AUB could assist with health resource planning for this population. Methods: We analyzed data from the Medical Expenditures Panel Survey from 2002 to 2010. AUB was identified by International Classification of Diseases, ninth edition (ICD-9) code group 626, disorders of menstruation and other abnormal bleeding from the female genital tract. Health-related quality of life was assessed by the Short-form 12 Health Survey (SF-12, QualityMetric) physical and mental component summary scores (PCS and MCS). Poorer health-related quality of life was defined as PCS or MCS <50. Odds ratios (OR) and 95% confidence intervals (CI) for the association of AUB with poorer SF-12 scores and having a usual source of care were estimated by multivariable logistic regression models. Results: Data analyzed represented an annual average of 56.2 million nonpregnant women between ages 18 and 50 years. We estimate that 1.4 million women per year (95% CI: 1.3-1.5 million) reported AUB. Women with AUB were more likely to be younger, Caucasian, and obese than women without AUB. Compared to women without AUB, women with AUB had greater odds of a poorer PCS score (OR=1.30, 95% CI: 1.10-1.55), a poorer MCS score (OR=1.28, 95% CI: 1.10-1.51), and a usual source of care (OR=1.85, 95% CI: 1.44-2.38). Conclusions: AUB is associated with diminished physical and mental health status and having a usual source of medical care.
机译：背景：传统上，对异常子宫出血（AUB）的研究集中于经期失血。但是，从患者角度来看，该症状的主要负担是其对生活质量的影响。更好地描述患有AUB的女性的人口统计学特征，生活质量和医疗保健利用状况，可以帮助规划该人群的健康资源。方法：我们分析了2002年至2010年医疗支出小组调查的数据。AUB通过《国际疾病分类》第九版（ICD-9）代码组626，月经紊乱和女性生殖道的其他异常出血进行了识别。与健康有关的生活质量通过12型简短健康调查（SF-12，QualityMetric）的身体和精神成分总分（PCS和MCS）进行评估。与健康相关的较差生活质量被定义为PCS或MCS <50。通过多变量logistic回归模型估计了AUB与较差的SF-12评分和具有通常护理来源的关联的赔率（OR）和95％置信区间（CI）。结果：所分析的数据代表18至50岁之间的年均5620万未怀孕妇女。我们估计每年有140万妇女（95％CI：1.3-150万）报告了AUB。与没有AUB的女性相比，患有AUB的女性更年轻，白种人和肥胖。与没有AUB的女性相比，患有AUB的女性的PCS评分（OR = 1.30，95％CI：1.10-1.55），MCS评分（OR = 1.28，95％CI：1.10-1.51）较差的可能性更大，并且通常的护理来源（OR = 1.85，95％CI：1.44-2.38）。结论：AUB与身体和精神健康状况的下降以及通常的医疗护理有关。

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