广州市小学女童初潮痛经发生现况  

Prevalence of menarche and dysmenorrhea among primary schoolers in Guangzhou

作　　者：余美侨 静进[1] 麦锦城 陈亚军[1] 张雯[1] 彭仰华 刘步云[1] 暴芃[1] 马军[3] 

机构地区：[1]中山大学公共卫生学院儿少卫生与妇幼保健系,广东广州510080 [2]广州市中小学保健所 [3]北京大学儿童青少年卫生研究所

出　　处：《中国学校卫生》2014年第4期564-566,共3页Chinese Journal of School Health

基　　金：卫生行业科研专项项目(201202010)

摘　　要：目的了解广州中心城区小学女童月经初潮、痛经发生状况,为学校进行青春期健康教育提供参考资料。方法利用2011年广州市学生体质健康监测总样本中中心城区14 839名小学女童（5.27~15.30岁）月经情况的数据,计算月经初潮中位年龄、初潮发生率及痛经现患率。结果广州中心城区半数女童的初潮年龄为12.29岁,初潮的发生率为9.25%（95%CI=8.88%~9.40%）;早初潮发生率为0.17%（95%CI=0.096%~0.28%）。来潮者中痛经的现患率为19.74%（95%CI=17.46%~22.02%）。结论 2011年广州中心城区小学女童月经初潮发生率较高,痛经现患率较低。应对小学高年级女童开展相应的知识健康教育。Objective To determine the menarche age and prevalence of menarche and dysmenorrhea among urban Guangzhou primary school-aged girls,and to provide reference for school-based adolescence health education. Methods As a part of National Surveys on Students Constitution and Health,a cross-sectional study on the menarche age and prevalence of menarche and dysmenorrhea among 14 839 primary school-aged girls aged 5. 27-15. 30 years old was undertaken in Guangzhou urban city in 2011. Statistical analysis was probit analysis. Results The means of menarche age（ MMA） was 12. 29 years old,the prevalence of menarche,early menarche and dysmenorrheal was respectively 9. 25%,0. 17% and 19. 74%. Conclusion The prevalence of menarche and dysmenorrhea is nearly 10% and 20% respectively among Guangzhou urban area primary school-aged girls in 2011, and related health education should be given to the girls in high grade in primary school.

关 键 词：月经初潮 痛经 生长和发育 学生 

分 类 号：R179[医药卫生—妇幼卫生保健] R271.113[医药卫生—公共卫生与预防医学]