Current status of adolescent girls' reproductive health in Almaty


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Abstract

Aim. To estimate the burden of gynecological diseases and determine the impact of behavioral indicators on adolescent girls’ reproductive health in Almaty using logistic regression. Material and methods. The study investigated the prevalence of gynecological diseases among girls aged 10-17 years in Almaty from 2013 to 2017, analyzed results of a social survey of667schoolgirls aged 11, 13 and 15, and assessed a relationship between behavioral indicators and menstrual disorders in school-age girls using binary logistic regression. Results. Annual incidence rates of gynecological diseases among girls in Almaty did not tend to decrease. The most common gynecological disease was abnormal uterine bleeding in puberty (32%), it was followed by pelvic inflammatory diseases (15.5%), and dysmenorrhea (9.9%). Logistic regression modeling identified behavioral indicators associated with menstrual disorders in school-aged girls including frequent consumption of sweets Conclusion. To improve adolescent reproductive health care for girls aged 10-17 years in Almaty, a multifactorial approach needs to be introduced aimed at correcting several risk factors.

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About the authors

Dinara N. Makhanbetkulova

Kazakhstan Medical University KSPH

Email: dinara08888@mail.ru
Doctoral Student

Murat Saparbekov

Kazakhstan Medical University KSPH; Institute of School Medicine

Dr.Med.Sci., The Honored Professor of Kazakhstan Medical University KSPH, Specialist - Researcher, Institute of School Medicine

Gul’nara. Zh Tokmurziyeva

Kh. Zhumatov Scientific Center of Hygiene and Epidemiology, National Public Health Center Branch

Email: tokmurziyeva@yandex.ru
Dr.Med.Sci., Associate Professor, Director of the Kh. Zhumatov Scientific Center of Hygiene and Epidemiology

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