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目的 探讨城市女孩月经初潮早发的相关影响因素 ,为采取干预措施和健康教育提供理论依据。 方法 采用 1∶2配比的病例对照研究方法对 12 3例月经初潮早发女孩和 2 46例对照进行调查 ,对所有调查因素进行单因素及多因素条件logistic回归分析。 结果 单因素分析中有 13个因素有显著意义 ,其中 5个因素进入多因素分析 ,依次是 :家庭人均食品支出、体块指数、母亲初潮年龄、家庭亲密度实际状况与理想的距离、家庭适应性实际状况。 结论 女孩月经初潮早发不仅与遗传、营养、体脂等因素有关 ,也与心理社会因素有关。
Objective To explore the related factors of early onset of menarche in urban girls and to provide theoretical basis for the intervention and health education. Methods A case-control study with a ratio of 1: 2 was used to investigate 123 girls with early menarche and 246 controls. All the investigation factors were analyzed by one-factor and multi-factor logistic regression analysis. Results There were 13 significant factors in the univariate analysis. Among them, 5 factors entered into the multivariate analysis, followed by family food expenditure per capita, body mass index, maternal menarche age, family intimacy actual status and ideal distance, family adaptation The actual situation. Conclusion Early onset of menarche is not only related to genetic, nutritional, body fat and other factors, but also related to psychosocial factors.