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Bio-mechanical risk factors for uterine prolapse among women living in the hills of west Nepal: A case-control study
OBJECTIVE: To investigate whether heavy load carrying, wearing a patuka, and body position at work are risk factors for uterine prolapse among Nepali women. METHODS: Community-based case-control study of 448 women (170 cases of uterine prolapse; 278 controls) aged 18–60 years in Kaski district, Nepa...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6977204/ https://www.ncbi.nlm.nih.gov/pubmed/31965915 http://dx.doi.org/10.1177/1745506519895175 |
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author | Devkota, Hridaya Raj Sijali, Tula Ram Harris, Carisa Ghimire, Dirgha J Prata, Ndola Bates, Michael N |
author_facet | Devkota, Hridaya Raj Sijali, Tula Ram Harris, Carisa Ghimire, Dirgha J Prata, Ndola Bates, Michael N |
author_sort | Devkota, Hridaya Raj |
collection | PubMed |
description | OBJECTIVE: To investigate whether heavy load carrying, wearing a patuka, and body position at work are risk factors for uterine prolapse among Nepali women. METHODS: Community-based case-control study of 448 women (170 cases of uterine prolapse; 278 controls) aged 18–60 years in Kaski district, Nepal was conducted. Women diagnosed with uterine prolapse were cases. Two controls were recruited for each case, frequency-matched by residential area and age. Multivariate logistic regression was used to investigate associations between outcome and exposures. RESULTS: No association of heavy load carrying with uterine prolapse was observed; women who never used a patuka had lower odds of uterine prolapse (odds ratio = 0.18, 95% confidence interval = 0.05–0.71). Women working in a sitting position had higher odds than those working in a standing position (odds ratio = 2.94, 95% confidence interval = 1.74–4.96), as did women who mainly worked in a bending position (odds ratio = 2.45, 95% confidence interval = 1.12–5.34). Housewives were more prone to uterine prolapse than women engaged in farming (odds ratio = 2.13, 95% confidence interval = 1.31–3.47). CONCLUSION: Using a patuka, occupation, and body position during work were all associated with uterine prolapse. No association was found with heavy load carrying, although that might be attributable to the cross-sectional nature of study recruitment. |
format | Online Article Text |
id | pubmed-6977204 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-69772042020-02-06 Bio-mechanical risk factors for uterine prolapse among women living in the hills of west Nepal: A case-control study Devkota, Hridaya Raj Sijali, Tula Ram Harris, Carisa Ghimire, Dirgha J Prata, Ndola Bates, Michael N Womens Health (Lond) Primary OBJECTIVE: To investigate whether heavy load carrying, wearing a patuka, and body position at work are risk factors for uterine prolapse among Nepali women. METHODS: Community-based case-control study of 448 women (170 cases of uterine prolapse; 278 controls) aged 18–60 years in Kaski district, Nepal was conducted. Women diagnosed with uterine prolapse were cases. Two controls were recruited for each case, frequency-matched by residential area and age. Multivariate logistic regression was used to investigate associations between outcome and exposures. RESULTS: No association of heavy load carrying with uterine prolapse was observed; women who never used a patuka had lower odds of uterine prolapse (odds ratio = 0.18, 95% confidence interval = 0.05–0.71). Women working in a sitting position had higher odds than those working in a standing position (odds ratio = 2.94, 95% confidence interval = 1.74–4.96), as did women who mainly worked in a bending position (odds ratio = 2.45, 95% confidence interval = 1.12–5.34). Housewives were more prone to uterine prolapse than women engaged in farming (odds ratio = 2.13, 95% confidence interval = 1.31–3.47). CONCLUSION: Using a patuka, occupation, and body position during work were all associated with uterine prolapse. No association was found with heavy load carrying, although that might be attributable to the cross-sectional nature of study recruitment. SAGE Publications 2020-01-22 /pmc/articles/PMC6977204/ /pubmed/31965915 http://dx.doi.org/10.1177/1745506519895175 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Primary Devkota, Hridaya Raj Sijali, Tula Ram Harris, Carisa Ghimire, Dirgha J Prata, Ndola Bates, Michael N Bio-mechanical risk factors for uterine prolapse among women living in the hills of west Nepal: A case-control study |
title | Bio-mechanical risk factors for uterine prolapse among women living in the hills of west Nepal: A case-control study |
title_full | Bio-mechanical risk factors for uterine prolapse among women living in the hills of west Nepal: A case-control study |
title_fullStr | Bio-mechanical risk factors for uterine prolapse among women living in the hills of west Nepal: A case-control study |
title_full_unstemmed | Bio-mechanical risk factors for uterine prolapse among women living in the hills of west Nepal: A case-control study |
title_short | Bio-mechanical risk factors for uterine prolapse among women living in the hills of west Nepal: A case-control study |
title_sort | bio-mechanical risk factors for uterine prolapse among women living in the hills of west nepal: a case-control study |
topic | Primary |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6977204/ https://www.ncbi.nlm.nih.gov/pubmed/31965915 http://dx.doi.org/10.1177/1745506519895175 |
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