Health‐related quality of life among women in rural Bangladesh after surgical repair of obstetric fistula
Tóm tắt
To identify factors influencing health‐related quality of life (QOL) among women in Bangladesh after successful surgical repair of obstetric fistula.
In 2012, a cross‐sectional study was conducted of women who had undergone a successful surgical repair of an obstetric fistula at a hospital in northwest Bangladesh between June 2005 and May 2012. Sociodemographic, obstetric, and fistula‐related information was collected by interview. Health‐related QOL was assessed using the 36‐item Short Form Health Survey (SF‐36).
A total of 113 women were included. Linear regression analysis showed that discrimination experiences negatively affected four of the eight scales of SF‐36, as well as both the physical and mental component summaries (P < 0.05 for all). Married status had a positive effect on four scales and the mental component summary (P < 0.05 for all). Age inversely affected two scales and the physical component summary (P < 0.01 for all). Internalized stigma negatively influenced two scales (P < 0.05 for both). Not having living children and experiencing two or more previous stillbirths negatively influenced one scale (P < 0.05 for both).
Several factors influence health‐related QOL after obstetric fistula repair; a comprehensive approach is needed to address these issues.