Indigenous Peoples’ Experience and Understanding of Menstrual and Gynecological Health in Australia, Canada and New Zealand: A Scoping Review

Ciccia, Donna; Doyle, Aunty Kerrie; Ng, Cecilia; Armour, Mike

doi:10.3390/ijerph20136321

Cited by 5 publications

(1 citation statement)

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“…It is sometimes seen as a sign of impurity. Stigma, secrecy, and shame associated with discussing menstruation can reduce symptom reporting among indigenous women with more conservative cultural values and taboos (53). This may make dysmenorrhea less likely to be reported in this group.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of chronic pelvic pain and associated factors among indigenous women of reproductive age in Ecuador

Vargas-Costales,

Rosero,

Mazin

et al. 2024

Preprint

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Background:Chronic pelvic pain is a common disease that affects approximately 4% of women of reproductive age in developed countries. This number is estimated to be higher in developing countries, with a significant negative personal and socioeconomic impact on women. The lack of data on this condition in several countries, particularly those in development and in socially and biologically vulnerable populations such as the indigenous, makes it difficult to guide public policies. Objectives: To evaluate the prevalence of chronic pelvic pain (dysmenorrhea, dyspareunia, non-cyclical pain) and identify which variables are independently associated with the presence of the condition in indigenous women from Otavalo-Ecuador. Design: A cross-sectional study was carried out including a sample of 2429 women of reproductive age between 14-49 years old, obtained from April 2022 to March 2023. A directed questionnaire was used, collected by bilingual interviewers (Kichwa and Spanish) belonging to the community itself; the number of patients was selected by random sampling proportional to the number of women estimated by sample calculation. Data are presented as case prevalence, odds ratio, and 95% confidence interval, with p < 0.05. Results: The prevalence of primary dysmenorrhea, non-cyclic pelvic pain, and dyspareunia was, respectively, 26.6%, 8.9%, and 3.9%.all forms of chronic pain were independently associated with each other. Additionally, dysmenorrhoea was independently associated with hypertension, intestinal symptoms, miscegenation, long cycles, previous pregnancy, use of contraceptives and pear body shape. Urinary symptoms, late menarche, exercise, and pear body shape were associated with non-cyclic pelvic pain. And, urinary symptoms, previous pregnancy loss, late menarche, hormone usage, and pear body shape were associated with dyspareunia. Conclusion: The prevalence of primary dysmenorrhea and non-cyclical chronic pelvic pain was notably high, in contrast with the frequency of reported dyspareunia. Briefly, our results suggest an association between dysmenorrhoea and conditions related to inflammatory and/or systemic metabolic disorders, including a potential causal relationship with other manifestations of pelvic pain, and between non-cyclical pelvic pain and signs/symptoms suggesting central sensitization. The report of dyspareunia may be influenced by local cultural values and beliefs.

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Section: Discussionmentioning

confidence: 99%