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Efectos del consumo de cigarrillo en la presentación y severidad de la dismenorrea

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dc.contributor.advisorRuíz Sternberg, Ángela María
dc.contributor.advisorIbáñez Pinilla, Milcíades
dc.contributor.advisorRuíz Steimberg, Jaime Enrique
dc.creatorTorres González, July Vianneth
dc.creator.degreeEspecialista en Epidemiología (en Convenio con el CES)
dc.date.accessioned2014-04-07T14:11:31Z
dc.date.available2014-04-07T14:11:31Z
dc.date.created2014-03-31
dc.date.issued2014
dc.descriptionIntroducción: La dismenorrea se presenta como una patología cada vez más frecuente en mujeres de 16-30 años. Dentro de los factores asociados a su presentación, el consumo de tabaco ha revelado resultados contradictorios. El objetivo del presente estudio es explorar la asociación entre el consumo de cigarrillo y la presentación de dismenorrea, y determinar si los trastornos del ánimo y la depresión, alteran dicha asociación. Materiales y métodos: Se realizó un estudio de prevalencia analítica en mujeres de la Universidad del Rosario matriculadas en pregrado durante el primer semestre de 2013, para determinar la asociación entre el consumo de tabaco y la presentación de dismenorrea. En el estudio se tuvieron en cuenta variables tradicionalmente relacionadas con dismenorrea, incluyendo las variables ansiedad y depresión como potenciales variables de confusión. Los registros fueron analizados en el programa Estadístico IBM SPSS Statistics Versión 20.0. Resultados: Se realizaron 538 cuestionarios en total. La edad promedio fue 19.92±2.0 años. La prevalencia de dismenorrea se estimó en 89.3%, la prevalencia de tabaquismo 11.7%. No se encontró una asociación entre dismenorrea y tabaquismo (OR 3.197; IC95% 0.694-14.724). Dentro de las variables analizadas, la depresión y la ansiedad constituyen factores de riesgo independientes para la presentación de dismenorrea con una asociación estadísticamente significativa p=0.026 y p=0.024 respectivamente. El análisis multivariado encuentra como factor determinante en la presentación de dismenorrea, la interacción de depresión y ansiedad controlando por las variables tradicionales p<0.0001. Sin embargo, esta asociación se pierde cuando se analiza en la categoría de dismenorrea severa y gana relevancia el uso de métodos de anticoncepción diferentes a los hormonales, mientras que el hecho de haber iniciado la vida sexual presenta una tendencia limítrofe de riesgo. Conclusiones: No se puede demostrar que el tabaco es un factor asociado a la presentación de dismenorrea. Los trastornos del ánimo y la ansiedad constituyen factores determinantes a la presentación de dismenorrea independientemente de la presencia de otros concomitantes. Las variables de asociación se modifican cuando la variable dependiente se categoriza en su estado más severo. Se necesitan estudios más amplios y detallados para establecer dicha asociación.spa
dc.description.abstractIntroduction: Dysmenorrhea is presented as an ever more common in women 16-30 years pathology. Among the factors associated with their presentation, use of snuff has revealed conflicting results. The aim of this study is to explore the association between cigarette smoking and presentation of dysmenorrhea, and determine whether mood disorders and depression alter this association. Materials and Methods: An analytical prevalence study was conducted in women of Rosario University undergraduates enrolled during the first half of 2013, to determine the association between the consumption of snuff and presentation of dysmenorrhea. The study took into account variables traditionally associated with dysmenorrhea, including anxiety and depression variables as potential confounders. The records were analyzed in IBM SPSS Statistics version 20.0 statistical program. Results: 538 questionnaires were conducted in total. The mean age was 19.92 ± 2.0 years. The prevalence of dysmenorrhea was estimated at 89.3 %, smoking prevalence 11.7 %. No association between dysmenorrhea and smoking was found (95% CI 0694-14724 OR 3.197). Among the analyzed variables, depression and anxiety were independent risk factors for dysmenorrhea presenting a statistically significant association with p=0.026 and p=0.024 respectively. The interaction of depression and anxiety (controlling for traditional variables) was a determining factor in the presentation of dysmenorrhea in the multivariate analysis p < 0.0001. However, this association was lost when analyzed in the category of severe dysmenorrhea and earn relevance using different methods of hormonal contraception, while the fact of having initiated sexual life had a tendency borderline risk. Conclusion: This study cannot prove that the snuff is a factor associated with the presentation of dysmenorrhea. Mood disorders and anxiety are decisive to the presentation of dysmenorrhea regardless of the presence of other concomitant factors. Association variables change when the dependent variable is categorized in its most severe state. Extensive and detailed studies to establish that association are needed.eng
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dc.identifier.doihttps://doi.org/10.48713/10336_5062
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/5062
dc.language.isospa
dc.publisherUniversidad del Rosariospa
dc.publisher.departmentFacultad de medicinaspa
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dc.rights.ccCC0 1.0 Universalspa
dc.rights.licenciaEL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma. PARÁGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe. EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización.spa
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dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subjectadolescentesspa
dc.subjectdolor pélvicospa
dc.subjectdismenorreaspa
dc.subjecttabaquismospa
dc.subjectdepresiónspa
dc.subjectansiedad.spa
dc.subject.ddcEnfermedades
dc.subject.keywordadolescentseng
dc.subject.keywordpelvic paineng
dc.subject.keyworddysmenorrheaeng
dc.subject.keywordsmokingeng
dc.subject.keyworddepressioneng
dc.subject.keywordanxiety.eng
dc.subject.lembJóvenesspa
dc.subject.lembTabaquismospa
dc.subject.lembDismenorreaspa
dc.subject.lembHábito de fumarspa
dc.subject.lembTrastornos de la menstruaciónspa
dc.titleEfectos del consumo de cigarrillo en la presentación y severidad de la dismenorreaspa
dc.typebachelorThesiseng
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.type.spaTrabajo de gradospa
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