title: Prevalence and conditions associated with chronic pelvic pain in women from São Luís, Brazil.
abstract: The objective of the present study was to estimate the prevalence of chronic pelvic pain in the community of São Luís, capital of the State of Maranhão, Northeastern Brazil, and to identify independent conditions associated with it. A cross-sectional study was conducted, including a sample of 1470 women older than 14 years predominantly served by the public health system. The interviews were held in the subject's home by trained interviewers not affiliated with the public health services of the municipality. The homes were visited at random according to the city map and the prevalence of the condition was estimated. To identify the associated conditions, the significant variables (P=0.10) were selected and entered in a multivariate analysis model. Data are reported as odds ratio and 95% confidence interval, with the level of significance set at 0.05. The prevalence of chronic pelvic pain was 19.0%. The independent conditions associated with this diagnosis were: dyspareunia (OR=3.94), premenopausal status (OR=2.95), depressive symptoms (OR=2.33), dysmenorrhea (OR=1.77), smoking (OR=1.72), irregular menstrual flow (OR=1.62), and irritative bladder symptoms (OR=1.90). The prevalence of chronic pelvic pain in Sao Luís is high and is associated with the conditions cited above. Guidelines based on prevention and/or early identification of risk factors may reduce the prevalence of chronic pelvic pain in São Luís, Brazil.
authors: Programa de Pós-Graduação em Saúde Materno-Infantil, Departamento de Medicina III, Universidade Federal do Maranhão, São Luís, MA, Brasil.
authors: L S C
authors: LS
authors: Coelho
authors: Programa de Pós-Graduação em Saúde Materno-Infantil, Departamento de Medicina III, Universidade Federal do Maranhão, São Luís, MA, Brasil.
authors: L M O
authors: LM
authors: Brito
authors: Programa de Pós-Graduação em Saúde Materno-Infantil, Departamento de Medicina III, Universidade Federal do Maranhão, São Luís, MA, Brasil.
authors: M B C
authors: MB
authors: Chein
authors: Programa de Pós-Graduação em Saúde Materno-Infantil, Departamento de Medicina III, Universidade Federal do Maranhão, São Luís, MA, Brasil.
authors: T S
authors: TS
authors: Mascarenhas
authors: Programa de Pós-Graduação em Saúde Materno-Infantil, Departamento de Medicina III, Universidade Federal do Maranhão, São Luís, MA, Brasil.
authors: J P L
authors: JP
authors: Costa
authors: Programa de Pós-Graduação em Saúde Materno-Infantil, Departamento de Medicina III, Universidade Federal do Maranhão, São Luís, MA, Brasil.
authors: A A
authors: AA
authors: Nogueira
authors: Departamento de Ginecologia e Obstetrícia, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil.
authors: O B
authors: OB
authors: Poli-Neto
mesh_terms: D000293:Adolescent; D000328:Adult; D001938:Brazil / Q000453:epidemiology; D059350:Chronic Pain / Q000150:complications / Q000453:epidemiology*; D003430:Cross-Sectional Studies; D003863:Depression / Q000150:complications; D004414:Dyspareunia / Q000150:complications; D005260:Female; D006801:Humans; D008598:Menstruation; D008875:Middle Aged; D015999:Multivariate Analysis; D017699:Pelvic Pain / Q000150:complications / Q000453:epidemiology*; D017697:Premenopause / Q000502:physiology; D015995:Prevalence; D017150:Public Sector; D012907:Smoking / Q000009:adverse effects; D011795:Surveys and Questionnaires; D001745:Urinary Bladder Diseases / Q000150:complications; D055815:Young Adult