An Analysis Of Influencing Factors Of POI Among Prison Inmates And Its Relationship With Their Mental Health

Objective: By studying the risk factors of POI among prisoners and their relationship with mental health,this paper explores the risk factors of POI among incarcerated women,so as to prevent the occurrence of POI and achieve the purpose of early detection and intervention.It also provides reference for improving medical security and quality of life for women serving sentences,and provides clues for prison medical staff and psychologists to prevent POI occurrence among women serving sentences.Methods: A total of 95 patients with POI who met the inclusion and exclusion criteria were selected from prisoners in a regional prison from January 2020 to January2022,and 95 healthy women who were served in prison during the same period were selected as the control group.Basic clinical data were collected,and univariate and multivariate Logistic regression were used to analyze the risk factors affecting the incidence of POI.All POI women were given sequential treatment with estrogen progesterone.Psychological intervention group was given psychological intervention on the basis of hormone therapy.HAMD17,HAMD14,symptom self-rating scale and PSQI were evaluated for POI incarcerated women,and the relationship between POI patients and anxiety,depression,symptom self-rating and sleep quality was analyzed.Results: Univariate analysis showed that there were statistical differences between POI incarcerated women and non-POI women in terms of detention times,education level,legitimate occupation,pelvic surgery,exposure history of toxic and harmful substances,adverse lifestyle,exercise times,age of menarche,menstrual volume,induced abortion times,and gynecological diseases(P < 0.05).Multivariate Logistic regression analysis showed that college education or above,mental labor,pelvic surgery,exposure to toxic and harmful substances,second-hand smoke,smoking,menstrual deficiency and induced abortion were the risk factors for POI among incarcerated women.Daily exercise was a protective factor for POI occurrence(P < 0.05).The total incidence of anxiety was 83 cases(84.7%)in the POI group compared with 69 cases(72.6%)in the non-POI group.The total incidence of depression was 81 cases(85.3%)in the POI group and 58 cases(61.1%)in the non-POI group.The scores of depression factor and anxiety factor of incarcerated women in POI group were higher than those in non-POI group,and the sleep quality factors and total scores of incarcerated women in POI group were higher than those in non-POI group(P < 0.05).Within the group,compared with before intervention,HAMD14,HAMD17,PSQI and SCL-90 scores,FSH,LH and P levels were significantly decreased in psychological intervention group and non-psychological intervention group,while E2 levels were increased.Compared with the non-psychological intervention group,HAMD14,HAMD17,PSQI and SCL-90 scores,FSH,LH and P levels were significantly decreased in the psychological intervention group,while E2 levels were increased(P < 0.05).Conclusion: College degree or above,mental labor,pelvic surgery,exposure to toxic and harmful substances,second-hand smoke,smoking,menstrual deficiency and induced abortion were the risk factors for POI occurrence of incarcerated women,and daily exercise was the protective factor.POI women who serve prison sentences at the same time have a higher tendency of anxiety and depression than those who do not suffer from POI.Therefore,anxiety and depression may be risk factors for POI women who serve prison sentences,and the sleep quality of POI women is relatively worse than that of non-POI women.The sequential treatment of estrogen and progesterone combined with psychological intervention can significantly improve the psychological status,sleep quality and hormone level of patients.For incarcerated women with POI high risk factors,attention should be paid,psychological counseling and treatment should be carried out in time,and interference from risk factors should be avoided.