不同避孕方法与育龄妇女贫血关系的现况研究  

Cross-sectional study on relation of anemia among fertile women to contraceptives

作　　者：陈树昶[1] 汪宁[2] 李瑛[3] 

机构地区：[1]东南大学公共卫生学院流行病学教研室,南京210009 [2]中国疾病预防控制中心 [3]江苏省计划生育科学技术研究所

出　　处：《中国公共卫生》2004年第9期1025-1027,共3页Chinese Journal of Public Health

基　　金：国家"十五"科技攻关项目 (2 0 0 2BA70 9B0 6);江苏省计划生育委员会"避孕节育不良反应监测与防治"项目

摘　　要：目的　了解江苏省农村育龄妇女的贫血状况并探讨不同避孕方法与贫血的关系。方法　资料来源于江苏省避孕药具不良反应监测点的基线调查 ,用非条件Logistic回归模型分析贫血的影响因素。 结果　 (1)江苏省农村育龄妇女的贫血患病率为 4 2 5 4 %。 (2 )贫血的危险因素为经济欠发达地区、年龄≥ 35岁 (OR =1 12 5 ,95 %CI:1 0 19～ 1 2 4 2 )、月经周期≤ 2 4d(OR =1 4 89,95 %CI:1 198～ 1 85 0 )、多产次 (OR =1 2 30 ,95 %CI:1 12 5～ 1 346 )、使用宫内节育器 (OR =1 15 3,95 %CI:1 0 4 7～ 1 2 6 9) ;贫血的保护因素为 :体重指数≥ 2 5kg/m2 (OR =0 6 93,95 %CI:0 6 2 4～ 0 770 )、非农民职业 (OR =0 86 2 ,95 %CI :0 776～ 0 95 7)、月经量少 (OR =0 80 5 ,95 %CI:0 74 4～0 871)。结论　农村育龄妇女的贫血患病率较高 ,已经成为严重的公共卫生问题 ;使用宫内节育器为贫血的影响因素 。Objective To determine the prevalence of anemia among rural fertile women in Jiangsu province and to examine the relation between anemia and contraceptive use.Methods Data were from the base-line survey of contraceptive adverse reactions in Jiangsu surveillance points.Unconditional logistic regression model was used to analyze risk factors for anemia.Results The overall prevalence of anemia was 42 54% among rural fertile women in Jiangsu province.The risk factors for anemia included:less-developed areas,women aged>35 and elder( OR =1 125,95% CI :1 019-1 242),cycle length≤24 days( OR =1 489,95% CI :1 047-1 269);The protecting factors were :body mass index(BIM)≥25 kg/m\+2( OR =0 693,95% CI :0 624-0 770),occupations other than peasant( OR =0 862,95% CI :0 776-0 957),scanty period amout( OR =0 805,95% CI :0 744-0 871).Conclusion The prevalence of anemia in rural child-bearing age women was very high,leading it to be a severe public health problem;Use of IUDs may be one of risk factors for anemia,medical screening of clients before use should be conducted.

关 键 词：避孕方法 宫内节育器 贫血 育龄妇女 

分 类 号：R169[医药卫生—公共卫生与预防医学]