江苏省农村已婚育龄妇女贫血的发生与避孕方法使用关系的研究  

The Relationship of Anemia among Fertile Women with Intrauterine Devices

作　　者：周健[1] 李瑛[1] 吴玉璘[1] 顾晓萍[1] 孙志明[1] 巴磊[1] 

机构地区：[1]江苏省计划生育科学技术研究所,南京210036

出　　处：《中国计划生育学杂志》2007年第4期207-212,共6页Chinese Journal of Family Planning

基　　金：国家"十五"科技攻关课题(2002BA709B06;2004BA709A32)

摘　　要：目的：明确江苏省已婚育龄妇女中贫血发生的比例，探讨放置宫内节育器对已婚育龄妇女贫血发生的影响。方法：采用整群抽样的方法，在避孕药具不良反应监测试点调查已婚育龄妇女生育史、避孕方法应用和副作用发生情况，同时进行相应的健康检查。结果：江苏省农村已婚育龄妇女贫血患病率为41．52％，其中苏南地区为28．32％、苏中和苏北地区分别为51．22％和51．98％（P〈0．001）。经产次调整后，宫内节育器使用者贫血患病率为42．37％，女性绝育术者贫血患病率为39．30％，避孕药和屏障法贫血的患病率分别为37．80％和35．54％（P〈0．001）。宫内节育器使用者贫血的自报率很低，仅1．18％。分地区多因素非条件Logistic回归分析显示，苏南地区使用宫内节育器（OR=1．400，95％CI：1．256～1．559）为贫血的主要影响因素；苏北地区多产次（OR=1．333，95％CI：1．169～1．520）为贫血的主要影响因素。结论：江苏省农村已婚育龄妇女的贫血患病率较高，地区差异明显；不同地区贫血的影响因素不同，使用宫内节育器与妇女贫血发生有关。应做好使用避孕方法前对象的健康筛检；放置宫内节育器后加强随访和血红蛋白监测，及时发现贫血并进行规范治疗．提高妇女的生殖健康水平。Objective： World Health Organization （WHO） published guidelines which describes shortlist of indicators for global monitoring of reproductive health in 2006. The indicator which describes percentage of reproductive - age women who are anemic screening by haemoglobin Was one of those. The aim of the study is to characterize the prevalence of anemia among fertile women using different contraceptives, and to probe into the relationship between anemia and intrauterine devices（IUDs） . Methods：The study was carried out in the surveillance sites of contraceptive adverse reactions using the method of stratified cluster sampling. A standardized interview questionnaire was used to collect information about reproductive history, contraceptives and their side effects. Laboratory and pertinent health examinations were made. Results：The overall prevalence of anemia in the studied population reached 41.52% with variations detected between different regions. The prevalence of anemia in the south, the middle and north of Jiangsu province were 28.32%, 51.22% and 51.98%, respectively（ P 〈0. 001 ）. The adjusted prevalence of anemia, through adjusted by parity, reached 42.37% among IUD users, 39.30% among users of female with sterilization, 37.80% among users of female with hormonal methods and 35.54% among barrier method users. The prevalence of anemia which ever reported was only 1.18% among IUD users. Mass women who were anemic could not realize their health problem. Multivariate unconditional logistic regression analysis had demonstrated that using IUDs（ OR = 1. 400,95% CI： 1. 256 - 1. 559） was the main risk factor in the south of Jiangsu province and parity（ OR = 1. 333,95% CI： 1. 169 - 1. 520）was the main risk factor in the north of Jiangsu province. Conclusion： The prevalence of anemia among rural women of reproductive -age in Jiangsu province is very high： It shows significant differences among regions. There are also different risk factors in different regions, higher prevalence of anemia

关 键 词：育龄妇女 贫血 避孕方法 宫内节育器 

分 类 号：R169.4[医药卫生—公共卫生与预防医学]