安徽省农村妇女人工流产和生殖道感染的相关性研究  

Study on the correlation between induced abortion and reproductive tract infections

作　　者：章仁杰[1] 张秀军[1] 吕香君[1] 朱亚萍[1] 葛晓娇[1] 黄伟[1] 余国斌[2] 赵东[2] 

机构地区：[1]安徽医科大学公共卫生学院流行病学与卫生统计学系,合肥230032 [2]安徽省人口和计划生育委员会科技处

出　　处：《中华流行病学杂志》2011年第1期29-32,共4页Chinese Journal of Epidemiology

基　　金：安徽省人口和计划生育自然科学基金（07028）;安徽省2008年教学重点项目（2008jyxm114）;安徽省2006年度重点项目（060230060）

摘　　要：目的 探讨农村已婚妇女人工流产和生殖道感染的关系.方法 在保证市级代表性基础上,分层、整群抽取安徽省15～49岁53 652名农村已婚妇女,采用先集中和后入户的调查方式进行现场调查和妇科检查.结果 调杳的农村已婚妇女中16 800人（32.0%）曾有过人工流产史;其中流产1次的有11 090人（21.1%）,2次的有3976人（7.6%）,3次及以上的有1734人（4.1%）.农村已婚妇女有30 959人（59.0%）至少患1种生殖道感染;其中仅患1种的妇女有16215人（30.9%）,同时患有2种感染的有10 494人（20.0%）,患有3种及以上感染的有4250人（8.1%）.Х^2检验及累积比数1ogistic分析显示,随着人工流产次数的增加,罹患生殖道感染的可能性就越大,特别是宫颈炎和盆腔炎.结论 农村已婚妇女生殖道感染患病率和人工流产率都很高,尤其是曾有过人工流产史的妇女其生殖道感染的患病率更高.Objective To explore the correlation between induced abortion and reproductive tract infections （RTIs）. Methods On the basis of keeping the representation of cities under study,53 652 fertile women aged 15-49 were surveyed by using a stratified-cluster-random sampling.Investigation and gynecological examination were conducted by two steps - firstly converging at the clinics, and then visiting those households for someone who did not show up at the clinics. Results Among all the 32.0% （n=16 800） women ever having experienced the history of induced abortion,21.1%（n= 11 090） of them had one, 7.6%（n=3976） women had two, and 4.1%（n=1734） women had at least three events. 59.0%（n=30 959） women among our studied samples had ever had RTI,with 30.9% （ n = 16 215 ） of them had only one 20.0% （n = 10 494 ） women had two and 8.1% （n =4250） had three or more RTIs. Data from Х^2 text and ordinal regression analysis revealed that the rural married women who underwent more induced abortions were more likely to suffer from RTIs,especially cervical infection and PID. Conclusion Our study showed that the rates of induced abortion and reproductive tract infections among married women in Anhui province were both high.Women who underwent induced abortions had a higher prevalence rate of reproductive tract infections.

关 键 词：农村已婚妇女 人工流产 生殖道感染 相关性研究 

分 类 号：R173[医药卫生—妇幼卫生保健]