综合干预对已婚育龄妇女生殖道感染的影响  

Effect of comprehensive intervention on reproductive tract infection of married women of childbearing age

作　　者：武俊青[1] 赵瑞[1] 周颖[1] 张玉风[1] 李玉艳[1] 裴泓波[1] 

机构地区：[1]上海市计划生育科学研究所,200032

出　　处：《中国妇幼保健》2011年第17期2635-2638,共4页Maternal and Child Health Care of China

基　　金：上海市人口和计划生育委员会资助项目〔Y20070801〕

摘　　要：目的：评价在社区开展生殖道感染宣教与服务为一体的综合干预对已婚育龄妇女性传播生殖道感染患病率的影响。方法：整群抽取上海市徐汇区4个街道一定数量的居委会,随机分配到干预组和对照组。干预组在常规的计划生育服务基础上实施性传播生殖道感染宣教和筛查诊疗服务,对照组只开展常规的计划生育服务,比较干预前后干预组和对照组生殖道感染状况的变化。结果：性传播生殖道感染（淋病、滴虫性阴道炎及非淋菌性尿道炎）总的患病率在干预实施前后干预组分别为13.23%和6.67%,两组比较差异有统计学意义（P〈0.05）;对照组分别为9.80%和12.10%,两组比较差异有统计学意义（P〈0.05）;多因素Logistic回归分析显示,干预组性传播生殖道感染新发病比例低于对照组（OR=0.57,95%C：I 0.38~0.86）;干预后安全套使用频度的提高对降低生殖道感染有积极作用（OR=0.32,95%CI：0.15~0.69）。结论：计划生育系统在社区进行的宣教和服务综合干预能够降低已婚育龄妇女性传播生殖道感染的发病率。Objective：To evaluate the effect of community-based comprehensive intervention integrated education and service on prevalence of sexual transmitted reproductive tract infections of married women of childbearing age.Methods：A certain amount of neighborhood committees of 4 streets in Xuhui district of shanghai were selected by cluster sampling method,then they were divided into intervention group and control group.The intervention group received publicity and education of reproductive tract infection and screening,diagnosis and treatment services on the basis of conventional family planning services,while the control group received conventional family planning services,the changes of reproductive tract infection situations before and after intervention in intervention group and control group were compared.Results：The total prevalence rates of sexual transmitted reproductive tract infections（gonorrhea,trichomonas vaginitis and nongonococcal urethritis） before and after intervention in intervention group were 13.23% and 6.67%,respectively,there was significant difference（P0.05）;while the total prevalence rates before and after intervention in control group were 9.80% and 12.10%,respectively,there was significant difference（P0.05）.Multivariate logistic regression analysis showed that the proportion of new cases in intervention group was significantly lower than that in control group（OR=0.57,95%CI： 0.38～0.86）;after intervention,the increase of condom use played an active role to reduce the incidences of sexual transmitted reproductive tract infections of married women of childbearing age（OR=0.32,95%CI： 0.15~0.69）.Conclusion：Community-based comprehensive intervention integrated education and service may reduce the prevalence of sexual transmitted reproductive tract infections of married women of childbearing age.

关 键 词：育龄妇女 生殖道感染 性传播疾病干预 

分 类 号：R711.3[医药卫生—妇产科学]