淮南市农村已婚妇女生殖道感染及相关因素分析  

Analysis on reproductive tract infection and related factors of married women in rural area of Huainan city

作　　者：葛晓娇[1] 张秀军[1] 黄伟[1] 侯赛[1] 高国鹏[1] 沈琼[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与卫生统计学系,安徽合肥230032 [2]安徽省人口和计划生育委员会科技处

出　　处：《中国妇幼保健》2011年第29期4548-4550,共3页Maternal and Child Health Care of China

基　　金：安徽省2006年度重点项目〔060230060〕;安徽省人口和计划生育自然科学基金〔07028〕

摘　　要：目的:了解安徽省淮南市农村已婚育龄妇女常见的生殖道感染(RTIs)的现状及相关因素,为实施干预工程提供科学依据。方法:分层、整群抽取安徽省淮南市3 193例农村已婚育龄妇女进行妇科临床检查和实验室检查,并对生殖道感染相关知识、态度和行为进行问卷调查。结果:3 193例妇女中有2 246人(70.3%)诊断患RTI,生殖道感染患病率前3位依次为宫颈柱状上皮异位(52.6%)、宫颈肥大(33.0%)、细菌性阴道炎(11.0%)。多因素Logistic回归分析显示农村已婚妇女家庭平均年收入越高者罹患RTI的可能性越小(OR=0.848,95%CI:0.755～0.953),高收入为RTIs保护因素;总生育次数越高(OR=1.263,95%CI:1.081～1.476)、冬天洗澡间隔时间越长越容易罹患RTI(OR=1.479,95%CI:1.244～1.417)。结论:淮南市农村已婚妇女生殖道感染率较高,且受多种因素影响,应切实进行健康教育和定期妇科普查,以降低患病率。Objective： To understand the current situation and related factors of common reproductive tract infections （RTIs） a- mong married women of childbearing age in rural area of Huainan city, in order to provide scientific basis for carrying out intervention project. Methods ： 3 193 married women of childbearing age were selected from Huainan city of Anhui province by stratified cluster sampling method, gynecological clinical examination and laboratory examination were carried out ; the related knowledge, attitude and behavior of RTIs were investigated by a questionnaire. Results： Among 3 193 married women, 2 246 women （70. 3% ） were diagnosed with RTIs, the first three diseases of RTIs were columnar ectopia （52.6%）, cervical hypertrophy （33.0%） and bacterial vaginitis （ 11.0% ） . Multivariate lo- gistic regression analysis showed that the rural married women with high average household annual income had low possibility of RTIs （ OR = 0. 848, 95% CI： O. 755 - 0. 953 ）, high income was a protective factor of RTIs ; the rural married women with many times of reproduction （0R=1.263, 95% CI： 1.081 -1.476） and long interval of bathing in winter （OR = 1.479, 95% CI： 1.244 - 1.417） were apt to RTIs. Conclusion： The prevalence of RTI among married women in rural area of Huainan city is very high and affected by many factors. Health education and regular gynecological general investigation should be carried out to reduce the prevalence of RTI.

关 键 词：已婚妇女 生殖道感染 相关因素 

分 类 号：R711.3[医药卫生—妇产科学]