安徽省农村已婚育龄妇女细菌性阴道病及相关因素  

Situation and related factors of bacterial vaginosis among rural married women of childbearing age in Anhui province

作　　者：高国朋[1] 张秀军[1] 侯赛[1] 孙业桓[1] 陶芳标[2] 余国斌 赵东 李修德[1] 李享[1] 

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]安徽医科大学儿少卫生与妇幼保健学系 [3]安徽省人口与计划生育委员会科技处

出　　处：《中国妇幼保健》2013年第16期2519-2522,共4页Maternal and Child Health Care of China

基　　金：安徽省2006年度重点项目(060230060);安徽省自然科学基金(07028);安徽医科大学博士科研资助基金(201018)

摘　　要：目的:了解安徽省农村已婚育龄妇女细菌性阴道病(BV)的现状及相关因素。方法:在保证市级代表性的基础上,分层、整群抽取18～49岁54 540例农村已婚育龄妇女进行健康问卷调查、妇科检查和实验室检查。结果:安徽省农村已婚育龄妇女BV患病率为11.9%(6361/53286),汉族、初潮年龄相对较早、月经周期正常(25～34天)、行经期正常(3～8天)、无原发性痛经、洗脚盆与洗下身盆分开罹患BV的可能性相对较低为保护因素;而已婚妇女学历越低、与丈夫性生活前清洗下身的频率越高越容易罹患BV为危险因素。BV患者中宫颈炎、滴虫性阴道炎和盆腔炎的患病率明显高于无BV妇女,是无BV妇女的0.6、0.7和0.7倍,两组比较差异有统计学意义(P<0.01)。结论:安徽省农村已婚育龄妇女BV发生率较高且受多种因素影响,有关部门应开展有针对性的健康教育和妇科普查,做到早检查、早发现、早治疗。Objective： To explore the prevalence of bacterial vaginosis （ BV ） and related factors among married women of childbearing age in rural area of Anhui province. Methods： 54 540 rural married women aged 15 -49 were surveyed by a questionnaire, gynecological examination and lab examination for BV based on a stratified - cluster - random sampling design. Results： The prevelance of BV was 11.9% （6 361/53 286） . Han nationality （OR = 0. 574, 95 % CI： O. 402 -0. 819 ）, lower menarche age （OR = O. 943, 95 % CI： O. 908 0. 978）, menstrual cycle in 25 - 34 days （ OR = 0. 883, 95% CI： 0. 816 - 0. 956 ）, menstruation in 3 - 8days （ OR = 0. 803, 95% CI： 0. 742 - 0. 869 ）, without dysmenorrheal （ OR = 0. 870, 95 % C/： 0. 832 - 0.911 ） and the hasin of washing genital separating from the basin of washing feet （ OR = 0. 924, 95% CI： 0. 869 -0. 982） were protective factors of BV, lower education level （ OR = 1. 125, 95% CI： 1. 090 - 1. 162） and higher rate of washing genitalia before sexual intercourse （ OR = 1. 126, 95% CI： 1. 098 - 1. 155） were risk factors of BV. The incidence of chronic cervieitis, trichomonas vaginitis and pelvic inflammatory disease in women with BV were higher than those of women without BV. Conclusion ： BV is quite prevalent among married women of childbearing age in rural area of Anhui province and caused by multi - factors. Health education and gynecological census should be carried out in order to reduce the prevalence of BV and achieve the early screening, early detection and early treatment for these women.

关 键 词：细菌性阴道病 农村育龄妇女 相关因素 

分 类 号：R173[医药卫生—妇幼卫生保健]