遵义市农村地区男性不育影响因素的病例对照研究  

Influencing factors of male infertility in rural areas in Zunyi:a case-control study

作　　者：杨华君[1] 惠亚 施尚鹏 姚观平[2] 葛斌[2] 周彦娜[1] 王涛[1] 石修权[1] 

机构地区：[1]遵义医学院公共卫生学院流行病与卫生统计教研室,贵州遵义563099 [2]遵义医学院附属医院生殖医学中心

出　　处：《环境与健康杂志》2016年第3期223-226,共4页Journal of Environment and Health

基　　金：贵州省科技厅;遵义医学院;遵义市科技局联合基金(黔科合J字LKZ[2010]32号);贵州省卫生厅优秀医学青年科技人才基金(gzwkj2010-2-001号)

摘　　要：目的探讨遵义农村地区男性不育的影响因素。方法于2014年11月—2015年8月,选择在遵义下辖的3个乡镇街头偶遇的成年已婚育男性181人作为对照组（生育组）;选择在遵义医学院附属医院生殖中心做检查的农村不育男性患者212人作为病例组（不育组）。采用现场问卷调查,调查内容包括一般情况、个人生活习惯等,并进行多因素logistic回归分析。结果被动吸烟、熬夜、每周使用电脑是遵义农村地区男性不育的主要危险因素,OR值（95%CI）分别是1.795（1.079~2.984）、2.516（1.638~3.862）、1.629（1.070~2.482）。结论被动吸烟、熬夜、每周使用电脑是男性不育症的危险因素,均可能降低男性生殖健康水平。Objective To explore the influencing factors of male infertility in rural areas in Zunyi, Guizhou province. Methods During the period from November 2014 to August 2015, a total of 212 infertile men（case） who came to the Reproductive Medical Center of Affiliated Hospital of Zunyi Medical University for examination, while 181 fertile men（control） were recruited by convenience sampling from three towns in Zunyi, were recruited in the same period. The investigation was conducted through questionnaire, which included general characters, personal life style,and multivariate logistic regression analysis was used to analyze the risk factors. Results Multivariate logistic regression analysis showed that passive smoking（OR =1.795, 95% CI：1.079-2.984）, staying up late（OR=2.516, 95%CI： 1.638-3.862）, using computer every week（OR=1.629, 95%CI： 1.070-2.482） were the main risk factors for male infertility in rural areas in Zunyi. Conclusion Passive smoking, staying up late and using computer every week may be involved in male infertility in the investigated rural areas in Zunyi.

关 键 词：男性不育 LOGISTIC回归分析 病例-对照研究 

分 类 号：R181.3[医药卫生—流行病学]