东莞市流动人口未婚女性生殖健康状况调查

目的 了解东莞市流动人口未婚女性的生殖健康状况.方法 采用自行设计的问卷对东莞市5家医院妇产科和皮肤性病科就诊的流动人口未婚女性进行生殖健康情况调查,并对结果进行分析.结果 在3509例患者中,有性行为者832例(23.71%),有妇科疾病者1232例(35.11%),有性传播疾病者190例(5.41%).高年龄组(>24岁)的性行为发生率、人工流产率和阴道炎、宫颈炎患病率分别为26.39%、23.72%、21.25%、8.99%,而低年龄组(≤24岁)分别为21.16%、32.50%、17.93%、6.85%,2个年龄组上述指标比较差异显著.有过性行为者阴道炎、盆腔炎、月经不调的患病率分别为29.33%、7.21%和16.47%,均显著高于未发生性行为者的16.51%、1.16%和1.53%.结论 东莞市流动人口未婚女性中婚前性行为发生率较高,婚前性行为增加了性传播疾病及其他生殖道疾病的发病风险.

Investigation of reproductive health among unmarried floating females in Dongguan city

Objective To study the reproductive health status among unmarried floating females in Dongguan city. Methods A self-administered questionnaire was used to collect the information about reproductive health among unmarried floating females in the department of gynaecology and obstetrics and department of dermatology and venerology of 5 general hospitals in Dongguan city. Results Premarital sexual behavior, gynecological diseases, sexually transmitted diseases were reported in 23.71%, 35.11% and 5.41% of 3509 young women. The prevalence of sexual behavior, vaginitis and cervicitis was significantly higher in senior group (>24 years old)than those in junior group (=24 years) (26.39% vs 21.16%; 21.25% vs 17.93%; 8.99% vs 6.85%), but the induced abortion rate in junior group was superior to that in senior group (32.50% vs 23.72%). The morbidity of vaginitis, pelvic inflammatory disease and menoxenia increased remarkably in the females with sexual behavior compared with those without sexual behavior (29.33% vs 16.51%; 7.21% vs 1.16%; 16.47% vs 1.53%). Conclusions There exists a high prevalence of premarital sexual behavior among the unmarried floating females in Dongguan city. Premarital sexual behavior reinforces the risk of sexually transmitted diseases and other genital disorders.