流动育龄妇女避孕方法的使用与生殖道感染疾病的相关性分析

目的:了解银川市流动育龄女性的避孕方法使用情况、生殖道感染患病情况以及避孕方法的使用对生殖道感染患病率的影响。方法:在银川市采用多阶段整群随机抽样,对符合条件的育龄女性流动人口开展问卷和实验室检测相结合的方式调查,χ~2检验和Logistic回归相结合分析数据。结果:本次共调查752名育龄女性流动人口,RTIs患病率为36.97%,以细菌性阴道病(16.36%)居多。有82.31%的调查对象在近3个月采用避孕节育方法,其中选择避孕套(50.4%)的对象,其RTIs患病率为29.81%,低于没有避孕和选择其他避孕方法者。多因素逐步Logistic回归分析发现,未使用避孕套者患RTIs的可能性大于使用者(OR=1.62,95%CI 1.10~2.37)。结论:性生活时未使用避孕套是女性RTIs患病的危险因素。应增加避孕套发放渠道,并采取一定的宣教措施提高育龄妇女对避孕套预防RTIs的知晓率和正确使用率。

Relationship between contraceptive methods and reproductive tract infection among migrant women of child -bearing age

Objectives:To understand the status of contraceptive methods use and the reproductive tract infections (RTIs) among migrant women from Ningxia Hui Autonomous Region,and to explore the relationship between them.Methods:A multi-stage cluster sampling was done in Yinchuan city.All eligible subjects were surveyed by questionnaires survey and laboratory examination.The x2 and Logistic regression were used to analyze the data.Results:752 women were selected.The rate of RTIs was 36.97％ and the rate of bacterial vaginosis was 16.36％.The rate of contraceptive methods use was 82.31％.Those who used condom (50.4％) had lower RTIs rate (29.81％).Stepwise logistic regression analysis showed that those who didn't use condom had higher RTIs rate (OR =1.62,95％CI:1.10-2.37).Conclusion:No use of condom is one risk factor of RTIs.The free condom should be addcd in the reproductive health service,and the knowledge of condom use among migrants' women should be trained.