我国中西部4省(自治区)农村已婚育龄妇女生殖道感染症状及其影响因素分析

目的了解我国中西部4省(自治区)农村已婚育龄妇女自述生殖道感染症状及其影响因素,为制定生殖道感染综合干预措施提供依据。方法采用多阶段分层随机抽样方法抽取中西部4省(自治区)农村已婚育龄妇女2174例进行问卷调查。所得资料进行χ2检验和Logistic回归分析。结果自述在过去2周内至少有1种生殖道感染的症状占24.7%。单因素分析显示省(自治区)、民族、文化程度、家庭年总收入、怀孕次数、月经不规律、痛经、经常在月经期同房、丈夫或性伴侣性生活前后不清洗生殖器、丈夫/性伴侣生殖道不适与生殖道感染发生有统计学关联。多因素Logistic回归分析结果显示,少数民族(OR=1.458,95%CI:1.147～1.855)、怀孕次数多(OR=1.432,95%CI:1.161～1.765)、痛经(OR=1.605,95%CI:1.308～1.969)、丈夫或性伴侣生殖道不舒服(OR=2.028,95%CI:1.569～2.622)是生殖道感染发生的危险因素,月经规律(OR=0.632,95%CI:0.488～0.818)、家庭年总收入3001～5000元相对于家庭年总收入≤3000元(OR=0.658,95%CI:0.491～0.880)、山西相对于青海(OR=0.356,95%CI:0.253～0.500)是生殖道感染发生的保护性因素。结论中西部农村已婚育龄妇女中生殖道感染症状较低,可能与"农村社区健康促进"项目实施干预有关。应继续深入开展健康教育,针对影响因素开展生殖健康服务等措施。

Analysis on reproductive tract infections and its influencing factors among rural married women at childbearing age in 4 provinces of Midwest China

Objective To investigate reproductive tract infections（RTIs） and its influencing factors among married women at childbearing age in 4 provinces of Midwest China.Methods By using multi-staged stratified random sampling method,2174 rural married women at childbearing age were selected and received face-to-face questionnaire investigation.Chi-square test and logistic regression analysis were used to analyze the data.Results Among 2174 subjects,24.7% of women gave self-report that they had at least one kind of symptom of reproductive tract infections in the past two weeks.Univariate analysis showed that province,ethnic,education degree,family general income,pregnancy times,irregular menstruation,dysmenorrheal,having sex during menstrual period,husband or partner not washing genital organ before sexual intercourse,husband or partner who had reproductive tract uncomfortable were significantly associated with RTIs.Multi-factor logistic regression analysis showed that minority（OR=1.458,95%CI：1.147-1.855）,pregnancy times（OR=1.432,95%CI：1.161-1.765）,dysmenorrheal（OR=1.605,95%CI：1.308-1.969）,husband who had reproductive tract uncomfortable（OR=2.028,95%CI：1.569-2.622） were risk factors of RTIs.Regular menstruation（OR=0.632,95%CI：0.488-0.818）,annual income 3001-5000 Yuan（OR=0.658,95%CI：0.491-0.880）,and Shanxi Province（OR=0.356,95%CI：0.253-0.500） were protective factors of RTIs.Conclusion The prevalence of RTIs was low in rural married women in Midwest China.It may be related with the ＂Health Promotion in Rural Area＂ project.In-depth health education activities should be further developed and carried out to improve reproductive health service and other measures according to influencing factors.