安徽省农村已婚育龄妇女细菌性阴道病及相关因素 |
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引用本文: | 高国朋,张秀军,侯赛,孙业桓,陶芳标,余国斌,赵东,李修德,李享. 安徽省农村已婚育龄妇女细菌性阴道病及相关因素[J]. 中国妇幼保健, 2013, 28(16): 2519-2522 |
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作者姓名: | 高国朋 张秀军 侯赛 孙业桓 陶芳标 余国斌 赵东 李修德 李享 |
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作者单位: | 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 |
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基金项目: | 安徽省2006年度重点项目,安徽省自然科学基金,安徽医科大学博士科研资助基金 |
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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。
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关 键 词: | 细菌性阴道病 农村育龄妇女 相关因素 |
Situation and related factors of bacterial vaginosis among rural married women of childbearing age in Anhui province |
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Abstract: | 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: 0.402~0.819),lower menarche age(OR= 0.943,95%CI: 0.908~0.978),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%CI: 0.832~0.911) and the basin 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 cervicitis,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. |
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Keywords: | Bacterial vaginosis Rural women of childbearing Age Related factors |
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