中国中西部地区农村妇女生殖道感染现状 及生活行为影响因素分析

目的 了解中国中西部农村地区育龄妇女的生殖道感染现状,并分析其生活行为影响因素.方法 采用问卷调查和妇科检查的方法,用SPSS 16.0软件进行统计分析.结果 中西部农村地区768名(52.8%)调查对象听说过生殖道感染,但其中112名(14.6%)不知道生殖道感染的症状,244名(31.8%)不知道生殖道感染性疾病会产生哪些危害.768名调查对象中,132名(17.2%)不清楚如何预防生殖道感染.妇科检查发现,1111名(76.4%)调查对象患有至少一种生殖道感染,其中慢性宫颈炎的患病率最高,为621名(42.7%),其次是细菌性阴道病,为423名(29.1%).地区、年龄、文化程度、职业、近一年内是否做过健康体检和育龄妇女的生活习惯与生殖道感染患病情况有统计学联系.多因素logistic回归分析显示,生活在西部地区、洗下身的盆与他人合用、不晾晒清洗的内裤以及性生活前不清洗外阴的25～40岁已婚育龄妇女易患生殖道感染.结论 中西部地区农村妇女生殖道感染患病率较高;对妇女生殖道感染相关知识的知晓率较低.

Study on the prevalence of reproductive tract infections and influencing factors on women in rnral areas of the Middle and Western regions in China

Objective To investigate the prevalence on reproductive tract infections (RTIs)status and influencing factors of women living in the rural areas of the middle and western regions in China and to develop the control strategy for RTIs. Methods Questionnaire interview and gynecological examination were carried out to collect the related information. SPSS 16.0 was used to carry on the statistical analysis. Results 768 subjects (52.8%) had heard of RTIs, but 112 of them (14.6%) did not know the symptoms of it, 244 people (31.8%) do not know the infects of RTIs, 132 women ( 17.2% ) did not know how to prevent RTIs. Gynecological examination revealed that 1111 subjects (76.4%) had at least one kind of RTIs, where the highest prevalence was chronic cervicitis,621 women (42.7%) suffered from this, followed by bacterial vaginosis with 423 women suffered,accounted for 29.1%. Data from influencing factors analysis showed that region, educational level,occupation, whether having healthy check-up or not in the past 1 year and the habits of the reproductive women all contributed to the prevalence of the RTIs. Multiple regression analysis for influencing factors showed that reproductive aged women, living in western region, sharing the basin of washing genitals with others, not drying the cleaned underwear, not cleaning the pudendum before sexual intercourse and at 25-40 of age, having high prevalence of RTIs. Conclusion RTIs is prevalent among women in the rural areas. Intervention programs should be done according to the influencing factors while knowledge on RTIs among women needs to be improved, including promotion on healthy behavior, quality of medical institutions and male participation.