中国部分地区未婚人工流产女青少年生殖道感染现况研究

目的:了解部分地区未婚人工流产女青少年生殖道感染的患病情况及相关影响因素。方法:在北京、河南、广西、广东部分城市的10所医院对2002名年龄为24岁以下自愿要求人工流产的未婚女青少年进行妇科检查、实验室检查及自填式问卷调查,应用SPSS／10.0软件对数据进行统计学分析。结果:调查对象的平均年龄为22.0±1.7岁,最小为14岁。调查对象的39％为城市户口,61％为流动人口。被调查女青年首次性行为的平均年龄为20.3±1.9岁。既往患有生殖道感染者为27.7％。本次调查未婚人工流产女青年生殖道感染患病率为57.1 ％;其中57.6％患有1种感染;25.3％患有2种感染;17.1 ％患有3种及以上的感染。与生殖道感染有关的影响因素包括职业为学生和服务人员、非流动人口、既往生殖道感染患病史、首次性行为年龄小、未使用避孕方法、月经期间发生性关系及清洁外阴的间隔时间较长。结论:女青少年生殖道感染患病率相当高,是目前影响未婚人工流产女青少年生殖健康的主要问题之一。应进一步加强青少年性教育,进行预防不良性行为和生殖道感染的健康教育和干预措施。

Study on actuality of reproductive tract infections among unmarried female adolescents wanted to accept induced abortion in some areas China

Objective: To investigate the prevalence of reproductive tract infections (RTIs) among unmarried female adolescents who are seeking induced abortion and to analyze the factors. Methods: A total number of 2002 unmarried young women (aged≤24) wanted to accept induced abortion from 10 hospitals of Beijing, Henan, Guangxi and Guangdong were investigated through gynecological examination, laboratory tests and questionnaire. The data was analyzed by SPSS 10. 0 statistical software. Results: The average age of studied young women was 22. 0±1. 7. The youngest age was 14. Among them, 39% was local population and 61% was floating population. The average age of the first sexual behavior group was 20. 3±1.9. 27.7% of them had history of RTIs. The prevalence of RTIs in studied young women was 57. 1%. Among them, 57. 6% of young women suffered from any one disease of RTIs, 25.3% and 17. 1% of them suffered from two, three diseases and above respectively. The influential factors on RTIs included occupation as student and service industry, local population, history of RTIs, the younger age of the first sex behavior, no use of contraception methods, having sexual intercourse during menstruation and the interval duration of cleaning vulvae. Conclusion: The prevalence of RTIs in unmarried female adolescents was quite high, and RTIs was one of the main problems, which influenced the reproductive health among unmarried female adolescents. The sexual health education and intervention measures of prevention of unhealthy sexual behavior and reproductive tract infections to the adolescent should be further enhanced.