贵州省农村已婚育龄妇女生殖道感染现状及危险因素分析

目的:了解贵州省农村已婚育龄妇女生殖道感染(RTIs)现状及造成RTIs的危险因素。方法:采用分层整群的随机抽样方法,对贵州省凯里市舟溪镇及六枝特区新窑乡18个村共3675名已婚育龄妇女进行问卷调查、实验室检测和妇科体检,用SPSS统计软件进行统计分析。结果:3675名妇女中,滴虫阴道炎、念珠菌阴道炎、细菌性阴道炎、淋病、慢性宫颈炎的患病率分别为1.1%、2.0%、2.6%、0.1%和25.8%。RTIs1036例,患病率为28.2%。性传播阴道炎的危险因素是既往患RTIs病史、孕次和产次增加;内源性感染的危险因素是文化程度低、既往患RTIs病史和有流产史;慢性宫颈炎的危险因素是对象的文化程度、既往患RTIs病史、产次和流产等。多因素Logistic回归分析发现,既往患RTIs病史是性传播阴道炎和慢性宫颈炎的主要危险因素,内源性感染阴道炎的危险因素有既往患RTIs病史和有人流史。结论:贵州省农村育龄妇女RTIs患病率为28.2%,平时生殖道自觉白带异常和有人流史是农村育龄妇女生殖道感染的危险因素。应开展有针对性的、多种形式的生殖健康和性知识宣传教育活动,提高育龄妇女及其配偶对RTIs防治知识的知晓率,加强自我保健意识和能力,从而降低人工流产率。

Study on reproductive tract infections and influencing factors among vulnerable married women in rural area of Guizhou

Objective:To understand the present situation of reproductive tract infections and influencing factors among married women at childbearing age in rural area of Guizhou to provide evidence for the intervention.Methods:A total 3 675 married women in 18 villages from Guizhou province were selected by multistage cluster random sampling and interviewed face-to-face through questionnaires,laboratory tests assay and gynecological examination.All data were analyzed by SPSS 11.0.Results:The positive detection rates of trichomonas vaginitis,candida albicans,bacterial vaginitis,Neisseria gonorrhea and chronic uterocervical inflammation were 1.1%,2.0%,2.6%,0.1% and 25.8%,respectively.1 036 women were RTIs and the rate of RTIs were 28.2%.The influencing fators of sexually transmitted vaginitis were history of suffering from RTI,increase in pregnant and bearing frequency.The endogenesis infected vaginitis' rates of those women increased prominently,whose educational degree were low,or who had history of suffering from RTI or abortion history.The influencing factors of chronic uterocervical inflammation were women's educational degree,history of suffering from RTI,bearing frequency,abortion.Multiple logistic regression analyses indicated that history of suffering from RTI,abortion was the mostly influencing factors of sexually transmitted vaginitis and chronic uterocervical inflammation.The mostly influencing factors of endogenesis infected vaginitis were history of suffering from RTI and induced abortion.Conclusion:It is very urgent that health and sexal knowledge educational intervention be conducted to increase knowing rate of RTIs and consciousness health protection among couple,to depress rate of induced abortion.