深圳市工厂已婚女工生殖道感染状况调查结果分析

目的:了解深圳市工厂已婚女工的生殖道感染相关知识、态度和行为情况,以及常见生殖道感染的流行状况及危险因素。方法:对深圳南山区两个电子厂和两个制衣厂内所有15-49岁的已婚女工,共计938人,进行问卷和生殖道感染普查。用SAS8.2进行统计分析。结果:938名工厂女工中,外阴阴道念珠菌病、细菌性阴道病、沙眼衣原体感染和滴虫性阴道炎的患病率分别为10.3%、4.2%、2.7%和0.7%;多数女工对生殖道感染,尤其是卫生习惯的认识存在偏差;有27%的女工经常进行阴道冲洗;求医行为,尤其是遵医嘱行为较差。单因素和多因素logistic回归提示,年龄、人工流产次数、月经期清洗外阴频率、求医和遵医嘱情况和使用宫内节育器是生殖道感染的影响因素。结论:应加强工厂女工生殖道感染宣传教育,改善女工的求医行为,从而达到防治生殖道感染的目的。

Analysis on Survey of Reproductive Tract Infections for Married Female Factory Workers in Shenzhen

Objective: To investigate the prevalence of common reproductive tract infections(RTIs) in married female factory workers in Shenzhen and to explore related knowledge,attitude and behavior.Methods: A total of 938 married female workers,aged 15-49 years old in two electronic and two garment factories in Nanshan district in Shenzhen,were investigated with questionnaire,gynecological examination and laboratory tests.Data were analyzed by SAS 8.2 statistical software.Results: The prevalence rate of the four target disease,vulvovaginal candidiasis,bacterial vaginosis,chlamydia trachomatis and trichomonas vaginalis were 10.3%,4.2%,2.7% and 0.7% in 938 married female factory workers.Most of them had wrong knowledge on RTI,especially health care habit knowledge,27% female factory workers did vaginal douching frequently.Seeking behaviors,especially drug compliant behaviors were poor.Single and multiple logistic regression analyses indicated that age,the number of induced abortion,the frequency of washing vulvae,health-seeking and drug compliant behaviors and intrauterine device usage were the influencing factors of RTIs.Conclusion: Health education on RTIs for married female factory workers should be strengthened.For improving the seeking behaviors of married female factory workers,cooperation with factory should be advocated in next RTI intervention step.