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| 农村少数民族已婚妇女CIN患病及危险因素分析 | |
| 引用本文： | 赵苏萍,沈振华,韦艳萍,魏萍,杨康玉,班文芬,唐晓永,李溥.农村少数民族已婚妇女CIN患病及危险因素分析[J].中国公共卫生,2011,27(12). |
| 作者姓名： | 赵苏萍 沈振华 韦艳萍 魏萍 杨康玉 班文芬 唐晓永 李溥 |
| 作者单位： | 1. 贵州省黔南布依族苗族自治州中医医院妇产科,贵州都匀,558000 2. 贵州省三都县人民医院 3. 贵州省三都县妇幼保健院 4. 贵州省贵定县人民医院 5. 贵州省长顺县妇幼保健院 6. 贵州省瓮安县妇幼保健院 7. 贵州省黔南民族医学高等专科学校分子生物学教研室 |
| 基金项目： | 中国宫颈癌防治项目(卫办妇社发【2009】135号); 贵州省卫生厅项目(黔卫妇社【2009】36号); 黔南布依族苗族自治州重大疾病攻关项目(2008-05-08) |
| 摘 要： | 目的 了解农村少数民族已婚妇女宫颈上皮内瘤变(CIN)患病现状及其危险因素,为预防和控制CIN提供依据.方法 采取整群抽样方法随机抽取黔南地区18 ～55岁3 968名农村已婚少数民族妇女进行问卷调查、妇科检查、宫颈细胞涂片液基薄层细胞学(TCT)及宫颈分泌物高危人乳头状瘤病毒(HR-HPV)检测,并对TCT结果异常者行阴道镜下宫颈活组织检查,对结果进行分析.结果 3 968名已婚妇女TCT结果异常者477人,占12.02％(477/3 968),病理诊断为CIN者371例,总患病率为9.35％ (371/3 968),占TCT结果异常者的77.78％,其中水族234例,患病率为5.89％,毛南族59例,患病率为1.49％,布依族47例,患病率为1.18％,苗族31例,患病率为0.78％；水族CIN患病率与其他3个民族比较,差异有统计学意义(x2=34.48,P＜0.01)；多因素Logistic回归分析结果显示,HR-HPV感染、滴虫性阴道炎史、口服避孕药避孕、年龄＜40岁、吸烟、性伴侣数≥2、初次性生活年龄＜18岁和民族等因素与CIN患病有关.结论 黔南地区宫颈上皮内瘤变患病率较高,应加强防治宣传,提高CIN防治知晓率. |
| 关 键 词： | 宫颈上皮内瘤样病变(CIN) 癌前状态 流行病学 人乳头状瘤病毒感染(HPV) 危险因素 民族 |
Prevalence of cervical intraepithelial neoplasia and its risk factors among rural minority married women |
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| ZHAO Su-ping,SHEN Zhen-hua,WEI Yan-ping,et al..Prevalence of cervical intraepithelial neoplasia and its risk factors among rural minority married women[J].Chinese Journal of Public Health,2011,27(12). | |
| Authors: | ZHAO Su-ping SHEN Zhen-hua WEI Yan-ping |
| Institution: | ZHAO Su-ping,SHEN Zhen-hua,WEI Yan-ping,et al.Department of Gynaecology and Obstetrics,Traditional Chinese Medicine Hospital of Qiannan Autonomous Prefecture for Buyi and Miao Nationalities,Guizhou Province(Duyun 558000,China) |
| Abstract: | Objective To investigate the prevalence of cervical intraepithelial neoplasia(CIN)and its influencing factors among rural minority married women in Guizhou province for providing reference of CIN diagnostic criteria.Methods From December 2009 to 2010,3 968 married women at age of 18 to 55 years were selected randomly for a cross sectional survey in 40 villages of Qiannan area of Guizhou province.The survey was carried out with a unified questionnaire interview and gynecological examination.The cervical smea... |
| Keywords: | cervical intraepithelial neoplasia precancerous condition epidemiology human papillomavirus risk factor nationality |
| 本文献已被 CNKI 万方数据 等数据库收录！ | |