经济欠发达地区农村已婚育龄妇女生殖道感染性疾病现状调查

目的:了解经济欠发达地区农村已婚育龄妇女生殖道感染(RTIs)现状及其相关危险因素,为制定生殖道感染综合干预措施提供依据。方法:采用分层整群随机抽样方法抽取样本人群进行问卷调查、临床检查和实验室检查。结果:育龄妇女RTIs总患病率为66.02,宫颈炎、阴道炎、附件炎患病率依次为57.43、18.62、7.40。育龄妇女一种病原体感染率为19.60,两种病原体感染率为2.00,尚无三种病原体混合感染病例。多因素Logistic回归模型分析发现,职业为非农民、输卵管已结扎、不良卫生习惯、丈夫近期外出、丈夫有尿路感染史是生殖道感染发生的主要危险因素。结论:经济欠发达地区的农村已婚育龄妇女生殖道感染患病率较高,并出现混合感染,存在多种危险因素。

Analysis on prevalence situation and risk factors of reproductive tract infection of childbearing women in counties of undeveloped areas

Objective:To investigate the prevalence situation and relevant risk factors of reproductive tract infection(RTI) occurring among childbearing women in counties of undeveloped areas,provide evidences for comprehensive intervention measures.Methods:Questionnaire,clinic and laboratory examinations were used in the study by stratified-cluster sampling.All data were analyzed on SPSS 12.0.Results:The total infection rate of RTI was 66.02%,the prevalence rates of cervicitis,vaginitis,appendagitis were 57.36%,18.62% and 7.40%,respectively.The infection rate of simple pathogen was 19.6%,the infection rate of two different pathogens was 2.0%,but the infection case with three different pathogens wasn't found.The risk factors of RTI included peasant,ligation of oviduct,unhygienic behavior and urinary tract infection of their husbands.Conclusion:Among childbearing women in counties of undeveloped areas,the prevalence rate of RTI is high,showing evidences of mixed infection and several risk factors.