农村已婚育龄妇女宫颈糜烂危险因素的病例-对照研究

研究农村已婚育龄妇女宫颈糜烂的危险因素。方法：对2?996名农村已婚育龄妇女进行结构式问卷调查、临床和实验室检查，采用单因素与多因素Logistic分析病例组和对照组宫颈糜烂情况及危险因素。结果：农村已婚育龄妇女宫颈糜烂患病的危险因素中，学历以文盲为基线，小学、初中、高中的OR分别为0.505、0.397与0.404；在医院分娩为基线，家中分娩的OR为1.65；初婚年龄以≤22岁为基线，23～24岁、≥25岁的OR分别为0.53、0.59。结论：为了减少农村已婚育龄妇女宫颈糜烂，应加强健康教育，提倡晚婚晚育，推行计划生育，普及科学接生。

A case-control study on risk factors associated with cervical erosion in rural married women at reproductive age

To recognize the risk factors of cervical erosion in rural married women at reproductive age. Methods: A questionnaire survey, clinical check and laboratory examination were carried out. In this case control study, Logistic analysis was conducted to analyze the risk factors. Results: Compared with women of illiberality those who accepted education had lower risk of cervical erosion, with ORs of 0.505, 0.397 and 0.404 for primary school, junior middle school and senior middle school respectively. The delivery at home increased the risk (OR=1.65) compared with delivery in hospital. The marriage age was associated with the risk and the ORs were 0.53 and 0.59 for 23～24?years and ≥25 years compared with ≤22 years. Conclusions: Health education, delayed marriage and breeding, family planning, and delivery in hospital are important to prevent cervical erosion in rural areas.