目的 :了解四川纳西族妇女生殖道感染现况、分析发现其影响因素。方法 :2 0 0 1年 7月在四川省盐源县泸沽湖镇的两个村采用定量调查和定性访谈的方式对纳西族妇女生殖道感染 (RTIs)的现况及影响因素进行了研究。定量调查了 140名 2 0岁以上的婚育龄妇女。同时进行了 13组 (平均每组 8人 )集体访谈和 16个个人深入访谈。结果 :纳西族妇女有着较高的RTIs患病率 :5 0 71%。 2 0 71%的受试对象患有外阴炎 ,而患滴虫 /念珠菌 /老年性等阴道炎、细菌性阴道炎、慢性宫颈炎和慢性盆腔炎的比例分别占调查人群的 15 %、 17 11%、 16 43%和12 14%。影响纳西族妇女生殖道感染的主要危险因素是 :妇女居住的恶劣环境、多胎生育、经济状况差、文化水平低等。脱贫致富 ,积极发展民族经济、加大对纳西族地区教育和卫生的投入 ,提高人们的文化素质和健康意识、提倡和鼓励使用避孕套、提高医疗队伍的业务水平和服务意识等 ,是当前在纳西族地区防治生殖道感染急待解决的主要问题 Objective: To understand the status quo of reproductive tract infections in Naxi women in Sichuan and to find out the influential factors. Methods: Two villages in Luguhu Town, Yanyuan County, Sichuan Province in July 2001 were investigated quantitatively and qualitatively with interviews on the status and influencing factors of RTIs in Naxi women. A total of 140 married women of childbearing age above 20 years of age were surveyed quantitatively. At the same time, 13 groups (averagely 8 in each group) of collective interviews and 16 personal in-depth interviews were conducted. Results: Naxi women had a higher prevalence of RTIs: 5 0 71%. 2 0 71% of the subjects had vulvitis, whereas those with vaginitis / candidal / senile vaginitis, bacterial vaginosis, chronic cervicitis and chronic pelvic inflammation accounted for 15% of the surveyed population, 17 11%, 16 43% and 12 14%. The main risk factors affecting genital tract infections among women of Naxi nationality are: the harsh environment in which women live, the multiple births, poor economic conditions and low educational level. To lift poverty and get rich, actively develop the national economy, increase investment in education and health in the Naxi ethnic region, raise people’s cultural quality and health awareness, promote and encourage the use of condoms, and improve the medical team’s professionalism and service awareness are among the current The main problems to be solved in prevention and treatment of genital tract infections in the Naxi minority areas