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目的探讨流动人口生殖道感染状况和主要的人口学影响因素,为提高流动人口生殖健康水平提供依据。方法以北京、重庆、太原、成都作为研究现场,选择流动人口集中的工厂、建筑工地、企事业单位、服务场所(宾馆/饭店/娱乐场所等),纳入所选场所内共8 280名16~49岁流动人口进行问卷调查。结果最近1年5种常见生殖道感染症状至少出现1种的调查对象占18.51%,出现过阴道/尿道异常分泌物的比例最高,为9.89%,其次为下腹痛,占9.11%。多因素分析结果显示,与男性比较,女性生殖道感染患病率较高(OR=2.284,95%CI=2.022~2.579);与已婚比较,离婚或丧偶者生殖道感染患病率较低(OR=0.639,95%CI=0.472~0.865);与小学及以下学历比较,高中/技校(OR=0.803,95%CI=0.654~0.988)、大专(OR=0.634,95%CI=0.491~0.820)、本科及以上(OR=0.682,95%CI=0.507~0.916)者患病率较低;与农业户口相比,非农业户口患病率较低(OR=0.684,95%CI=0.591~0.790)。结论流动人口生殖道感染患病率较高,女性、已婚、或未婚有性生活、低学历以及农业户口是其可能的危险因素。
Objective To explore the prevalence of reproductive tract infections in migrants and the main demographic factors that affect the reproductive health of floating population. Methods Taking Beijing, Chongqing, Taiyuan and Chengdu as the research sites, a total of 8 280 16 ~ 16 employees were selected for the factories, construction sites, enterprises and institutions, service venues (hotels / restaurants / entertainment venues) 49-year-old floating population to conduct a survey. Results The most common symptom of reproductive tract infection in one year was 18.51%. The most common vaginal / urethral discharge was 9.89%, followed by lower abdominal pain (9.11%). Multivariate analysis showed that the prevalence of genital tract infections in females was higher than that in males (OR = 2.284, 95% CI = 2.022-2.579). The prevalence of genital tract infections among married or widowers was lower than that of males (OR = 0.639, 95% CI = 0.472-0.865). Compared with primary education and below, the education level of senior high school / technical school (OR = 0.803, 95% CI = 0.654-0.988) (OR = 0.682, 95% CI = 0.507-0.916). The prevalence of non-agricultural accounts was lower than that of agricultural accounts (OR = 0.684, 95% CI = 0.591 ~ 0.790). Conclusion The prevalence of genital tract infection in migrant population is high, and the risk factors are female, married or unmarried having sex, low education and agricultural account.