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目的了解安徽省巢湖市农村已婚妇女生殖道感染现状及其影响因素,为采取干预措施提供科学依据。方法分层、整群抽取安徽省巢湖市农村已婚妇女3052人进行妇科临床检查和实验室检查,并对生殖道感染相关知识、态度和行为进行问卷调查。结果至少患1种生殖道感染为972人,占31.8%;患2种或2种以上感染为289人,占9.5%;其中前5位生殖道感染依次为宫颈糜烂(18.4%)、细菌性阴道炎(3.93%)、念珠菌性阴道炎(3.87%)、滴虫性阴道炎(2.2%)、外阴炎(0.8%)。Logistic回归分析显示,农村已婚妇女学历、丈夫职业、有无流产史、初产年龄、现有子女数、冬天洗澡间隔为影响因素。结论巢湖市农村已婚妇女生殖道感染率较高,且受多种因素影响。应切实进行健康教育和定期妇科普查,以降低患病率。
Objective To understand the current status and influencing factors of reproductive tract infection among rural married women in Chaohu City, Anhui Province, and to provide a scientific basis for the intervention. METHODS: A total of 3,052 rural married women in Chaohu City, Anhui Province, were stratified to carry out gynecological clinical examination and laboratory examination. Questionnaires were also conducted on knowledge, attitude and behaviors related to reproductive tract infections. Results At least 1 type of reproductive tract infection was found in 972 persons (31.8%), 289 persons (289%) were infected with 2 or more types of infections, accounting for 9.5% of them. The top 5 reproductive tract infections were cervical erosion (18.4%), Vaginitis (3.93%), Candida vaginitis (3.87%), Trichomonas vaginitis (2.2%), Vulvitis (0.8%). Logistic regression analysis showed that rural married women’s education, husband’s occupation, history of abortion, primiparous age, number of children present and winter bathing interval were the influential factors. Conclusions The prevalence of genital tract infection among rural married women in Chaohu City is high and affected by many factors. Effective health education and regular gynecological censuses should be conducted to reduce the prevalence.