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目的:了解甘肃省育龄夫妇不孕症(infertility)患病率现状及其可能的影响因素。方法:运用分层整群抽样法抽取自然人群中具有代表性的2 621个已婚育龄家庭为研究对象,采用问卷调查方式,对甘肃省育龄夫妇不孕症患病情况进行横断面调查,同时调查其有关的流行病学因素。采用EpiData软件建立数据库,双人录入法进行数据录入,数据采用SPSS 15.0软件进行统计学分析。结果:甘肃省原发不孕的患病率为13.08%,继发不孕的患病率为35.25%;调查结果显示,育龄妇女年龄、月经周期及男方的体质量指数(BMI)和吸烟情况均是原发不孕的危险因素;继发不孕除以上因素外,育龄夫妇的活产次数、死胎次数、自然流产数、人工流产数及药物流产史也是其危险因素。结论:甘肃省原发不孕患病率为13.08%,促进和帮助欠发达地区的经济发展、加大教育及医疗卫生的投入、加强宣传,消除生殖健康隐患将有助于降低不孕率。
Objective: To understand the prevalence of infertility and its possible influencing factors in couples of childbearing age in Gansu Province. Methods: A stratified cluster sampling method was used to select 2 621 married fertility-aged families in the natural population as the research object. A questionnaire survey was conducted to investigate the infertility status of couples of childbearing age in Gansu province. Investigate its related epidemiological factors. Using EpiData software to establish a database, double entry method for data entry, data using SPSS 15.0 software for statistical analysis. Results: The prevalence of primary infertility in Gansu Province was 13.08%, and the prevalence of secondary infertility was 35.25%. The results showed that the age, menstrual cycle and male body mass index (BMI) and smoking status of women of childbearing age Are the risk factors of primary infertility; secondary infertility divided by the above factors, the number of childbearing couples live births, stillbirths, spontaneous abortion, abortion and medical abortion history is also a risk factor. Conclusion: The prevalence rate of primary infertility in Gansu province is 13.08%, which can promote and help the economic development in underdeveloped regions, increase the investment in education and health care, strengthen publicity and eliminate the hidden dangers of reproductive health, which will help to reduce the infertility rate.