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目的:了解咸宁市流动已婚育龄妇女生殖道感染(RTIs)状况及影响因素,为制定有效的干预措施提供依据。方法:采用整群随机抽样法调查1 636例流动人口已婚育龄妇女,采用统一的方法进行问卷调查、临床检查和实验室检查。应用非条件Logistic回归分析对RTIs的影响因素进行分析。结果:共检出RTIs患者625例,总患病率为38.20%,其中宫颈炎、细菌性阴道病、念珠菌性阴道炎、滴虫性阴道炎的患病率分别为25.98%、15.95%、8.01%、4.16%,附件炎、衣原体感染、梅毒、淋病、尖锐湿疣的患病率分别为2.20%、2.08%、0.18%、0.12%、0.06%。RTIs患者中,54.88%(343/625)自我报告有生殖道感染的症状,45.12%(282/625)自我报告无任何症状。多因素Logistic回归分析发现家庭月收入<1 500元、年龄30～39岁、节育环避孕、既往生殖道感染史、生育胎数≥3、混用洗外阴的用具为RTIs的危险因素,生殖道感染相关知识为保护因素。结论:流动已婚育龄妇女RTI患病率较高。RTIs的发生与多种因素相关,应针对危险因素采取综合干预措施来控制RTIs的发生。
OBJECTIVE: To investigate the status and influencing factors of RTIs in married women of reproductive age in migrant workers in Xianning City, and to provide the basis for making effective interventions. Methods: A total of 1 366 migrant women of childbearing age were investigated by cluster random sampling method. Questionnaires, clinical tests and laboratory tests were conducted by a uniform method. The influencing factors of RTIs were analyzed by using unconditional logistic regression analysis. Results: A total of 625 RTIs patients were detected, with a prevalence of 38.20%. The prevalence rates of cervicitis, bacterial vaginosis, candidal vaginitis and trichomonas vaginitis were 25.98% and 15.95%, respectively, The prevalence rates of 8.01%, 4.16%, annex inflammation, chlamydial infection, syphilis, gonorrhea and genital warts were 2.20%, 2.08%, 0.18%, 0.12% and 0.06% respectively. Among RTIs patients, 54.88% (343/625) reported self-reported symptoms of genital tract infection and 45.12% (282/625) reported no symptoms. Multivariate logistic regression analysis found that family monthly income <1 500 yuan, age 30-39 years, birth control ring contraception, prior history of genital tract infection, the number of births ≥ 3, mixed with genital washing appliances for RTIs risk factors, genital tract infections Relevant knowledge is protection factor. Conclusion: The prevalence of RTI in migrant women of childbearing age is higher. The occurrence of RTIs and a variety of factors related to the risk factors should be taken comprehensive interventions to control the occurrence of RTIs.