504例妊娠妇女性传播感染疾病相关行为调查分析

The survey and analysis of related behavior of sexually transmitted infections in 504 pregnant women

目的 :为调查妊娠妇女性传播感染疾病患病率 ,阐明妊娠妇女性传播感染疾病的相关行为 ,为性传播疾病预防及控制规划的制定提供基本信息。方法 :首次来到产前门诊的孕周 <2 4周的妇女 ,通过调查其职业、文化程度、经济状况、孕期性生活情况 ,同时对每位妇女进行妇科检查及相关的实验室检查。结果 :5 0 4例妇女年龄范围为 2 0～ 40岁 ,平均 2 6 73岁 ,平均孕周 17 65周。 43 1%的妇女无收入 ,93 8%和 94 2 %的妇女认为孕妇会将性病传染给胎儿 ,以及性交会传播疾病 ,文化程度越低 ,回答正确率越低 (P <0 0 1)。文化程度高者 ,孕期性生活比例越低 (P <0 0 5 )。随着文化程度的提高 ,初次性交年龄 <2 2岁的比例逐渐降低。孕期有性生活者 ,安全套使用率仅为 12 5 % ,不同文化程度间无差异。滴虫培养阳性 15例中 ,除 3例孕期无性生活外 ,安全套使用率仅为 8 3 % ,其配偶职业为个体、司机、无业、饮食服务及供销、个体 8例 ,占 66 7%。结论 :文化程度低且无收入者对性病的认识还很模糊 ,调查人群中普遍存在对使用安全套预防STD认识不足 ,应加强健康教育 ,鼓励男性参与生殖健康 ,有针对性的开展生殖保健服务。

Objective:Some basic information is given for surveying the prevalence rate of sexually transmitted infections during pregnancy, illustrating related behavior of the disease, preventing the disease from spreading, and making a plan for the disease control. Methods:The occupation, education level, economic status and sexual activity during pregnancy have been surveyed of pregnant women who were first seen in the antenatal out-patient clinic with the period of pregnancy less than 24 weeks, and in the meantime gynecological examination and related lab research given to the each sample. Results:Of all the 504 surveyed women , there are 93.8 % with idea that sexual diseases are infectious to unborn children, 94.2 % believing that some diseases could be transmitted through sexual contact, and 43.1% without income. On average, the participants were 26.73 years old,aged from 20 to 40, 17.65-week period of pregnancy; The lower the education level, the less likely the correct answer(P<0.01). The higher the education level, the less likely having sexual intercourse during pregnancy(P<0.05). There is a gradual decline in age of less than 22 years old at first sex with the increase of education level. Only 8.8 percent of women who had sexual intercourse during pregnancy used condoms, which was not associated with education level. Of 15 women having sexual diseases, only 8.3% used condoms with the exception of 3 cases who had no sexual intercourse during pregnancy, and the occupation category of their spouses included self-employed person, driver, unemployed worker, food preparation and serving worker , sales and marketing person, 53.3 percent of which were self-employed persons. Conclusion:Little is known about sexual diseases among surveyed women who had no income and had little education. Overall, the surveyed women had not enough knowledge about significance of preventing STD using condoms. All in all, it is necessary to strengthen health education, encourage men in reproductive healthcare programme , and initiate reproductive health service to the purpose.