性行为与新疆维吾尔族妇女宫颈癌的关系

The relationships between cervical cancer of Uighur women and sexual behaviour

目的:了解新疆维吾尔族妇女宫颈癌与性行为的关系,为新疆维吾尔族宫颈癌的防治提供性行为干预基础。方法:对400例新疆维吾尔族宫颈癌妇女进行有关性行为的调查。结果:本组患者社会地位普遍较低,月经期及性卫生不良普遍存在,月经期用布者占58.0%,用卫生纸者只占32.0%,排便后用土块的患者占29.5%,用纸者占49.3%(包括卫生纸、旧书及报纸等),性生活前清洗外阴者为19.0%,性生活后洗外阴者为81.3%,性生活后手插入阴道清洗阴道者占80.5%;丈夫有外遇者为35.8%,自己有外遇者为12.3%;20岁及以前结婚者达到90%;平均怀孕6.2次,平均分娩5.05次,70.0%的患者20岁以前完成初娩;避孕基本上用宫内节育器(40.5%)及绝育(39.5%),用安全套的患者不到5.0%。结论:维吾尔族宫颈癌妇女中社会地位低下,性卫生及月经期卫生不良,早婚、多婚、多育,尤其是男性性混乱等宫颈癌的高危因素均普遍地存在。因此,作者认为,提高维吾尔族妇女的文化素质,开展健康教育,在维吾尔族宫颈癌的防治工作中,进行有关性行为的性健康教育干预极为迫切。

Objective： To investigate the relationships between Uighur women with cervical cancer in Xinjiang and sexual behaviour and provide the basis for the sexual behaviour intervention of cervical cancer in Xinjiang. Methods： 400 cases cervical cancer patients were investigated through questionnaire with related their sexual behavior. Results： Among these 400 cases , a lot of women were low socioeconomic status , the hygienic conditions of menstruation period and sexual producer were poor, 58.0% of patients used loth and only 32.0% used hygienic paper during menstruation period, 29. 5% of patients used soil and 49.3% used paper after to defacete, 19.0% washing vulvar before coitus , 81.3% washing vulvar after coitus , and 80. 5% washing the vagina with hand after coitus , 35.8%husbands have multiple sexual partners , 12. 3% patients had multiple sexual partners; 90% married before 20; average being pregnant 6. 2times , average childbirth 5.05times , 70. 0% completed first childbirth before 20; contraceptive methods were intrauterine device and sterelations, the patients used condom fewer than 5%. Conclusion： The risk factors of cervical cancer are the low socioeconomic status , the hygienic conditions of menstruation period and poor sexual producer. The married early age, married several times, multiple pregnancies, especially common meng sexual abuse. So it is very urgent that health educational intervent for sexual behaviour of cervical cancer to Xinjiang Uighur women should becondueted.