澄江陆良两县农村妇女下生殖道感染的流行情况及危险因素的研究

A COMMUNITY STUDY OF WOMEN'S REPRODUCTIVE INFECTIONS AND RELATED MORBIDITY,RISK FACTORS IN RURAL,YUNNAN PROVINCE,CHINA.

１９９３—１９９４年对云南省澄江、陆良两县农村育龄妇女采用分层整群抽样方法，对２０２０名妇女进行下生殖道感染的流行情况及危险因素的研究。通过病史询问、妇科检查及阴道、子宫颈拭子的病原学检查。结果发现阴道有念珠菌感染率为３９．０％，毛滴虫为１６．２％，加特纳氏菌（Ｇａｒｄｎｅｒｅｌａｖａｇｉｎａｌｉｓ）为１４．４％；子宫颈有砂眼衣原体感染率为５．５％，淋球菌为０．３％，总感染率５５．１％。应用非条件Ｌｏｇｉｓｔｉｃ回归分析表明：性生活、个人卫生、经期卫生、年龄及家庭经济收入等是发病主要危险因素。加强健康教育及下生殖道感染的筛查和治疗是防治本病的重要措施。

This study assesses the prevalence of womens reproductive tract infections(RTIs) and related morbidity condition in a rural community in Yunnan province in 1993-1994. A medical examination was conducted on a sample of 2020 evermarried nonpregnant women.For reproductive infections morbidity,Candida vaginitis was diagnosed in 390%;Trichomonal vaginitis in 162%;Bacterial vaginosis in 144%;Chlamydia trachomatis in 55% and Gonorrhea in 03%;Total RTIs morbidity was diagnosed in 551%.Half of the women examined were symptomless and a quarter of them suffered from two concomitant infections.Logistic regression analysis of risk factors demonstrated the contribution of socialenvironment conditions and medicalbiological factors to these diseases.Reproductive tract infections were shown to occur more frequently where male urethritis is present,IUD use,unhygienic behavior,Age and socioeconomic conditions.This evidence challenges local health programs to go beyond far motherhood,child survival and family planning in its services to women and consider the social context of health as well.