经济欠发达地区农村已婚育龄妇女生殖道感染性疾病现状调查

Analysis on prevalence situation and risk factors of reproductive tract infection of childbearing women in counties of undeveloped areas

目的:了解经济欠发达地区农村已婚育龄妇女生殖道感染(RTIs)现状及其相关危险因素,为制定生殖道感染综合干预措施提供依据。方法:采用分层整群随机抽样方法抽取样本人群进行问卷调查、临床检查和实验室检查。结果:育龄妇女RTIs总患病率为66.02,宫颈炎、阴道炎、附件炎患病率依次为57.43、18.62、7.40。育龄妇女一种病原体感染率为19.60,两种病原体感染率为2.00,尚无三种病原体混合感染病例。多因素Logistic回归模型分析发现,职业为非农民、输卵管已结扎、不良卫生习惯、丈夫近期外出、丈夫有尿路感染史是生殖道感染发生的主要危险因素。结论:经济欠发达地区的农村已婚育龄妇女生殖道感染患病率较高,并出现混合感染,存在多种危险因素。

Objective： To investigate the prevalence situation and relevant risk factors of reproductive tract infection （RTI） occurring among childbearing women in counties of undeveloped areas, provide evidences for comprehensive intervention measures. Methods： Questionnaire, clinic and laboratory examinations were used in the study by stratified - cluster sampling. All data were analyzed on SPSS 12.0. Results： The total infection rate of RTI was 66. 02%, the prevalence rates of cervicitis, vaginitis, appendagitis were 57. 36%, 18. 62% and 7. 40%, respectively. The infection rate of simple pathogen was 19. 6%, the infection rate of two different pathogens was 2. 0%, but the infection case with three different pathogens wasnt found. The risk factors of RTI included peasant, ligation of oviduct, unhygienic behavior and urinary tract infection of their husbands. Conclusion： Among childbearing women in counties of undeveloped areas, the prevalence rate of RTI is high, showing evidences of mixed infection and several risk factors.