基层计划生育服务站就诊妇女生殖道感染现状及危险因素的研究

A cross sectional study on reproductive tract infections and risk factors of female clients using family planning service

为了解基层计划生育服务站就诊妇女生殖道感染现状及其危险因素 ,应用分层抽样的方法 ,选取市、区、县和乡级计划生育服务站为研究现场 ,对研究期间来现场就诊或寻求计划生育服务的育龄妇女进行问卷调查、妇科检查和实验室检查。结果 :基层计划生育服务站就诊妇女盆腔炎、附件炎、宫颈炎和阴道炎的病史报告率分别为 5.1%、17.0 %、15.5%和 2 0 .1% ;检出率分别为附件炎 10 .5%、宫颈炎 38.3%、滴虫性阴道炎7.3%、念珠菌性阴道炎 7.6 %。单因素 Logistic回归模型分析发现 ,年龄、受教育年数、结婚年限、人工流产 (人流 )次数、经期有性生活、性病知识得分以及使用避孕套等是就诊妇女生殖道感染的主要危险因素。多因素 Logistic回归模型分析发现 ,影响生殖道感染的危险因素主要有就诊地点、艾滋病知识得分、年龄、人流次数以及丈夫年龄和职业等。结果表明 ,基层计划生育就诊妇女有较高的生殖道感染率 ,并存在多种危险因素。

To investigate the prevalence of the reproductive tract infections and risk factors among female outpatients in family planning clinics;(2)To provide evidence for reproductive health and AIDS/STDs educational publicity in women in China Methods: Different level family planning clinics were selected as the research field in Hefei Anhui province in China. A total number of 588 women visited above clinics were studied by self administered questionnaires and examinations. The logistic model and other statistics methods were used to screen the risk factors for reproductive tract infections. Results: A total of 588 questionnaires were analyzed. The prevalence rates of PID and cervicitis were 10.5% and 38.3%, respectively. The prevalence rates of trichomonas and mycotic vaginitis were 7.3% and 7.6%,respectively. Risk factors for reproductive tract infections included women's age, educational level, married years, number of abortions score of STD/AIDS knowledge, medical care level, husband' s occupation and condom use status, etc. Conclusion: Among female clients in the family planning service the prevalence of reproductive tract infections was high and also showed evidance of some risk factors. It was important and urgent to stress on the health education and to treat the reproductive tract infections for prevention and control of AIDS/STDs in women.