西安市阎良区农村已婚育龄妇女生殖道感染现状及相关因素研究

Study on reproduction tract infections status and related factors in married and childbearing women in rural areas of Yanliang District in Xian city

目的研究西安市阎良区农村已婚育龄妇女生殖道感染(RTIs)的流行现状、特点和影响因素,探索相应的RTIs防治策略。方法在目标人群中抽取样本,采用统一的方法进行问卷调查、临床和实验室检查,建立数字化研究样本,并通过χ2检验,研究RTIs的高危因素。结果阎良区农村已婚育龄妇女中,RTIs的发病率为56.2%,宫颈肥大(发病率为33.2%)和宫颈糜烂(发病率为31.4%)是影响生殖健康的主要因素。18.1%的已婚妇女患有2种RTIs,1.9%患有3种或3种以上RTIs。RTIs与初婚年龄、人工流产次数、分娩次数等密切相关。结论阎良区农村已婚育龄妇女RTIs的发病率较高,发病因素比较复杂,应该加大RTIs知识的宣传力度,提高其防病意识和就医率,降低感染率,提高其生殖健康水平。

Objective To study the epidemic status and characteristic and influential factors of reproductive tract infections （RTIs） in married and childbearing women in rural areas of Yanliang District in Xian city and to explore the corresponding prevention and treatment strategies of RTIs. Methods A sample was taken from the target population, and questionnaire surveys,clinical and laboratory examinations were given to all the participants to construct the digi- tized sample.Chi-square test was used to find the high risk factors of RTIs. Results The morbidity of RTIs was 56.2% among rural married and childbearing women in Yanliang district. The two most frequent RTIs were cervical hypertrophy and cervical erosion whose morbidity were 33.2% and 31.4% respectively,and those two RTIs were main factors of influencing reproductive health.18.1% of married women had two kinds of RTIs,1.9% of them had at least three kinds of RTIs.RTIs was most associated with first marriage age, times of .artificial abortion and delivery etc. Conclusion The morbidity of RTIs was higher and the influential factors were more complicated in rural married women in Yanliang district.RTIs awareness should be widely propagandized in order to improve awareness of disease and the health seeking rate of them,reduce the infection rate,and promote their reproductive health level.