杭州某社区老年性阴道炎发病及影响因素分析

Prevalence and influencing factors of senile vaginitis in a community of Hangzhou

目的开展社区老年性阴道炎筛查,探讨其影响因素,促进早期诊治,以提高社区老年人群的生活质量。方法对辖区内55~65岁企事业退休工人开展每年1次的老年性阴道炎筛查,同时进行生殖卫生知识的宣传教育。结果 2011年至2013年分别对辖区内的天水、武林2个街道14个社区的55~65岁企事业单位退休女职工开展了筛查,共筛查17 719人次,其中2011年筛查5 626人,检出老年性阴道炎1 223例(21.74%);2012年筛查5 857人,检出老年性阴道炎921例(15.72%);2013年筛查6 236人,检出老年性阴道炎837例(13.42%)。2012年老年性阴道炎患病率较2011年显著降低(x^2=68.340,p<0.001),2013年老年性阴道炎患病率较2012年显著降低(x=12.890,P<0.001)。绝经时间早(OR=2.36,95%CI:1.64~3.18)、绝经后性生活不规律(OR=1.95,95%CI:1.24~2.78)是老年性阴道炎的危险因素;个人收入高(OR=0.67,95%CI:0.44~0.91)、文化程度高(OR=0.71,95%CI:0.53~0.94)、绝经后性生活规律(OR=0.49,95%CI:0.36~0.59)是保护性因素。结论老年性阴道炎的发生与文化程度,个人收入,绝经时间,性生活频次等因素有关;社区筛查并宣传教育有助于老年性阴道炎的早诊断,早治疗。

Objective To carry out senile vaginitis screening in senior people in community and study its influencing factors, so as to promote early diagnosis and treatment and help to improve the life quality of the senior people. Methods Senile vaginitis screening was conducted once every year in retired senior people of enterprises and public institutions aged 55 - 65 years in the communities. Meanwhile, propaganda and education on reproductive health knowledge were conducted. Results From 2011 to 2013 totally 17 719 senior people were surveyed in 14 communities in Tianshui and Wulin Streets. There were 1 223,921 and 837 cases with senior vaginitis （21.74% , 15.72% and 13.42% ） in 2011,2012 and 2013, respectively. The prevalence was significantly lower in 2012 than that in 2011 （χ^2 =68. 340 ,P 〈 0. 001 ）, and it was also remarkably lower in 2013 than in 2012 （χ^2 = 12. 890, P 〈 0. 001 ）. Early menopause （OR = 2.36,95% CI： 1.64 - 3.18 ） and irregular sexual life after menopause （ OR = 1.95,95% CI： 1.24 - 2.78 ） were the risk factors of senile vaginitis, while high income （ OR = 0.67, 95 % CI：0.44 - 0.91 ）, high education level （ OR = 0.71,95 % CI. 0.53 - 0.94 ） and regular sexual life after menopause （OR =0.49, 95% CI： 0. 36 -0. 59 ） were protective factors. Conclusion Senile vaginitis is correlated with the degree of education, personal income, menopause time and frequency of sexual life. Carrying out screening and propaganda is helpful for early diagnosis and treatment of senior vaginitis.