深圳市坪山新区外来女工性行为状况及其对生殖道感染的影响

Current status of sexual behaviors and its influence on reproductive tract infections among female migrant population in Pingshan New District,Shenzhen

目的了解深圳坪山新区外来女工性行为状况,探讨其对生殖道感染的影响。方法按随机整群抽样方法,在坪山新区抽取8家工厂符合纳入标准的1480名女工为研究对象,并以问卷调查的形式调查其一般特征、性相关行为、个人生活习惯以及生殖道感染状况。并利用SPSS 17.0软件对数据进行统计分析。结果报告发生过性行为的占总人群的62.2%。有性行为者生殖道感染患病率为59.1%,高于总人群(48.2%);"白带异常"和"外阴瘙痒"是报告率最高的两种症状,在有性行为者中分别为39.1%、33.7%,在总人群中分别为31.4%、26.8%。有性行为女工中,24.6%的报告初次性行为年龄在20岁以下,多性伴的占13.4%,不用或较少使用安全套的达62.0%,16.0%的女工发生过经期性行为,有怀孕史和人工流产史的比例分别为79.9%和34.1%。Logistic回归分析显示,多性伴(OR=1.590,95%CI:1.014~2.493)、经期性行为(OR=2.226,95%CI:1.461~3.392)以及人工流产[OR=2.244,95%CI:1.525~3.303(有过1次人流史);OR=2.864,95%CI:1.506~5.445(有过2次以上人流史)]是女性生殖道感染的潜在危险因素。结论深圳坪山新区外来女工生殖道感染患病率较高,应加强该地区流动人口生殖健康教育,并强调安全性行为的重要性。

Objective To determine sexual behaviors of female migrant population in Pingshan New District of Shenzhen City, and analysis its influence on reproductive tract infections （RTIs）. Methods 1480 female migrant workers from 8 factories were recruited using stratified cluster sampling, while questionnaire surveys concerning their general features, habits, sexual behaviors and symptoms related to RTIs were performed. Data were analyzed by using SPSS 17.0. Results 62. 2% of the respondents had sexual experience, and 59. 1% of them self-reported RTls symptoms, that was much higher than that of whole population （48. 2% ）. Moreover, abnormal leucorrhoea and pruritus vulvae were the top two symptoms, with the prevalence 39. 1% and 33.7% in those with sexual experience, and 31.4% and 26. 8% in whole population, respectively. In those with sexual experience, 24. 6% had their first sexual behavior under 20 years old, 13.4% with multiple sexual partners, 16. 0% with menstrual sexual behavior, 62. 0% never or rarely used condom, 79. 9% with pregnancy experience, 34. 1% with one or more induced abortion. Multivariate logistic regression suggested that multiple sexual partners （OR = 1. 590, 95% CI： 1. 014 - 2. 493 ）, menstrual sex （ OR = 2. 226, 95% CI： 1. 461 - 3. 392 ） and induced abortion （ OR = 2. 244, 95% CI： 1. 525 -3. 303, induced abortion once; OR = 2. 864, 95% CI： 1. 506 - 5. 445, induced abortion twice or more, respectively） were all risk factors of RTIs. Conclusion High prevalence of RTIs is observed in female migrant population in Pingshan New District, Shenzhen, while multiple sexual partners, menstrual sex and induced abortion were the risk factors. Therefore, health education on safety sexual behavior in female migrant population is needed.