乌鲁木齐市不同人口学特征流动育龄妇女的内源性生殖道感染情况

The status of endogenous reproductive tract infections among female migrants of child-bearing age with different demographic characteristics in Urumchi

目的:了解乌鲁木齐市不同人口学特征的流动育龄妇女的内源性生殖道感染情况,为今后开展干预和预防提供策略。方法:采用分阶段整群抽样的方法,选择新疆乌鲁木齐市两个区的工厂、建筑工地、企事业单位、服务场所的流动人口(18岁～50岁)进行结构式问卷调查,采集标本进行内源性生殖道感染病原菌的检测。结果:共调查623名流动育龄妇女,细菌性阴道病的患病率为17. 34%,霉菌性阴道炎和滴虫性阴道炎的患病率分别为3. 69%、3. 05%,总的患病率为29. 53%。统计分析结果显示,城镇户口的流动育龄妇女患生殖道感染的风险高于农村户口的对象(OR=1. 82,95%CI:1. 16～2. 86),此外,在现居住地时间、文化程度、职业、收入对流动育龄妇女的内源性生殖道感染患病情况也有影响。结论:应加强对社会经济地位较低的流动育龄妇女内源性生殖道感染相关的宣教和筛查,以降低她们的内源性生殖道感染患病率。

Objective: To understand the prevalence of endogenous reproductive tract infections(RTIs) among female migrants of child-bearing age with different demographic characteristics in Urumchi for better prevention of RTIs.Methods:Female migrants aged 18 to 50 were recruited from research sites in Urumchi,including two factories and enterprises,two construction sites and two service places where floating population was relatively concentrated through multi-stage cluster sampling.The questionnaire survey and RTIs detection were conducted in this study.Results:A total of 623 female migrants of child-bearing age finished the survey.The prevalence of bacterial vaginitis,colpomycosis,trichomonas vaginitis was 17.34%,3.69% and 3.05% respectively,with the total prevalence of 29.53%.The statistical analysis found that the female migrants of child-bearing age with urban registered residence had higher risk of RTIs than rural female migrants(OR=1.82,95%CI:1.16-2.86).Moreover,the living time in the current residence,education level,occupation,and income could influence the prevalence of RTIs of female migrants of child-bearing age.Conclusions:The education and detection of RTIs should be strengthened for female migrants of child-bearing age with lower socioeconomic status,so as to reduce the incidence of endogenous RTIs.