上海市徐汇区非本地户籍孕妇的性传播疾病感染及相关因素分析

Sexually transmitted infections(STIs)and related factors among pregnant women with non-local household registration in Xuhui District,Shanghai

【目的】探究上海市徐汇区非本地户籍孕妇的性传播感染情况并分析高发病种的相关因素。【方法】选取2020年4月—2022年3月在徐汇区某综合医院进行初次产前检查的非本地户籍孕妇,并进行性传播疾病感染的调查;采用logistic回归模型分析细菌性阴道病和解脲脲原体感染的相关因素。【结果】徐汇区非本地户籍孕妇性传播疾病感染率由高到低的前3位是解脲脲原体感染、细菌性阴道病及霉菌性阴道炎,感染率分别为13.2%、9.8%和4.7%。孕妇年龄为25~35岁(调整后的OR值aOR=0.53,95%CI:0.28~0.98)和月收入≥8000元(aOR=0.30,95%CI:0.11~0.82)与解脲脲原体感染明显相关。妊娠次数为2次(aOR=4.95,95%CI:1.59~15.46)、第1次性关系发生于婚前(aOR=2.83,95%CI:1.04~7.74)、丈夫酗酒(aOR=3.83,95%CI:1.08~13.56)、文化程度为高中(aOR=0.27,95%CI:0.08~0.93)及丈夫曾有外地旅居史(aOR=0.30,95%CI:0.12~0.79)与细菌性阴道病明显相关。【结论】年龄较小、收入较低的孕妇更可能感染解脲脲原体。妊娠次数较多、第1次发生性关系于婚前及丈夫酗酒的孕妇较易感染细菌性阴道病。应加强这些人群的随访监测。

[Objective]To study the sexually transmitted infections(STIs)in pregnant women with non-local household registration in Xuhui District and analyze the risk factors for STIs.[Methods]From April 2020 to March 2022,pregnant women with non-local household registration who received their first prenatal examination in a general hospital in Shanghai Xuhui District were selected to conduct a status survey of STIs.Logistic regression model was used to analyze the influencing factors of bacterial vaginitis and ureaplasma uaplasma infection.[Results]The top three infection rates in the pregnant women were Ureaplasma urealyticum(13.2%),bacterial vaginosis(9.8%)and mycotic vaginitis(4.7%).Age between 25 and 35 years(aOR=0.53,95%CI:0.28-0.98)and monthly income≥8000 yuan(aOR=0.30,95%CI:0.11-0.82)were significantly correlated with ureaplasma uaplasma infection.Pregnancy number of 2(aOR=4.95,95%CI:1.59-15.46),first sexual relationship occurred before marriage(aOR=2.83,95%CI:1.04-7.74),husband's alcoholism(aOR=3.83,95%CI:1.08-13.56),high school education(aOR=0.27,95%CI:0.08-0.93),and husband's travel history(aOR=0.30,95%CI:0.12-0.79)were significantly correlated with bacterial vaginitis.[Conclusion]Pregnant women with more gestation times,first sexual intercourse before marriage and husband with heavy drinking are more likely to be infected with bacterial vaginosis.Pregnant women with younger age and lower income are more likely to be infected with Ureaplasma urealyticum.Follow-up and monitoring should be strengthened in these groups.