陕西省农村地区育龄妇女生殖道感染现状分析

Analysis on the Situation of RTI Prevalence among Married Childbearing Age Women in Rural Area of Shanxi Province.

目的:了解农村已婚育龄妇女生殖道感染现状并分析其危险因素。方法:采用多阶段随机抽样的方法,对陕西省农村已婚育龄妇女进行问卷调查、妇科和实验室检查。结果:生殖道感染的检出率为76.57％。其中附件炎的检出率为11.65％,宫颈炎的检出率为38.74％,滴虫性阴道炎及念珠菌阴道炎的检出率分别为16.23％和9.95％。单因素分析发现,农村已婚育龄妇女生殖道感染的危险因素有既往曾患滴虫性阴道炎、不洁水洗澡、性生活次数多、经期有性生活、患病时丈夫态度消极及本人无经济来源。多因素Logistic回归分析发现既往曾患滴虫性阴道炎、经期性生活及不洁水洗澡为已婚育龄妇女生殖道感染的主要危险因素。结论:农村已婚育龄妇女生殖道感染的患病率较高,并存在多种危险因素。

Objective: In order to investigate the current situation of RTI prevalence and risk factors among married childbear-ing age women in rural area of Shanxi province. Methods: Questionnaire investigation, clinic and laboratory examination were held to 787 women who were selected by multi - stage random sampling. Results: The general prevalence rate of RTI was 76. 57%. The prevalence rates of PID and cervicitis were 11.65% and 38.74% respectively. The prevalence rates of trichomonal and candidal vaginitis were 16. 23% and 9. 95% respectively. Chi square test analysis showed that the history of trichomonal vaginitis,bathing with polluted water,frequent intercourse,husbands negative attitude toward RTI,intercourse during menstrual period and no income herself were the risk factors of RTI. The Binary Logistic regression analysis showed that the main risk factors of RTI included the history of trichomonal vaginitis,bathing with polluted water and intercourse during menstrual period. Conclusion: Among married childbearing age women in rural area of Shanxi province the prevalence rate of RTI was higher and also showed evidence of some risk factors.