某城区已婚妇女宫颈糜烂的影响因素分析

Analysis on related factors of cervical erosion among married women

目的 探讨影响宫颈糜烂患病率的有关因素 ,为提高妇女的生殖健康水平提供依据。方法 以某市企事业单位接受集体妇科普查的已婚妇女为调查对象 ,5 975人接受了调查 ,对影响宫颈糜烂患病率的因素 ,利用 logistic回归模型进行分析。结果 宫颈糜烂患病率为 2 6 .0 3%。发生年龄主要集中在性成熟期和更年前期 ;logistic回归分析表明 ,危险因素按贡献大小依次为 :性交出血、阴道清洁度差、足月产次多、细菌性阴道炎、口服避孕药、滴虫性阴道炎、绝育、人流次数多、安全期避孕、念珠菌性阴道炎、白带量多、吸烟 ;保护因素按贡献大小依次为年龄、绝经、妇女文化程度高、月经初潮年龄迟、初婚年龄晚。结论 加强育龄妇女生殖生育方面的健康教育 ,提高卫生保健水平 。

Objective To study the related factors which affect the prevalence rate of cervical erosion among urban women, and improve women's reproductive health status. Methods 5 975 married women coming to the hospital for regular gynecological checkup were investigated. A multi ordinal categories logistic regression model was employed to analyze the related factors on prevalence rate of cervical erosion. Results The prevalence rate of cervical erosion was 26.03%. The peak ages of incidence were the sexual maturity and preclimacteric. With logistic regression analysis, 12 risk factors of cervical erosion incidence were identified as follows (ranked by contribution): bleeding after sexual intercourse, vaginal cleaning degree, times of term birth, bacterial vaginitis, oral contraceptive drug, trichomonal vaginitis, sterilization, times of induced abortion, contraception in safe period, candidal vaginitis, quantity of vaginal discharge and smoking. 5 protective factors were distinguished as follows (ranked by contribution): age, menopause, women's educational levels, age of menarche and first marriage. Conclusions Improving procreative health education and enhancing health care of birthing age women is the key to control the morbidity rate of cervical erosion.