Zhang Tong, Yang Wen-fang, Ni Zong-zan, Li Fen, Sun Chang-tian, Jin Hui, Yu Xue-wen, Wang Feng-qin, Han Zhen, Ren Yong-hui, Wang Yi, Li Xue-cheng, Hu Chang-jiang, Gao Zhi-min
Department of Health Statistics, West China School of Public Health, Sichuan University, Chengdu 610041, China.
Sichuan Da Xue Xue Bao Yi Xue Ban. 2005 Jan;36(1):101-4.
To investigate the status and relative factors of trichomonal vaginitis among married childbearing age women in rural impoverished area of the northwestern part of China and hence identify the risk factors and provide a basis for the prevention and treatment of trichomonal vaginitis.
Questionnaire investigation, gynecological and laboratory examination were carried out in 480 women who had been selected by multi-stage cluster sampling in rural impoverished area of Bao Ji in ShannXi province. A case-control study was conducted to analyze the relative factors of trichomonal vaginitis and other reproductive tract infection (RTI) complications.
The prevalence rate of trichomonal vaginitis was 12.9%, and 64.5% of the cases were complicated with chronic cervicitis, 17.7% were complicated with adnexitis. Uni-variated and multi-variated logistic regression analyses revealed that lack of reproductive health knowledge, bath with polluted water, washing vulva or penis with polluted water before sexual intercourse, having intercourse during menstrual period, having past history of trichomonal vaginitis, as well as no-income woman's and husband's negative attitude towards wife's RTIs were risk factors of trichomonal vaginitis and complicating chronic cervicitis or adnexitis. And lack of reproductive health knowledge, bath with polluted water, washing penis with polluted water before sexual intercourse, past history of trichomonal vaginitis, husband's negative attitude to wife's RTIs were relative factors of trichomonal vaginitis and complicating chronic cervicitis or adnexitis revealed by the binary logistic regression analysis. The less score of reproductive health knowledge, the more risk of suffering from trichomonal vaginitis complicating chronic cervicitis.
Compositive and successive prevention and treatment scheme should be used to control trichomonal vaginitis and other RTI complications in rural impoverished area of northwestern China. The scheme should be focused on four ways, including improving sanitation behaviors in couples, insisting on normative treatment, generalizing reproductive health knowledge and mobilizing husbands to pay attention.
调查中国西北部农村贫困地区已婚育龄妇女滴虫性阴道炎的患病状况及相关因素，从而确定危险因素，为滴虫性阴道炎的防治提供依据。
对陕西省宝鸡市农村贫困地区采用多阶段整群抽样选取的480名妇女进行问卷调查、妇科检查及实验室检查。开展病例对照研究，分析滴虫性阴道炎及其他生殖道感染（RTI）并发症的相关因素。
滴虫性阴道炎患病率为12.9%，64.5%的病例合并慢性宫颈炎，17.7%合并附件炎。单因素和多因素logistic回归分析显示，缺乏生殖健康知识、用污水洗澡、性交前用污水清洗外阴或阴茎、经期性交、既往有滴虫性阴道炎病史，以及无收入女性及其丈夫对妻子RTI的消极态度是滴虫性阴道炎及合并慢性宫颈炎或附件炎的危险因素。二元logistic回归分析显示，缺乏生殖健康知识、用污水洗澡、性交前用污水清洗阴茎、既往有滴虫性阴道炎病史、丈夫对妻子RTI的消极态度是滴虫性阴道炎及合并慢性宫颈炎或附件炎的相关因素。生殖健康知识得分越低，患滴虫性阴道炎合并慢性宫颈炎的风险越高。
应采用综合、连续的防治方案来控制中国西北部农村贫困地区的滴虫性阴道炎及其他RTI并发症。该方案应聚焦于四个方面，包括改善夫妻卫生行为、坚持规范治疗、普及生殖健康知识以及动员丈夫予以关注。
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