School of Public Health, Anhui Medical University, Hefei, PR China.
Eur J Obstet Gynecol Reprod Biol. 2009 Dec;147(2):187-91. doi: 10.1016/j.ejogrb.2009.08.017. Epub 2009 Sep 12.
The goal of this study is to identify factors that contribute to reproductive tract infections (RTIs) among women in rural China, including prevalence, influence of sociodemographic characteristics, knowledge, hygienic behaviors and the history of childbearing, menstruation and abortion.
A stratified cluster sample of 53,652 married women in rural Anhui Province of China completed an interviewer-administered standardized questionnaire, and underwent gynecological examination and laboratory investigation.
RTIs were relatively common (30,939/58.1%) among our sample of 53,652 married women. The three most frequent RTIs in our samples were endocervicitis, bacterial vaginosis (BV) and trichomoniasis, with prevalences of 41.7%, 12.0% and 4.5%, respectively. Multiple infections were prevalent among our sample. 20.4% (10,854) of our sample had two RTIs and 8.8% (4713) had at least three RTIs. Multivariate analysis showed that women's age, education, occupation, dysmenorrhea, number of deliveries, personal hygiene habit, menstrual cycle, menstruation, abortion, the interval between abortion and sexual intercourse afterwards, RTI knowledge and the frequency of sexual intercourse per month were all related to RTIs in our sample.
Among married women in rural China, the prevalence of RTIs was high, indicating the need for health education.
本研究旨在确定中国农村女性生殖道感染（RTI）的相关因素，包括流行情况、社会人口特征、知识、卫生行为以及生育、月经和流产史的影响。
采用分层整群抽样方法，对中国安徽省农村地区的 53652 名已婚妇女进行了问卷调查和妇科检查及实验室检查。
在我们 53652 名已婚妇女的样本中，RTI 较为常见（30939/58.1%）。在我们的样本中，三种最常见的 RTI 是宫颈炎、细菌性阴道病（BV）和滴虫病，患病率分别为 41.7%、12.0%和 4.5%。多重感染在我们的样本中较为普遍。我们的样本中有 20.4%（10854）的妇女患有两种 RTI，8.8%（4713）的妇女至少患有三种 RTI。多因素分析显示，妇女的年龄、教育、职业、痛经、分娩次数、个人卫生习惯、月经周期、经期、流产、流产后性交间隔时间、RTI 知识和每月性交频率均与我们样本中的 RTI 相关。
在中国农村已婚妇女中，RTI 的患病率较高，表明需要进行健康教育。
