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[中国中西部农村地区妇女生殖道感染患病率及影响因素研究]

[Study on the prevalence of reproductive tract infections and influencing factors on women in rural areas of the Middle and Western regions in China].

作者信息

Sun Zhi-cheng, Cui Ying, Yang Li, Han Hui

机构信息

National Center for Women and Children's Health; Chinese Center for Disease Control and Prevention, Beijing 100013, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2010 Sep;31(9):961-4.

PMID:21162855
Abstract

OBJECTIVE

To investigate the prevalence on reproductive tract infections (RTIs) status and influencing factors of women living in the rural areas of the middle and western regions in China and to develop the control strategy for RTIs.

METHODS

Questionnaire interview and gynecological examination were carried out to collect the related information. SPSS 16.0 was used to carry on the statistical analysis.

RESULTS

768 subjects (52.8%) had heard of RTIs, but 112 of them (14.6%) did not know the symptoms of it, 244 people (31.8%) do not know the infects of RTIs, 132 women (17.2%) did not know how to prevent RTIs. Gynecological examination revealed that 1111 subjects (76.4%) had at least one kind of RTIs, where the highest prevalence was chronic cervicitis, 621 women (42.7%) suffered from this, followed by bacterial vaginosis with 423 women suffered, accounted for 29.1%. Data from influencing factors analysis showed that region, educational level, occupation, whether having healthy check-up or not in the past 1 year and the habits of the reproductive women all contributed to the prevalence of the RTIs. Multiple regression analysis for influencing factors showed that reproductive aged women, living in western region, sharing the basin of washing genitals with others, not drying the cleaned underwear, not cleaning the pudendum before sexual intercourse and at 25 - 40 of age, having high prevalence of RTIs.

CONCLUSION

RTIs is prevalent among women in the rural areas. Intervention programs should be done according to the influencing factors while knowledge on RTIs among women needs to be improved, including promotion on healthy behavior, quality of medical institutions and male participation.

摘要

目的

调查中国中西部农村地区妇女的生殖道感染(RTIs)现状及影响因素,制定RTIs防控策略。

方法

采用问卷调查和妇科检查收集相关信息,运用SPSS 16.0进行统计分析。

结果

768名受试者(52.8%)听说过RTIs,但其中112人(14.6%)不知道其症状,244人(31.8%)不知道RTIs的感染途径,132名妇女(17.2%)不知道如何预防RTIs。妇科检查显示,1111名受试者(76.4%)至少患有一种RTIs,其中患病率最高的是慢性宫颈炎,有621名妇女(42.7%)患病,其次是细菌性阴道病,有423名妇女患病,占29.1%。影响因素分析数据表明,地区、文化程度、职业、过去1年是否进行过健康体检以及育龄妇女的生活习惯均对RTIs的患病率有影响。影响因素的多元回归分析显示,育龄妇女、居住在西部地区、与他人共用洗盆清洗生殖器、清洗后的内裤不晾干、性交前不清洗外阴以及年龄在25 - 40岁的妇女RTIs患病率较高。

结论

RTIs在农村妇女中普遍存在。应根据影响因素开展干预项目,同时需要提高妇女对RTIs的认知,包括促进健康行为、提升医疗机构质量以及男性参与。

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