Singh Samiksha, Chaturvedi Sanjay, Kumar Amod, Kannan A T
Department of Community Medicine, University College of Medical Sciences, Delhi, India.
J Commun Dis. 2010 Mar;42(1):53-61.
This study was carried out to find out the impact of a specially designed preventive intervention on menstrual and sexual hygiene practices and incidence of RTI/STI among the newly married women. A community based intervention study with controls was conducted in two resettlement colonies of Delhi. Total 74 subjects in intervention group and 71 subjects in the control group were studied. Each subject was followed up for 9 months every three monthly. The intervention package included education about menstrual and sexual hygiene, RTI/STIs and contraceptive usage, and packets of condoms. RTI/STI was diagnosed using syndromic approach. Only 2 and 8 subjects in the intervention and control group respectively used condoms (p>0.05 after adjustment). Practice of washing genitals improved in the intervention group (p<0.05 both with and without adjustment). 19 (25.68%) women in intervention and 22 (30.99%) in the control group (p=0.478) reported RTI/STI symptoms during study period; after adjusting for other variables OR=0.37 (p=0.007). 57.89% of RTI/STI patients consulted doctor in intervention group as compared to 18.18% in control group (p<0.05). Increasing awareness and providing intervention at the very beginning of sexual life of newly married women can modify some of the high risk behaviors and thus reduce the risk of acquiring RTI/STIs.
本研究旨在探讨一项专门设计的预防性干预措施对新婚女性月经和性卫生习惯以及生殖系统感染/性传播感染（RTI/STI）发病率的影响。在德里的两个安置区进行了一项设有对照组的社区干预研究。干预组共研究了74名受试者，对照组共研究了71名受试者。对每位受试者每三个月进行一次为期9个月的随访。干预方案包括关于月经和性卫生、生殖系统感染/性传播感染以及避孕方法的教育，以及避孕套包。采用症状诊断法诊断生殖系统感染/性传播感染。干预组和对照组分别只有2名和8名受试者使用了避孕套（调整后p>0.05）。干预组中清洗生殖器的行为有所改善（调整前后p均<0.05）。干预组有19名（25.68%）女性和对照组有22名（30.99%）女性在研究期间报告有生殖系统感染/性传播感染症状（p=0.478）；在对其他变量进行调整后，比值比（OR）为0.37（p=0.007）。干预组中57.89%的生殖系统感染/性传播感染患者咨询了医生，而对照组为18.18%（p<0.05）。提高新婚女性在性生活开始时的意识并提供干预措施，可以改变一些高危行为，从而降低感染生殖系统感染/性传播感染的风险。
