Department of Community Medicine, Medical College, Kolkata, India.
Indian J Public Health. 2012 Jul-Sep;56(3):204-9. doi: 10.4103/0019-557X.104233.
Reproductive tract infection (RTI) represents a major public health problem in India. Women are either not aware of the symptoms of RTI or refuse to seek health care due to economic and time constrains unless suffering from alarming symptoms.
To find out the prevalence of women with suggestive symptoms of RTI; to identify clinical and cytological abnormalities among the symptomatic women and to find out association between socio-demographic profile and risk factors with RTI symptomatic and cytology positive patients.
A total of 385 married women in reproductive age group residing in Baligori sub-center area in Tarakeswar block of Hooghly district, West Bengal, India, were screened for symptom suggestive of RTI; symptomatic women went through gynecological examination and cancer cervix screening by Pap smear. Analysis of results was done by Odds ratio and multivariate logistic regression.
Overall, 23.6% of the study population had symptoms suggestive of RTI. Most of them (68.1%) had abnormal vaginal discharge. Among the symptomatic women, cytology proved that 24.4% were suffering from acute cervicitis, 4.7% from A Squamous Cell of Undetermined Significance (ASCUS) and 2.3% from Low Grade Intra epithelial Lesion (LSIL) Squamous. Statistically significant association was observed for age, number of children, contact history of husband, pond bathing, menstrual hygiene, intra uterine device insertion, non-usage of barrier method, and history of abortion among women symptomatic for RTI and asymptomatic women.
Prevalence of suggestive symptoms of RTI in women was found to be high (23.6%), and among them 7% had cervical dysplasia. Therefore, enhancing awareness and organizing screening camps are absolute necessity and must be held at frequent intervals to curb the menace due to cervical cancer.
生殖道感染（RTI）是印度的一个主要公共卫生问题。女性要么不知道 RTI 的症状，要么由于经济和时间限制而不愿寻求医疗保健，除非出现明显的症状。
了解有 RTI 症状的女性的患病率；确定有症状女性的临床和细胞学异常，并确定社会人口统计学特征与危险因素与 RTI 症状和细胞学阳性患者之间的关系。
在印度西孟加拉邦 Hooghly 区 Tarakeswar 街区的 Baligori 分中心地区，对 385 名处于生育年龄的已婚妇女进行了生殖道感染症状筛查；有症状的妇女接受了妇科检查和巴氏涂片宫颈癌筛查。结果通过比值比和多变量逻辑回归进行分析。
总的来说，研究人群中有 23.6%的人有 RTI 症状。她们中的大多数（68.1%）有异常阴道分泌物。在有症状的妇女中，细胞学检查证实 24.4%患有急性宫颈炎，4.7%患有非典型鳞状细胞（ASCUS），2.3%患有低度上皮内病变（LSIL）鳞状细胞。有症状的妇女和无症状妇女在年龄、子女数量、丈夫接触史、池塘洗澡、月经卫生、宫内节育器插入、不使用屏障方法和堕胎史方面存在统计学显著关联。
发现有 RTI 症状的女性患病率较高（23.6%），其中 7%患有宫颈癌前病变。因此，增强意识和组织筛查活动是绝对必要的，必须定期进行，以遏制宫颈癌的威胁。
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