Waight Maria T, Rahman Mohammad M, Soto Patricia, Tran Tri
Department of Epidemiology, Tulane School of Public Health, USA.
J La State Med Soc. 2013 Jul-Aug;165(4):219-26.
The aims of the study were to determine the prevalence of sexually transmitted diseases during pregnancy (STDs/P) in Louisiana, the association of maternal characteristics with STDs/P, and the association of STDs/P with low birth weight and preterm birth.
STDs surveillance data from 2006-2009 were linked with 2007-2009 birth certificate data. The linked data were used for analyses. The data were limited to infections of chlamydia, gonorrhea, and syphilis during pregnancy. Logistic regression was applied to evaluate associations.
The prevalence of chlamydia, gonorrhea, and syphilis during pregnancy was 5.5%, 1.6%, and 0.3%, respectively, among women who had a live birth between 2007 and 2009. Maternal race, ethnicity, age, education, marital status, and Medicaid paid for delivery were associated with STDs/P (p-value < .05). Only infection with gonorrhea during pregnancy was associated with preterm birth [adjusted OR: 1.20 (CI95%: 1.08-1.33)].
The prevalence of STDs/P in Louisiana remains high. Low-educated, young, black, single, and economically disadvantaged mothers were at high risk for STDs during pregnancy. Women diagnosed with gonorrhea during pregnancy were more likely to experience preterm birth.
本研究的目的是确定路易斯安那州孕期性传播疾病（STDs/P）的患病率、孕产妇特征与STDs/P的关联，以及STDs/P与低出生体重和早产的关联。
2006 - 2009年的性传播疾病监测数据与2007 - 2009年的出生证明数据相链接。链接后的数据用于分析。数据仅限于孕期衣原体、淋病和梅毒感染。应用逻辑回归评估关联。
在2007年至2009年有活产的妇女中，孕期衣原体、淋病和梅毒的患病率分别为5.5%、1.6%和0.3%。孕产妇的种族、族裔、年龄、教育程度、婚姻状况以及分娩费用由医疗补助支付与STDs/P相关（p值 < 0.05）。仅孕期淋病感染与早产相关[调整后的比值比：1.20（95%置信区间：1.08 - 1.33）]。
路易斯安那州STDs/P的患病率仍然很高。受教育程度低、年轻、黑人、单身以及经济处于不利地位的母亲在孕期感染性传播疾病的风险较高。孕期被诊断为淋病的妇女更有可能早产。
