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尼日利亚孕妇的阴道毛滴虫感染及与性传播感染相关的危险因素

Trichomonas vaginalis infection in Nigerian pregnant women and risk factors associated with sexually transmitted infections.

作者信息

Oyeyemi Oyetunde T, Fadipe Olamide, Oyeyemi Ifeoluwa T

机构信息

Department of Biosciences and Biotechnology, Babcock University, Ilishan-Remo, Ogun State, Nigeria

Department of Biosciences and Biotechnology, Babcock University, Ilishan-Remo, Ogun State, Nigeria.

出版信息

Int J STD AIDS. 2016 Nov;27(13):1187-1193. doi: 10.1177/0956462415611292. Epub 2015 Oct 5.

Abstract

Trichomoniasis poses a public health threat to pregnant women and neonatal health. This study evaluated Trichomonas vaginalis and other common sexually transmitted infections (STIs) status in pregnant women, and risk factors associated with them. The study was cross-sectional and descriptive and a total of 198 pregnant women were recruited for T. vaginalis screening by microscopic examination. Questionnaires were also administered to 108 pregnant women to access information related to socio-demography and other factors associated with STI transmission. The overall prevalence of T. vaginalis was 18.7%. While prevalence of T. vaginalis was neither age nor parity dependent (p > 0.05), women in their first trimester showed significantly higher prevalence of trichomoniasis compared to women in their second and third trimesters (p < 0.05). The frequency of STIs was lowest (18.2%) and highest (71.4%) in age groups ≥ 39 and 15-20 years, respectively. Low levels of education, multiple sexual partners, lack of knowledge on partners' STI history, and having sex under the influence of alcohol or drugs were risk factors of for STIs (p < 0.05). We found a high prevalence of T. vaginalis in pregnant women, with those at an early gestational age at greater risk. The improved education of women on safe sex and the need to know partners' STI status are advocated.

摘要

滴虫病对孕妇和新生儿健康构成公共卫生威胁。本研究评估了孕妇阴道毛滴虫及其他常见性传播感染(STIs)的状况,以及与之相关的危险因素。该研究为横断面描述性研究,共招募了198名孕妇通过显微镜检查进行阴道毛滴虫筛查。还对108名孕妇进行了问卷调查,以获取与社会人口统计学及其他与性传播感染传播相关因素的信息。阴道毛滴虫的总体患病率为18.7%。虽然阴道毛滴虫的患病率既不依赖于年龄也不依赖于产次(p>0.05),但与孕中期和孕晚期的女性相比,孕早期女性的滴虫病患病率显著更高(p<0.05)。性传播感染的发生率在年龄≥39岁的组中最低(18.2%),在15 - 20岁的组中最高(71.4%)。低教育水平、多个性伴侣、对性伴侣的性传播感染病史缺乏了解以及在酒精或药物影响下发生性行为是性传播感染的危险因素(p<0.05)。我们发现孕妇中阴道毛滴虫的患病率很高,孕早期的孕妇风险更大。提倡加强对女性进行安全性行为教育以及了解性伴侣性传播感染状况的必要性。

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