Oseni Tijani Idris Ahmad, Odewale Michael Adeoye
Department of Family Medicine, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria.
Niger Postgrad Med J. 2017 Apr-Jun;24(2):114-120. doi: 10.4103/npmj.npmj_28_17.
Pelvic inflammatory disease (PID) is a major cause of gynaecological morbidity globally. Complications from PID include infertility, ectopic pregnancy and chronic pelvic pain. Low socioeconomic status (SES) is a risk factor for the occurrence of PID.
The aim of this study was to determine the association between SES of parents and the occurrence of PID among undergraduates attending Irrua Specialist Teaching Hospital, Irrua.
The study was a hospital-based, descriptive cross-sectional study. Three hundred and sixty female undergraduates attending the hospital were consecutively recruited and clinically assessed for the presence of PID using the WHO and CDC MMWR 2010 criteria for the clinical assessment of PID. Their SES was determined by Oyedeji social class categorisation. Data were analysed using Epi Info 3.5.4. Descriptive statistics were used to summarise the data, and Chi-square was used to test for association.
There was a significant association between SES of parents and multiple sex partners (P < 0.02), previous sexually transmitted infection (STI) (P = 0.05), unprotected sex (P < 0.001), history of induced abortion (P < 0.001) and surgical termination of pregnancy (P < 0.01). There was also association between occurrence of PID among respondents and multiple sexual partners (P < 0.001), previous history of STI (P = 0.02), non-persistent use of condom (P < 0.001), history of induced abortion (P < 0.01) and surgical termination of pregnancy (P < 0.01). There was however no significant association between SES of parents and occurrence of PID (P = 0.14) though PID was highest among respondents from low SES.
Occurrence of PID among undergraduates was not associated with their SES. However, identified risk factors for PID among study population such as multiple sex partners, previous STI, unprotected sex and history of induced abortion were associated with the SES.
盆腔炎（PID）是全球妇科疾病发病的主要原因。PID的并发症包括不孕、宫外孕和慢性盆腔疼痛。社会经济地位低下（SES）是PID发生的一个危险因素。
本研究的目的是确定就读于伊鲁阿专科医院的大学生父母的SES与PID发生之间的关联。
该研究是一项基于医院的描述性横断面研究。连续招募了360名到该医院就诊的女大学生，并根据世界卫生组织（WHO）和美国疾病控制与预防中心（CDC）2010年《发病率与死亡率周报》（MMWR）中PID临床评估标准对她们进行临床评估，以确定是否存在PID。她们的SES由Oyedeji社会阶层分类法确定。使用Epi Info 3.5.4软件对数据进行分析。描述性统计用于汇总数据，卡方检验用于检验关联性。
父母的SES与多个性伴侣（P < 0.02）、既往性传播感染（STI）（P = 0.05）、无保护性行为（P < 0.001）、人工流产史（P < 0.001）和手术终止妊娠史（P < 0.01）之间存在显著关联。受访者中PID的发生与多个性伴侣（P < 0.001）、既往STI史（P = 0.02）、未持续使用避孕套（P < 0.001）、人工流产史（P < 0.01）和手术终止妊娠史（P < 0.01）之间也存在关联。然而，父母的SES与PID的发生之间没有显著关联（P = 0.14），尽管来自低SES的受访者中PID发生率最高。
大学生中PID的发生与他们的SES无关。然而，在研究人群中确定的PID危险因素，如多个性伴侣、既往STI、无保护性行为和人工流产史，与SES有关。
