Fan Zixuan, Pei Chenyang, Ma Jing, Xu Chengdong, Wang Zhenbo, Liu Yuanli, Hu Yuehua
School of Health Policy and Management, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Key Laboratory of Regional Sustainable Development Modeling, Institute of Geographic Sciences and Natural Resources Research, Chinese Academy of Sciences, Beijing, China.
China CDC Wkly. 2024 Dec 6;6(49):1299-1305. doi: 10.46234/ccdcw2024.259.
WHAT IS ALREADY KNOWN ABOUT THIS TOPIC?: Vaginitis is a prevalent and treatable gynecological condition in women that is associated with adverse reproductive outcomes, human papillomavirus (HPV) infection, and elevated human immunodeficiency virus (HIV) transmission risk.
WHAT IS ADDED BY THIS REPORT?: This study identifies elevated infection risks among women aged 35-54 years, those with three or more pregnancies, and individuals who smoke or consume alcohol, with notably higher prevalence rates in Hubei and Yunnan Provinces. The findings demonstrate that awareness of cervical cancer screening serves as a protective factor, while emphasizing screening's crucial role in early vaginitis detection.
WHAT ARE THE IMPLICATIONS FOR PUBLIC HEALTH PRACTICE?: Public health interventions should prioritize women aged 35-54 years, those with multiple pregnancies, and individuals engaging in high-risk behaviors. Enhancing cervical cancer screening awareness and accessibility is essential for improving early detection and management of vaginal infections, thereby reducing reproductive health disparities.
关于该主题已知的信息有哪些?:阴道炎是女性中一种常见且可治疗的妇科疾病,与不良生殖结局、人乳头瘤病毒(HPV)感染以及人类免疫缺陷病毒(HIV)传播风险升高有关。
本报告新增了哪些内容?:本研究确定了35至54岁的女性、有三次或更多次怀孕经历的女性以及吸烟或饮酒者感染风险升高,湖北省和云南省的患病率尤其更高。研究结果表明,宫颈癌筛查意识是一个保护因素,同时强调了筛查在早期阴道炎检测中的关键作用。
对公共卫生实践有哪些启示?:公共卫生干预措施应优先考虑35至54岁的女性、有多次怀孕经历的女性以及从事高风险行为的人群。提高宫颈癌筛查意识和可及性对于改善阴道感染的早期检测和管理至关重要,从而减少生殖健康差异。