大学生外阴阴道念珠菌病的流行病学
The epidemiology of vulvovaginal candidiasis among university students.
作者信息
Geiger A M, Foxman B, Gillespie B W
机构信息
Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor 48109-2029, USA.
出版信息
Am J Public Health. 1995 Aug;85(8 Pt 1):1146-8. doi: 10.2105/ajph.85.8_pt_1.1146.
Abstract
Vulvovaginal candidiasis affects approximately 20% of women annually, but it is not well characterized epidemiologically. Of 1027 respondents to two mailed cross-sectional surveys at a large university, 37.5% reported a prior clinical diagnosis of vulvovaginal candidiasis. The frequency of first diagnosis increased rapidly after age 17, with an estimated 54.7% of women experiencing the condition by age 25. In a proportional hazards model of age at first diagnosis, vulvovaginal candidiasis was associated with initiation of sexual activity (rate ratio [RR] = 2.9; 95% confidence interval [CI] = 2.2, 3.8), oral contraceptive use (RR = 1.7; CI = 1.4, 2.2), and White (RR = 3.1; CI = 1.7, 5.7) and Black (RR = 5.9; CI = 3.0, 11.5) race vs Asian.
摘要
每年约有20%的女性会患外阴阴道念珠菌病，但在流行病学方面其特征尚不明确。在一所大型大学进行的两项邮寄横断面调查中，1027名受访者中有37.5%报告曾有外阴阴道念珠菌病的临床诊断。首次诊断的频率在17岁后迅速上升，估计到25岁时54.7%的女性会患此病。在首次诊断年龄的比例风险模型中，外阴阴道念珠菌病与开始性行为（率比[RR]=2.9；95%置信区间[CI]=2.2, 3.8）、使用口服避孕药（RR=1.7；CI=1.4, 2.2）以及白人（RR=3.1；CI=1.7, 5.7）和黑人（RR=5.9；CI=3.0, 11.5）种族（与亚洲人相比）相关。
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