Keshavarz H, Duffy S W, Sotodeh-Maram E, Saraf Z, Sadeghi-Hassana-Badi A, Zighami B, Tabei Z
Shiraz University of Medical Sciences, Iran.
Rev Epidemiol Sante Publique. 1997 Sep;45(4):279-85.
In a survey of reproductive habits and cervical pathology in 1015 women of the Qashghaee nomadic tribe of southern Iran, a high prevalence (80%) of cervicitis was observed. The effects of reproductive and other habits on risk of cervicitis were therefore assessed using proportional odds modelling. Increased risks of a higher degree of cervicitis were associated with middle to late age (p = 0.02), a history of delivery of children (p = 0.001), intercourse during menses (p = 0.03) and a history of ever giving birth in a maternity hospital (p = 0.02). A lower risk was associated with increased duration of marriage (p = 0.05). The increased risk observed for history of birth in maternity hospital may reflect a prior obstetric problem which predisposes to both cervicitis and seeking the specialist obstetric care provided in the maternity hospital. Results suggest an infectious agent which may be transmitted in childbirth.
在对伊朗南部卡什加伊游牧部落的1015名妇女的生殖习惯和宫颈病理情况进行的一项调查中,观察到宫颈炎的高患病率(80%)。因此,使用比例优势模型评估了生殖习惯和其他习惯对宫颈炎风险的影响。宫颈炎程度较高的风险增加与中年至老年(p = 0.02)、生育史(p = 0.001)、经期性交(p = 0.03)以及曾在妇产医院分娩的病史(p = 0.02)相关。较低风险与婚姻持续时间增加相关(p = 0.05)。在妇产医院分娩史观察到的风险增加可能反映了先前的产科问题,这既易患宫颈炎,又促使寻求妇产医院提供的专科产科护理。结果提示可能存在一种在分娩时传播的感染因子。