农村妇女生殖道感染状况及影响因素分析.docVIP

农村妇女生殖道感染状况及影响因素分析* 【摘要】目的了解自述有生殖道感染的农村妇女生殖道感染患病情况及影响因素。为采取相应干预措施提供依据。方法采用整群随机抽样方法，选择新疆维吾尔自治区、安徽省6个项目县11个乡镇15～69岁妇女共1098人。自行设计调查问卷，对其生殖道感染症状进行面对面问卷调查。结果调查对象在1 098人中，有462人自述在过去半年中至少有1种生殖道感染症状，生殖道感染率为42.1％；有1，2，3种及以上症状的分别占28.8％，7.7％和5.6％。影响因素分析显示，文化程度、婚姻状况、地区、生殖道感染知识知晓情况与生殖道感染患病情况有统计学联系，新疆地区、已婚、文化程度为文盲／半文盲、生殖道感染知识知晓程度较低的妇女，其生殖道感染的患病率较高。结论农村妇女生殖道感染患病率较高，应提高妇女生殖道感染相关知识的知晓率，并采取有效预防和干预措施。 【关键词】 农村妇女；生殖道感染；影响因素 Analysis of reproductive tract infections and their influence factors in rural women CUI Ying,YANG Li,Wu Qi,et al. Department of International Project Cooperation,Marternal and Children Health Care,China Certer for Disease Control and Prevention(Beijing 100013,China) Abstract： Objective To investigate the prevalence of reproductive tract infections (RTIs) and their influencing factors in women.Methods Random cluster sampling was used to select study population and face to face interview was carried out in the project counties of Anhui and Xinjiang province.Results The number of women with self-reported at least one symptom of RTIs in past half year was 462 in 1098 subjects,accounting for 42.1% of the subjects.The percentage of one symptom,two symptoms,three and over three symptoms was 28.8%,7.7% and 5.6%,respectively.Influence factors analysis showed that womans education level,marriage status,and knowledge of RTIs contributed much to the prevalence of RTIs.Living in Xinjiang region,illiteracy and semiliterate and the women with little kowledge of RTIs linked with high prevalence of RTIs. Conclusion RTIs is prevalent among women in the areas studied.The intervention should be done according to the influencing factors and the knowledge of RTIs among women needs to be improved. Key words： women;reproductive tract infections;influence factors 生殖道感染是目前国际上关注的重要生殖健康问题，是影响妇女健康主要疾病之一。有研究表明，我国妇女生殖道感染患病率与其他发展中国家相近，均处于较高水平，给妇女的身体和心理带来严重伤害〔1〕。生殖道感染可以造成不孕、宫外孕、流产、宫颈癌、早产等〔2〕。为了解妇女生殖道感染患病状况及影响因素，在嘉道理慈善基金会的资助下，2006年对新疆和安徽省农村地区的妇女生殖道感染状况进行了调查。结果报告如下。 1 对象与方法 1.1 对象 资料来源于卫生部mdash