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目的:了解乌鲁木齐市流动育龄妇女生殖道感染患病现状及相关影响因素,为今后的生殖道感染防治提供参考依据。方法:2010年10月~2013年3月采取分层-整群-随机抽样的方法,在乌鲁木齐市6区1县流动人口较集中的社区,对18~50岁的流动育龄妇女进行生殖道感染问卷调查、妇科检查与实验室检查。结果:共检查106 568名符合条件的流动妇女,其中细菌性阴道病的患病率为16.15%;滴虫性阴道炎的患病率为12.66%;念珠菌性阴道炎的患病率为4.52%;宫颈炎的患病率为11.79%。多因素logistic回归分析显示民族、学历、职业、月收入、婚姻状况、避孕方法使用对阴道炎、宫颈炎的患病率有影响。大专和本科及以上的对象患病风险较低,农民的患病风险较高,月收入1500~1599元者患病风险较高。与使用避孕套的对象相比,未避孕和使用宫内节育器避孕的对象,其阴道炎患病风险均有所增加,OR值分别为1.19(95%CI:1.09~1.30)、1.93(95%CI:1.81~2.07),但使用避孕套的对象患宫颈炎的风险较高。结论:应根据不同民族的特点采取防治措施,降低流动育龄妇女的阴道炎和宫颈炎患病率,特别是对文化程度为文盲或小学、职业为农民、月收入在1500~1599元的对象,应加大干预力度。
Objective: To understand the prevalence and related factors of reproductive tract infection among women of childbearing age in Urumqi, and to provide reference for prevention and treatment of genital tract infection in the future. Methods: From October 2010 to March 2013, stratified-cluster-random sampling method was used to detect reproductive tract infections among migrant women of childbearing age from 18 to 50 years in Urumqi, Questionnaire, gynecological examination and laboratory examination. Results: A total of 106 568 eligible migrant women were examined. The prevalence of bacterial vaginosis was 16.15%. The prevalence of trichomonas vaginitis was 12.66%. The prevalence of Candida vaginitis was 4.52 %; The prevalence of cervicitis was 11.79%. Multivariate logistic regression analysis showed that ethnicity, education, occupation, monthly income, marital status, and contraceptive methods had an impact on the prevalence of vaginitis and cervicitis. College and undergraduate subjects and above the lower risk of illness, the higher the risk of peasants, a monthly income of 1500 ~ 1599 yuan higher risk of illness. The risk of vaginitis increased in non-contraceptive and contraceptive subjects using IUDs compared with those using condoms, with odds ratios of 1.19 (95% CI: 1.09-1.30) and 1.93 % CI: 1.81 ~ 2.07), but the subjects who use condoms have a higher risk of cervicitis. Conclusion: Prevention and treatment measures should be taken according to the characteristics of different ethnic groups so as to reduce the prevalence of vaginitis and cervicitis among women of childbearing age. Especially for those who have a literacy education or primary school education and are employed as peasants with a monthly income of 1,500 yuan to 1,599 yuan, Should intensify intervention efforts.