沈阳市妇女生殖道感染现状及影响因素分析.doc

沈阳市妇女生殖道感染现状及影响因素分析 【摘要】目的了解妇女生殖道感染患病现状及危险因素。方法采用分层随机抽样方法对沈阳地区1260例妇女生殖道感染患病状况进行问卷调查，同时采用1：1配比病例对照研究方法，应用条件Logistic回归对生殖道感染的影响因素进行分析。结果沈阳市妇女生殖道感染患病率为35.16％，其中阴道炎的患病率为15.48％，宫颈炎患病率为11.75％，慢性盆腔炎和附件炎的患病率分别为4.13％和3.65％。多因素条件Logistic回归分析妇女生殖道感染的危险因素主要有节育环避孕、药物流产史、泌尿系感染史、生育胎数多和人均月收入低。结论生殖道感染与节育环避孕、药物流产史、泌尿系感染史、多产、人均月收入少等危险因素有关，应采取相应措施控制生殖道感染。 【关键词】 生殖道感染 危险因素 病例对照研究 Study on prevalence of reproductive tract infections and its risk factors among women WANG Wei,XU Wei,WU Wenshuo,et al. Department of Epidemiology,China Medical University (Shenyang 110001,China) Abstract： Objective To investigate the reproductive health status and the prevalence of reproductive tract infections and its influence factors.Methods 1260 women were sampled by stratified random sampling and surveyed by questionnaire, 1:1 matched case-control study was carried out.Logistic regression analysis was used to analyze the influential factors of reproductive tract infections.Results The prevalence of reproductive tract infection was 35.16%, of which vaginitis was 15.48%, cervicitis was 11.75%,chronic pelvic inflammatory was 4.13％，appendagitis was 3.65％.The results of logistic regression analysis showed that the common influential factors for reproductive tract infections were：contraceptive ring，medicine abortion，urinary system infection，high parity and low family income.Conclusion Reproductive tract infections seemed to be related to contraceptive ring，medicine abortion，urinary system infection，high parity and low family income.There was a great need for taking corresponding measures to control reproductive tract infections. Key words： reproductive tract infection；risk factor；casecontrol study 生殖道感染是妇女最为常见的疾病之一，是受到关注的生殖健康问题，尤其在发展中国家发生率较高。由于妇女生殖道感染与不孕症、流产、新生儿感染、宫外孕及宫颈癌的发生有关，并可增加感染艾滋病的危险性，影响妇女生活质量，所以已引起国内外学者的关注。本研究采用1：1配比的病例对照研究，以单因素与多因素分析方法,将影响生殖道感染的多个危险因素同时纳入分析，直接反映危险因素与生殖道感染的关联性及关联程度，为妇女生殖道感染的防治提供科学依据。 1 对象与方法 1.1 对象 采用多阶段分层随机抽样方法，在沈阳市城市、郊区和农村中各随机抽取1个区(县)，每个区县中随机抽取6个街道(村)，在抽中的街道(村)中随机抽取年龄20～60岁且在调查