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目的:了解安徽省淮南市农村已婚育龄妇女常见的生殖道感染(RTIs)的现状及相关因素,为实施干预工程提供科学依据。方法:分层、整群抽取安徽省淮南市3 193例农村已婚育龄妇女进行妇科临床检查和实验室检查,并对生殖道感染相关知识、态度和行为进行问卷调查。结果:3 193例妇女中有2 246人(70.3%)诊断患RTI,生殖道感染患病率前3位依次为宫颈柱状上皮异位(52.6%)、宫颈肥大(33.0%)、细菌性阴道炎(11.0%)。多因素Logistic回归分析显示农村已婚妇女家庭平均年收入越高者罹患RTI的可能性越小(OR=0.848,95%CI:0.755～0.953),高收入为RTIs保护因素;总生育次数越高(OR=1.263,95%CI:1.081～1.476)、冬天洗澡间隔时间越长越容易罹患RTI(OR=1.479,95%CI:1.244～1.417)。结论:淮南市农村已婚妇女生殖道感染率较高,且受多种因素影响,应切实进行健康教育和定期妇科普查,以降低患病率。
Objective: To understand the current status and related factors of common RTIs in rural married women of reproductive age in Huainan, Anhui Province, and to provide a scientific basis for the implementation of interventions. Methods: A total of 3 193 rural married women of childbearing age in Huainan City of Anhui Province were enrolled in this study. The gynecological clinical and laboratory tests were conducted. The knowledge, attitude and behaviors of reproductive tract infections were surveyed. RESULTS: Of the 3 193 women, 2 246 (70.3%) were diagnosed with RTI, and the top three in genital tract infection were cervical columnar epithelial ectopic (52.6%), cervical hypertrophy (33.0%), bacterial vagina Inflammation (11.0%). Multivariate logistic regression analysis showed that the average annual family income of rural married women was less likely to have RTI (OR = 0.848, 95% CI: 0.755-0.95), and high income was the protective factor of RTIs. The higher the total number of births (OR = 1.263, 95% CI: 1.081-1.476). The longer the bathing interval in winter, the more prone to RTI (OR = 1.479, 95% CI: 1.244-1.417). Conclusion: The prevalence of genital tract infection among rural married women in Huainan City is high and affected by many factors. Health education and regular gynecological census should be carried out effectively to reduce the prevalence.