安徽省淮南市农村已婚育龄妇女生殖道感染现状及相关因素研究

发布时间：2018-01-16 18:39

本文关键词：安徽省淮南市农村已婚育龄妇女生殖道感染现状及相关因素研究　出处：《安徽医科大学》2012年硕士论文　论文类型：学位论文

【摘要】：目的描述安徽省淮南市农村已婚育龄妇女常见RTIs（Reproductive TractInfections）的疾病谱及其流行现状，了解安徽省淮南市患有RTI疾病的农村已婚育龄妇女的特点，探讨农村已婚育龄妇女的引起RTI症状的相关因素。方法本研究在保证市级样本代表性和实施可行性的基础上，采取分层整群抽样方法，共抽取3193名18-49岁农村已婚育龄妇女作为研究对象。组织县一级人员对抽取的调查对象进行登记造册，在调查对象知情同意和保密的原则下，采用先集中和后入户的调查方式进行问卷调查和妇科检查；调查方案的设计和检测项目的确定经流行病学和妇产科专家共同论证，并进行了预试验；生殖道感染诊断和分类标准依照ICD-9及第六版《妇产科学》。使用EpiData3.1软件录入数据和校验，采用SPSS10.0软件完成统计分析。以α=0.05为显著性水准，单因素分析采用χ2检验，多因素分析采用logistic回归分析调整可能混杂因素后，列出OR值和95%可信区间。结果3193名妇女中，RTI总的患病人数为2246人（70.3%），1088人（34.1%）至少患有一种生殖道感染，967人（30.3%）同时患有两种生殖道感染，187人（5.9%）患有三种及以上生殖道感染。其中前五位依次为：慢性宫颈炎2217（66.3%），细菌性阴道炎352人（11.0%）、念珠菌性阴道炎85人（2.7%）、滴虫性阴道炎37人（1.2%）以及盆腔炎18人（0.6%）。多因素logistic回归分析结果显示：已婚妇女总生育次数越多、冬天洗澡间隔时间越长、农村已婚妇女家庭平均年收入越高是罹患RTI的影响因素。其中总生育次数越多（OR=1.263，95%CI：1.081-1.476）、冬天洗澡间隔时间越长（OR=1.479，95%CI：1.244-1.417）为患RTI的危险因素；家庭年均收入越高（OR=0.848，，95%CI：0.755-0.953）为患RTI的保护因素。结论安徽省淮南市农村已婚育龄妇女生殖道感染的患病率高且症状多。应大力开展有针对性的健康教育和妇科普查，提高RTI诊治率，提高农村已婚育龄妇女的生活质量。
[Abstract]:Objective to describe the prevalence of common RTIs(Reproductive tracts infections in rural married women of childbearing age in Huainan, Anhui Province. To understand the characteristics of married women of childbearing age with RTI disease in Huainan City Anhui Province and to explore the related factors of RTI symptoms among married women of childbearing age in rural areas. Methods the method of stratified cluster sampling was adopted on the basis of ensuring the representativeness and feasibility of city level samples. A total of 3193 rural married women of childbearing age aged 18-49 years were selected as the research objects. The county level personnel were organized to register the selected subjects under the principle of informed consent and confidentiality. Questionnaire survey and gynecological examination were carried out by means of centralized and later household survey. The design of the investigation program and the determination of the test project were demonstrated jointly by the experts in epidemiology and obstetrics and gynecology, and pre-test was carried out; The diagnostic and classification criteria for genital tract infections were based on ICD-9 and the sixth edition of Obstetrics and Gynecology. Data were recorded and verified by EpiData3.1 software. SPSS10.0 software was used to complete the statistical analysis. The significant level was 伪 0. 05, and 蠂 2 test was used for single factor analysis. Multivariate analysis using logistic regression analysis adjusted possible confounding factors, OR value and 95% confidence interval were listed. Results the total number of RTI patients of 3193 women was 2246 / 70.33 / 1088 / 34.1) with at least one type of reproductive tract infection. 967 (30.3%) have two types of reproductive tract infections at the same time. The first five were chronic cervicitis (22171766.3) and bacterial vaginitis (352 / 11.0). Candida vaginitis (85), trichomonal vaginitis (37) and pelvic inflammation (18). The results of multivariate logistic regression analysis showed that the more married women had more births, the longer the interval between baths in winter was. The higher the average annual income of married women in rural areas was, the higher the incidence of RTI was, and the more the total number of births was 1.263 95 CI: 1.081-1.476). The longer the interval between baths in winter was 1.479 / 95 CI: 1.244-1.417) as the risk factor for RTI; The higher the average income per family is, the higher the average income is, 0.848% 95% CI: 0.755-0.953) is the protective factor of RTI. Conclusion the prevalence of reproductive tract infection among married women of childbearing age in Huainan City Anhui Province is high and the symptoms are many. It is necessary to carry out health education and gynecological survey to improve the diagnosis and treatment rate of RTI. Improve the quality of life of married women of childbearing age in rural areas.
【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R173

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