陕西省农村已婚育龄妇女生殖道感染自觉症状及求医行为调查

摘要

目的:了解陕西省农村已婚育龄妇女生殖道感染(RTIs)自觉症状、就医行为及其影响因素.方法:分层整群抽取陕西省20～49岁20 878名农村已婚育龄妇女进行问卷调查.结果:有14 482人(69.5％)自我报告过去6个月内至少出现1种RTIs症状,其中到医院就诊者8 533人(59.0％).多因素logistic回归分析显示,年龄(OR=0.924)、职业(OR=1.223)、受教育程度(OR=1.143)、家庭年收入(OR1=1.250,OR2=1.101)、RTIs知识(OR=1.725)、RTIs症状数(OR=1.107)与求医行为有关.结论:该人群RTIs自觉症状报告率较高,但就诊意识淡薄,并受到多种因素的影响,建议今后加强RTIs的宣传教育和妇科普查.%Objective; To study the current situations of self- reported symptoms of reproductive tract infections (RTTs) , health - seeking behaviour and the related influencing factors in rural married women in Shaanxi Province. Method: A questionnaire survey was conducted on 20,878 rural married women at 20 -49 years of age selected by stratified clustering sampling in Shaanxi Province. Results: 14,482(69. 5% ) women reported at least one RTIs symptom in the past 6 months and 8, 533(59.0% ) of them once visited a doctor. The results of multiple Logistic regression showed that age (OR=0.924) , occupation ( OR = 1.223) , education level (OR = 1.143), family yearly income (OR1 = 1. 250, OR2 = 1. 101) , RTIs knowledge (OR = 1.725) and number of RTIs symptoms (OR = 1. 107) were related to health - seeking behavior. Conclusion: The prevalence of self - reported RTIs symptom was high among this population, but their health - seeking behavior was relatively poor and affected by multiple factors. Health education and gynecological census should be strengthened in the future.