深圳外来工妇女和本地妇女高危型人乳头瘤病毒感染的危险因素分析

摘要

Objective :To survey of Migrant workers women and local women’s high-risk HPV infection risk factors , Provide the basis for high-risk HPV infection and cervical cancer prevention .Methods :A stratified randomized cluster-sampling investigation .250 women in local permanent residents and 250 migrant workers women for cervical cancer screening for high-risk human papillomavirus detection and epidemiological questionnaire survey ,the survey includes general information ,past medical history ,sexuality ,and reproductive history ,smoking history ,habits ,etc ,using the chi-square test and non-conditional logistic regression analysis of risk factors for HPV infection .Results:The population of high-risk HPV detection rate was 12 .2% ,Multivariate analysis results showed that :Migrant workers women’s high-risk HPV infection were sexual debut ;number of sexual partners ;husband extramarital sex ;educational attainment ;sexual health .Local women’s risk factors for infection to her husband’s extra-marital sex ;sexual health ;number of sexual partners ;smoking or drinking .Conclusion :Husband extramarital sex ,number of sexual partners ,whether atten-tion to sexual health is common factors affect the risk of HPV infection in women of migrant workers and local women , the history of gynecological screening is a protective factor for the local women .%目的：探讨影响深圳坪山地区不同人群高危型 H PV感染的危险因素，为干预高危型 H PV感染及子宫颈癌防治提供依据。方法：采用横断面调查方法，抽取坪山街道250名本地户籍居民妇女及250名外来工妇女进行宫颈癌筛查，进行高危型人乳头瘤病毒检测及流行病学问卷调查，调查内容包括一般资料、既往病史、性行为和生育史、吸烟史、生活习惯等，利用χ2检验和非条件Logistic回归分析 HPV感染的危险因素。结果：该人群高危型 HPV总检出率为12．2％，多因素分析结果显示：外来工妇女高危型H PV感染的主要因素依次为初次性行为年龄、性伴侣数、丈夫婚外性行为、受教育程度、是否注意性卫生。本地妇女感染的危险因素为丈夫婚外性行为、是否注意性卫生、性伴侣数、吸烟或饮酒。结论：丈夫婚外性行为、性伴侣数、是否注意性卫生是影响外来工妇女和本地妇女的 HPV感染的危险共同因素，而妇科普查史是本地妇女的保护因素。