1705例河南农村地区拟孕妇女生殖道感染及社会学因素效应

摘要

目的：探讨包括咨询和治疗在内的社会学因素等对河南省农村地区拟孕妇女生殖道感染（RTI）的影响。方法：采用多阶段随机整群抽样方法抽取1705例研究对象，并进行临床诊断和问卷调查。应用多变量Logistic回归模型，分析健康咨询、门诊诊治、年龄、地区职业等因素对RTI的影响。结果：农村拟孕妇女生RTI现患率为37.95%（95%CL：35.6416~40.2529）；多因素分析表明：26~30年龄组RTI患病风险增高（OR=1.053），26岁以下年龄组最低（OR=0.748）；有生殖道感染患病史者，发病风险明显增加（OR=2.342）；随年收入增加发病风险有增高趋势；1年门诊治疗和咨询未能发现有效降低发病风险。结论：RTI是社会性的问题，对认识RTI的社会学效应整体上提高认识，可对降低RTI起到推动作用。%Objective:To investigate the affection of consultation,clinical care and social character on incidence rate on reproductive traction infections(RTI)of women preparing for pregnancy in rural area in henan province.Method:The multistage random cluster sample was used in women preparing for pregnancy in He’nan rural area,1705 women were took sets of clinical inspections,serve as the research sample. Clinical inspection and questionnaire investigation were applied to collect research information. Logistic regression analysis was conducted to learn the affection of social factors on RTI of research sample.Result:The prevalence rate of RTI in women preparing for pregnancy in henan rural area was 37.95%(95%CL:35.6416~40.2529);In the logistic regression model,by the maximum likelihood estimate,26-30 age group was increased risk of RTI(OR=1.053),women under 26 years old had lower RTI prevalence rate(OR=0.748)than other age group. Women had RTI history had higher risk of RTI(OR=2.342). Negative correlate between income and risk of RTI of women were found. Women had consultant or gone to gynaecological clinic in the past year not likely to reduce the risk level.Conclusion:RTI is a social problem. To raise knowledge on effectiveness of social factor on RTI,will be helpful to reduce prevalence of RTI.