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目的了解西部地区育龄女性流动人口避孕节育情况、生殖道感染情况以及避孕方法对生殖道感染的影响。方法于2014年5月-2015年4月,采用多阶段抽样方法在宁夏和新疆两地选择18~49岁、采取避孕节育措施的育龄女性流动人口作为调查对象,通过自填式问卷调查一般人口学特征和避孕方法的使用,实验室检测调查生殖道感染情况。结果本次共调查1165名育龄女性流动人口,其中宁夏616人(52.88%),新疆549人(47.12%);避孕套、宫内节育器、结扎术、口服避孕药使用比例分别为45.92%、33.82%、4.64%、3.00%,另有12.62%的对象选择其他方式;生殖道感染总患病率为38.28%,其中细菌性阴道病为15.28%,慢性宫颈炎为13.30%;调整地区、年龄、文化程度、职业、收入等变量后,多因素logistic显示,性生活中使用避孕套可以降低生殖道感染(RTIs)的患病风险(OR=0.76,95%CI=0.58~0.99)。结论西部地区女性流动人口生殖健康水平有待提高,而在性生活中使用避孕套可以降低患RTIs的风险。
Objective To understand the situation of contraception, reproductive tract infections and contraceptive methods in reproductive tract infection among migrant women of childbearing age in the western region. Methods From May 2014 to April 2015, a multistage sampling method was used to select the floating population of childbearing women aged from 18 to 49 in Ningxia and Xinjiang to take contraceptive methods as the survey subjects. The self-contained questionnaire was used to survey the general population Use of learning characteristics and methods of contraception, laboratory tests to investigate reproductive tract infections. Results A total of 1165 migrant women of childbearing age were investigated, of whom 616 (52.88%) in Ningxia and 549 (47.12%) in Xinjiang. The proportions of condoms, IUDs, ligation and oral contraceptives were 45.92% 33.82%, 4.64%, 3.00%, and 12.62%, respectively. The total prevalence of genital tract infection was 38.28%, including 15.28% for bacterial vaginosis and 13.30% for chronic cervicitis; (OR = 0.76, 95% CI = 0.58 ~ 0.99) .Conclusion: Condom use in sexual life can reduce the risk of RTIs (OR = 0.76, 95% CI = 0.58 ~ 0.99). Conclusion Reproductive health status of female migrants in the western region needs to be improved, while the use of condoms in sexual life can reduce the risk of RTIs.