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目的:利用避孕节育随访服务探讨育龄妇女生殖道感染(RTI)的影响因素。方法:对2002年9～11月接受计划生育随访服务的13066名育龄妇女进行妇科检查和RTI的病原体实验室筛查。结果:RTI总检出率为52.72％,其中患1种病症占39.95％,2种占11.68％,3种及以上占1.09％。在宫内节育器(IUD)使用者62.63％有RTI临床症状。未有症状者中,分泌物异常或下腹痛出现率为11.41％。上述病症的发生率苏北地区明显高于苏南地区。RTI影响因素分别为初婚年龄、职业、文化程度、孕次、活产数、人工流产数和避孕方法。结论:江苏省RTI的流行有明显的地区差异,不同地区的危险因素和保护因素各不相同。提示避孕节育随访服务对重点人群进行RTI监测与防治即可达到较好的防治效果。
Objective: To explore the influencing factors of reproductive tract infection (RTI) in women of childbearing age by means of contraceptive follow-up services. Methods: The gynecological examinations and RTI pathogen laboratory screening of 13066 women of childbearing age who received family planning follow-up services from September to November in 2002 were conducted. Results: The total detection rate of RTI was 52.72%, of which 39.95% had one disease, 11.68% two and 1.09% three or more. 62.63% of IUD users had RTI clinical symptoms. Among those without symptoms, the rate of abnormal secretion or lower abdominal pain was 11.41%. The incidence of these diseases was significantly higher in northern Jiangsu than in southern Jiangsu. RTI impact factors were age at first marriage, occupation, education, pregnancy time, live births, the number of abortions and contraceptive methods. Conclusion: There is a clear regional difference in the prevalence of RTI in Jiangsu Province, with different risk factors and protective factors in different regions. Prompt contraceptive follow-up service RTI monitoring and prevention of key populations to achieve better control effect.