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目的 了解农村生殖道感染妇女求医行为及其影响因素 ,为干预提供依据。方法 采用整群抽样的方法 ,抽取成都市新都区和攀枝花市总发乡的已婚妇女共 2 70 0名 ,进行问卷调查和常规妇科检查。结果 2 0 68名农村妇女主述最近半年出现过至少 1项与生殖道感染有关的症状 ,症状出现率为 76 6%。经常出现的症状为 :白带异常、腰酸、外阴瘙痒、下腹疼痛。经Logistic回归分析 ,丈夫的职业、怀孕及安环时是否出现过生殖道感染症状、性生活后是否清洗下身、是否在性生活中使用过避孕套以及是否曾经在医院诊断过妇科炎症是生殖道感染妇女求医行为的影响因素。结论 农村妇女生殖道感染患病率高 ,但求医率低。为了提高农村妇女的生殖健康水平 ,有必要开展健康教育以提高农村妇女自身的认知水平 ,加强农村妇女对生殖道感染及其危害性的认识 ,改变不良卫生行为
Objective To understand the behaviors of women with reproductive tract infection in rural areas and their influencing factors, and provide basis for intervention. Methods A total of 270 married women from Xindu District of Chengdu City and Zongfa Township of Panzhihua City were selected by cluster sampling method. Questionnaire surveys and routine gynecological examinations were conducted. RESULTS: Of the 2,068 rural women, at least one symptom associated with reproductive tract infection had been reported in the last six months. The rate of symptoms was 76.6%. Frequent symptoms are: abnormal vaginal discharge, backache, genital itching, lower abdominal pain. Through Logistic regression analysis, whether her husband’s occupation, pregnancy and Anhuan had symptoms of genital tract infection, whether she had washed her lower body after sex, whether she used condoms in her sexual life, and whether she had been diagnosed with gynecological inflammation in the hospital. Influencing factors of women seeking medical behavior. Conclusion The prevalence of reproductive tract infections in rural women is high, but the rate of seeking treatment is low. In order to increase the reproductive health of rural women, it is necessary to carry out health education to increase the level of awareness of rural women themselves, and to increase rural women’s awareness of reproductive tract infections and their harmfulness, and to change their negative health behaviors.