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目的探讨新疆喀什地区伽师县克孜勒博依乡维吾尔族妇女宫颈癌有关的性行为高危因素,为制定新疆农村妇女宫颈癌的性行为干预提供科学依据。方法 2009年6-7月,对新疆喀什伽师县克孜勒博依乡1 000例维吾尔族妇女采用访谈方式进行妇女性行为的问卷调查。结果伽师县克孜勒博依乡1 000例农村维吾尔族妇女文化层次低、经济收入低;月经期及性卫生不良,早婚、早育、多婚、多育等较为普遍,15岁之前结婚者占25.8%,16~20岁结婚者占57.9%,20岁之前完成初次分娩者占74.4%,有41.9%的妇女至少离过1次婚,分娩4次以上者占37.9%;避孕方式以宫内节育器为主,使用宫内节育器避孕者占56.6%,仅有0.4%的妇女使用避孕套;100%的妇女配偶在6~8岁时进行过伊斯兰教的割礼(包皮切除术),性生活后洗阴道的妇女占83.8%。结论农村维吾尔族妇女中宫颈癌性行为有关的高危因素普遍存在,这些因素可能是维吾尔族妇女宫颈癌发病率高的重要原因,在农村维吾尔族妇女中进行性行为干预极为迫切。
Objective To investigate the risk factors of cervical cancer related to cervical cancer in Uygur women in Gynecology and Geese County, Kashgar Prefecture, Kashgar Prefecture in Xinjiang Kashgar County, and to provide scientific evidence for the intervention of sexual behavior of cervical cancer in Xinjiang rural women. Methods From June to July 2009, a questionnaire survey on women’s sexuality was conducted by interviewing 1 000 Uygur women in Kizil Boiyi Township, Kashi Jiashi County, Xinjiang. Results 1 000 rural Uighur women in Ji’zu County, Jiashi County, had low cultural level and low economic income. Menstrual periods and sexual health were poor. Early marriage, early childbearing, multiple marriage and childbirth were common. Before the age of 15, Accounting for 25.8%, 16 to 20 years old married 57.9%, before the age of 20 to complete the first delivery accounted for 74.4%, 41.9% of women had at least 1 divorce, childbirth more than 4 times accounted for 37.9%; contraceptive methods to Palace Internal IUDs accounted for 56.6% of pregnancies using IUDs and only 0.4% of women used condoms; 100% of women spouses had circumcision (circumcision) at 6 to 8 years of age, Women who took vaginal discharge after sex accounted for 83.8%. Conclusions The risk factors of cervical cancer in uyghur rural women are common. These factors may be the important reason for the high incidence of cervical cancer among Uighur women. Sexual intercourse among Uighur women in rural areas is extremely urgent.