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目的:调查城市已婚妇女生殖健康状况及影响因素。方法:对连云港市5 078例体检妇女进行问卷调查、妇科检查、乳腺检查和有关实验室检查。结果:5 078例妇女妇科病检出率为44.3%,宫颈炎发生率为29.7%,盆腔炎发生率为18.3%,阴道炎发生率为27.4%;≤35岁妇女感染率最高(42.5%),差异有统计学意义(P<0.05),以后依次为36～45岁(24.7%)和>45岁(12.9%),≤35岁妇女宫颈炎、阴道炎、盆腔炎的患病率明显高于36～45岁及>45岁妇女;工人、个体和商业人员中阴道炎、宫颈炎的发病率最高,机关干部中发现乳腺疾病的占16.1%,高于其他职业人员。结论:连云港市城市已婚妇女生殖道感染率较高,应积极开展生殖健康普查和普治工作,针对妇女生殖道感染的影响因素进行有效地预防和干预。
Objective: To investigate the reproductive health status and influencing factors of married women in urban areas. Methods: A total of 5 078 women in Lianyungang City were investigated by questionnaires, gynecological examination, breast examination and related laboratory tests. Results: The prevalence rate of gynecological disease was 44.3% in 5 078 women, 29.7% in cervicitis, 18.3% in pelvic inflammatory disease and 27.4% in vaginitis, and highest in women ≤35 years (42.5%). (P <0.05), followed by 36-45 years (24.7%) and> 45 years (12.9%) respectively. The prevalence of cervicitis, vaginitis and pelvic inflammatory disease was significantly higher in women ≤35 years old The incidence of vaginitis and cervicitis among workers, individuals and commercial workers was the highest among women aged 36-45 years and> 45 years. Among the cadres of the government, 16.1% were found to have breast diseases, higher than other professionals. Conclusion: The prevalence of genital tract infection among married women in urban areas of Lianyungang City is relatively high. The general survey and general management of reproductive health should be carried out actively to prevent and interfere effectively with the influencing factors of female genital tract infection.