目的调查甘肃省白银市白银区矿区周边农村已婚育龄妇女的妇女病异常症状并分析相关因素,为农村妇女预防和治疗妇女病并改变行为因素提供可靠的基础资料。方法 2016年1—12月在白银区白银矿区周边农村9 680名已婚育龄妇女中开展妇女病普查,并分析相关危险因素。结果农村妇女以高中文化程度(占44.7%)和农民(占48.3%)为主,家庭年收入2~4万占57.7%,以2个小孩为主(占37.4%);农村已婚育龄妇女的妇女病患病率52.8%,患病率随年龄增加而升高,差异有统计学意义(χ~2=27.03,P<0.05);妇女病异常症状依次为宫颈糜烂、盆腔炎、阴道炎、乳腺增生和子宫肌瘤等;分析健康的相关行为因素,妇女病与学历(OR=1.253)、家庭收入(OR=1.065)、生育孩子(OR=1.384)、夫妻之间性生活的观念落后(OR=1.179)、个人卫生习惯(OR=1.021)和避孕套的使用率(OR=1.278)等多因素有关。结论白银区农村已婚育龄妇女的妇女病异常症状阳性率较高,与健康相关行为等多因素有关,政府应投入一定的经费定期开展妇女病筛查,推广避孕套使用,指定相关部门加强农村卫生干预和健康指导,逐步提高农村妇女对自身的防病和治病意识。 Objective To investigate the abnormalities of women’s diseases in rural married women of childbearing age in the vicinity of Baiyin Mining Area, Baiyin City, Gansu Province, and to analyze the related factors so as to provide reliable basic data for rural women in preventing and treating women’s diseases and changing behavior factors. Methods From January to December in 2016, a survey of women’s diseases was carried out in 9 680 married women of childbearing age in rural areas around the silver mine in Baiyin district and the related risk factors were analyzed. Results The majority of rural women were educated at high school level (44.7%) and farmers (48.3%). The annual household income was 240,000, accounting for 57.7% and 2 children respectively (37.4%). Rural married women of childbearing age (Χ ~ 2 = 27.03, P <0.05). The abnormal symptoms of women’s diseases were cervical erosion, pelvic inflammatory disease, vaginitis, breast (OR = 1.253), family income (OR = 1.065), childbearing children (OR = 1.384), the concept of sexual life between husband and wife was backward (OR = 1.179), personal hygiene (OR = 1.021) and condom use (OR = 1.278). Conclusions The prevalence of abnormal symptoms of women’s disease in rural married women of childbearing age in Baiyin District is high, which is related to many factors such as health-related behaviors. The government should invest certain funds to carry out regular screening of women’s diseases, promote the use of condoms, and designate relevant departments to strengthen rural health interventions And health guidance, and gradually improve rural women’s awareness of their own disease prevention and treatment.