国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2019, Vol. 38 ›› Issue (1): 56-58.

• 论著 • 上一篇    下一篇

宁夏地区流动育龄妇女解脲支原体检出率及其影响因素分析

周颖，李玉艳，白铁岭，赵瑞，杨宏琳，李亦然，武俊青   

  1. 200032 上海市计划生育科学研究所，复旦大学生殖与发育研究院，国家人口计生委计划生育药具重点实验室（周颖，李玉艳，赵瑞，李亦然，武俊青）；宁夏回族自治区生殖健康技术指导服务中心（白铁岭）；中国动物卫生与流行病学中心（杨宏琳）
  • 收稿日期:2018-05-30 修回日期:2018-09-20 出版日期:2019-01-15 发布日期:2019-01-15
  • 通讯作者: 武俊青，E-mail：wujq1688@163.com E-mail:wujq1688@163.com
  • 基金资助:
    国家“十二五”科技支撑计划项目（2012BAI32B08）

Positive Rate of Ureaplasma Urealyticum in Female Migrants of Child-Bearing Age in Ningxia Hui Autonomous Region

ZHOU Ying，LI Yu-yan，BAI Tie-ling，ZHAO Rui，YANG Hong-lin，LI Yi-ran，WU Jun-qing   

  1. Shanghai Institute of Planned Parenthood Research，Key Lab of Reproduction Regulation of NPFPC，SIPPR，IRD，Fudan University，Shanghai 200032，China（ZHOU Ying，LI Yu-yan，ZHAO Rui，LI Yi-ran，WU Jun-qing）；Ningxia Hui Autonomous Region Reproductive Health Technical Guidance Service Center，Yinchuan 750000，China（BAI Tie-ling）；China Animal Health and Epidemiology Center，Qingdao 266032，Shandong Province，China（YANG Hong-lin）
  • Received:2018-05-30 Revised:2018-09-20 Published:2019-01-15 Online:2019-01-15
  • Contact: WU Jun-qing，E-mail：wujq1688@163.com E-mail:wujq1688@163.com

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摘要： 目的：了解宁夏地区流动育龄妇女阴道分泌物中解脲支原体的阳性检出情况，并探讨其影响因素。方法：通过多阶段整群抽样的方法选取研究对象，对762名符合条件的流动育龄妇女进行结构式问卷调查，并采集和检测其宫颈分泌物。结果：本次共调查762名流动育龄妇女，其中286名支原体检测为阳性，占37.53%。不同年龄、文化程度、避孕情况、阴道分泌物清洁度，以及不同病原体检出情况的研究对象，其支原体阳性检出率也不同，差异有统计学意义（P＜0.05）。两分类逐步Logistic回归显示，与不使用避孕方法的对象相比较，使用安全套的对象支原体阳性检出率较低（OR=0.552，95%CI：0.380～0.802），使用宫内节育器的对象支原体阳性检出率较高（OR=1.311，95%CI：0.894～1.922）。与尚未妊娠过的对象相比较，有过3次及3次以上妊娠史的对象支原体阳性检出率较高（OR=1.812，95%CI：1.100～2.985）。结论：流动育龄妇女中支原体检出率较高，应加强生殖健康教育，尤其是提倡安全套使用，提升多次妊娠史妇女的妇科普查意识，以提高流动育龄妇女生殖健康水平。

关键词: 妇女, 解脲支原体, 因素分析, 统计学, Logistic模型

Abstract: Objective：To investigate the positive detection rate of U. urealyticum in female migrants of child-bearing age from Ningxia Hui Autonomous Region. Methods：The subjects were selected through a multi-stage cluster sampling. A total of female migrants were investigated using a structured questionnaire, and tested their samples of cervical ecretion. Results：There were 286 positive testing results in 762 female migrants, with the positive rate 37.53%. The differences in positive rats were significant in those women of different age, education, contraception, cleanliness of vaginal secretion and infection of pathogens (all P＜0.05). The stepwise logistic regression analysis showed that the positive rate in women using condom was significantly lower than that in women not using condom (OR=0.552, 95%CI: 0.380-0.802), and that the positive rate in women using IUD was higher (OR=1.311, 95%CI: 0.894-1.922). The positive rate in those women who had 3 or more times of pregnancy was higher than that in women without pregnancy (OR=1.812, 95%CI: 1.100-2.985). Conclusions：There was high detection rate of U. urealyticum in female migrants of child-bearing age. In order to improve their reproductive health, it is necessary to enhance the education of reproductive health, to advocate the use of condom, and to promote the general gynecological survey in those women with 3 or more times of pregnancy.

Key words: Women, Ureaplasma urealyticum, Factor analysis, statistical, Logistic models