Correlation of reproductive tract infections and other influencing factors with induced abortion
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摘要: 目的探讨中国中西部农村育龄妇女人工流产发生情况和影响因素,以及人工流产与生殖道感染的关系。方法采用多阶段分层随机抽样方法,从甘肃、青海、山西和新疆4省16个项目县抽取2 558名有过孕产史的育龄妇女,调查其人工流产和生殖道感染情况。结果23.38%的农村育龄妇女有过人工流产史,人工流产发生情况主要受妇女居住地、年龄、文化程度、是否采取紧急避孕方法、现在采取的避孕方法、过去1个月是否有新的性伴侣影响;21.26%的农村育龄妇女自述至少患1种生殖道感染症状,有过人工流产史的妇女生殖道感染发生率为27.59%,高于无人工流产史妇女的19.34%,人工流产次数≥2次的妇女发生生殖道感染的危险性(OR=1.67)高于只有1次人工流产的妇女(OR=1.65)。结论人工流产是中西部农村地区育龄妇女生殖道感染的危险因素,有过人工流产史及人工流产次数多的妇女,其生殖道感染患病率较高。Abstract: ObjectiveTo investigate the occurrence of induced abortion among childbearing women in central and western rural areas of China and to explore the correlations between induced abortion and reproductive tract infections(RTIs) and other influencing factors.MethodsMulti-stage stratified random sampling was used and 2 558 fertile women were sampled from 4 provinces of central and western China.The occurrence of induced abortion and reproductive tract infections were investigated.ResultsAmong the fertile women,the proportion of women with the history of induced abortion was 23.38%;living area,age,educational level,whether or not using emergent contraceptive method,current contraceptive method,and temporary sexual partner were significant predictors for the occurrence of induced abortion.There were 21.26% of the women reporting that they had at least one symptom of RTIs.The women with induced abortion history were more likely to suffer from RTIs(27.59%)than the women without induced abortion(19.34%).The results of logistic regression analyses showed that RTIs were related to the times of induced abortion and the women experienced more than two times of induced abortion had a higher risk of RTIs(odds ratio [OR]=1.67)than those experienced only one induced abortion(OR=1.65).ConclusionThe experience of induced abortion is a risk factor of RTIs and the women who underwent induced abortion or had more times of induced abortion have a higher prevalence rate of RTIs.
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Key words:
- rural fertile women /
- induced abortion /
- influence factor /
- reproductive tract infection /
- correlation
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