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赵苏萍, 沈振华, 韦艳萍, 魏萍, 杨康玉, 班文芬, 唐晓永, 李溥. 农村少数民族已婚妇女CIN患病及危险因素分析[J]. 中国公共卫生, 2011, 27(12): 1532-1534. DOI: 10.11847/zgggws2011-27-12-12
引用本文: 赵苏萍, 沈振华, 韦艳萍, 魏萍, 杨康玉, 班文芬, 唐晓永, 李溥. 农村少数民族已婚妇女CIN患病及危险因素分析[J]. 中国公共卫生, 2011, 27(12): 1532-1534. DOI: 10.11847/zgggws2011-27-12-12
ZHAO Su-ping, SHEN Zhen-hua, WEI Yan-ping, . Prevalence of cervical intraepithelial neoplasia and its risk factors among rural minority married women[J]. Chinese Journal of Public Health, 2011, 27(12): 1532-1534. DOI: 10.11847/zgggws2011-27-12-12
Citation: ZHAO Su-ping, SHEN Zhen-hua, WEI Yan-ping, . Prevalence of cervical intraepithelial neoplasia and its risk factors among rural minority married women[J]. Chinese Journal of Public Health, 2011, 27(12): 1532-1534. DOI: 10.11847/zgggws2011-27-12-12

农村少数民族已婚妇女CIN患病及危险因素分析

Prevalence of cervical intraepithelial neoplasia and its risk factors among rural minority married women

  • 摘要: 目的 了解农村少数民族已婚妇女宫颈上皮内瘤变(CIN)患病现状及其危险因素,为预防和控制CIN提供依据。方法 采取整群抽样方法随机抽取黔南地区18~55岁3 968名农村已婚少数民族妇女进行问卷调查、妇科检查、宫颈细胞涂片液基薄层细胞学(TCT)及宫颈分泌物高危人乳头状瘤病毒(HR-HPV)检测,并对TCT结果异常者行阴道镜下宫颈活组织检查,对结果进行分析。结果 3 968名已婚妇女TCT结果异常者477人,占12.02%(477/3968),病理诊断为CIN者371例,总患病率为9.35%(371/3 968),占TCT结果异常者的77.78%,其中水族234例,患病率为5.89%,毛南族59例,患病率为1.49%,布依族47例,患病率为1.18%,苗族31例,患病率为0.78%;水族CIN患病率与其他3个民族比较,差异有统计学意义(χ2=34.48,P<0.01);多因素Logistic回归分析结果显示,HR-HPV感染、滴虫性阴道炎史、口服避孕药避孕、年龄<40岁、吸烟、性伴侣数≥2、初次性生活年龄<18岁和民族等因素与CIN患病有关。结论 黔南地区宫颈上皮内瘤变患病率较高,应加强防治宣传,提高CIN防治知晓率。

     

    Abstract: Objective To investigate the prevalence of cervical intraepithelial neoplasia (CIN) and its influencing factors among rural minority married women in Guizhou province for providing reference of CIN diagnostic criteria.Methods From December 2009 to 2010,3 968 married women at age of 18 to 55 years were selected randomly for a cross sectional survey in 40 villages of Qiannan area of Guizhou province.The survey was carried out with a unified questionnaire interview and gynecological examination.The cervical smear cytology and high-risk human papillomavirus(HR-HPV) infection of cervical secretion were detected.Women with abnormal cervical cytology underwent colposcopy and cervical biopsy.Odd ratio(OR) and 95% confidence interval(95% CI) of related risk factors with CIN were calculated with logistic regression.Results Among the women,12.02% had abnormal cytological result.The colposcopy and cervical biopsy show ed a CIN rate of 9.35% in all women selected and the rate was 77.78% in the women with abnormal cervical cytology.The rate of cervical lesions was 5.89% in Shui women,1.49% in Maonan women,1.18% in Buyi women,and 0.78% in Miao women (P< 0.01).The multinomial regression analyses showed that HR-HPV infection,history of trichomonas vaginitis,oral contraceptives,age less than 40 years old,smoking,number of sex partners ≥2,age of first intercourse ≤18 years,and nationality were related to CIN.Conclusion The prevalence rate of CIN in the monority area was high.The propaganda and education on know ledge of prevention and control of CIN should be strengthened in the rural area.

     

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