| 摘要: |
| ［摘要］ 目的 探讨中山市农村已婚妇女的妇科病患病情况及其影响因素，为开展有效的农村妇女保健工作提供科学依据。方法 在中山市随机抽取4个镇，每个镇按6%的比例，共抽取2 680名50岁以下已婚妇女进行问卷调查和妇科体格检查，并对该市妇科病的患病情况、妇女保健需求情况以及影响因素进行分析。结果 中山市农村已婚妇女的妇科病总患病率为51.3%，妇科病排前三位的分别是阴道炎（35.8%）、宫颈炎（27.4%）和盆腔炎（13.9%）；多因素Logistic回归分析显示，文化程度（OR=0.451）、保健知识获取（OR=0.318）、人工流产（OR=2.091）和定期妇检（OR=0.920）是妇科疾病的主要影响因素；在保健需求方面，已婚妇女认为有必要定期进行妇科病普查（占92.0%）；在普查者中，近3年内定期接受妇科检查、乳腺检查和宫颈涂片检查者分别占81.0%、51.0%和73.0%。在保健知识获取途径中，排前3位的是报刊书籍（占50.1%）、电视（占46.1%）以及同事或亲友介绍（占21.5%）。结论 中山市农村已婚妇女的妇科病患病率和保健需求较高，文化程度、保健知识获取、人工流产和定期妇检是其主要影响因素，应该加强农村已婚妇女的健康教育工作，有效提高农村地区妇女健康管理的水平。 |
| 关键词: 已婚妇女 妇科病 影响因素 卫生服务需求 |
| DOI：10.3969/j.issn.1674-3806.2014.09.26 |
| 分类号:R 19 |
| 基金项目:广东省科技攻关项目(编号：2011B032200019)；广东省医学科研基金项目（编号：B2013092）；中山市医学科研基金项目（编号：2014J142） |
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| The status of gynecological disease prevalence and its influencing factors among rural married women of Zhongshan |
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LUO Ye, WANG Jiao-yan, YU Xue-qiang, et al.
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Boai Hospital of Zhongshan City, Guangdong 528403, China
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| Abstract: |
| ［Abstract］ Objective To investigate the situation of gynecological disease prevalence and its influencing factors among rural married women of Zhongshan, and analyze its influencing factors for puting forward reasonable suggestions and measures. Methods 2 680 rural women were carried randomly on the questionnaire survey of a community in Zhongshan, to analyze gynecological problems and health care demand and influencing factors under 50 years old married women.Results Of 51.3% rural married women suffered from gynecological disease, in which the top three were vaginitis(35.8%), cervical disease(27.4%) and inflammation(13.9%). Multi-variable logistic regression analysis showed that educational level, health care knowledge acquisition, abortion number, and regular gynecological exams were primary influencing factors of the gynecological disease among rural married women of Zhongshan. 92.0% of rural married women think that it is necessary to do census for gynecological disease. The rate of regular gynecological exams, regular breast exams and Cervical smears was 81.0%、51.0% and 73.0%, respectively. In numerous health care access to knowledge, the top three were newspapers and books（50.1%）, TV （46.1%）and colleagues or relatives and friends（21.5%）.Conclusion The rural married women had high prevalence of gynecological disease，their health care needing was also high. Educational level, health care knowledge acquisition, abortion number, and regular gynecological exams were the influencing factors of the gynecological disease among rural married women of Zhongshan. Effective health education, active and efficient community service should be provided to promote the health of married women. |
| Key words: Married women Gynecological disease Influencing factors Health care service needs |
