摘要
目的分析基层女性医务人员妇科疾病的患病情况及其影响因素。方法采用整群抽样法,选取广西壮族自治区横县县、乡(镇)、村2 308名女性医务人员为研究对象。采用《女职工生殖健康调查问卷》调查研究对象的基本情况、职业史、生殖健康和生育情况。结果女性医务人员妇科疾病总患病率为21.6%;其中,生殖道感染性疾病患病率为15.6%,妇科肿瘤患病率为6.0%;患病率居前3位的依次为阴道炎(9.2%)、子宫肌瘤(4.3%)和宫颈炎(3.5%)。多因素Logistic回归分析结果显示,年龄越小者罹患生殖道感染性疾病的风险越高(P<0.01),但罹患妇科肿瘤的风险越低(P<0.01);已婚者罹患生殖道感染性疾病和妇科肿瘤的风险均高于未婚者(P<0.05);流产次数越多者,罹患生殖道感染性疾病和妇科肿瘤的风险均越高(P<0.01);轮班女性医务人员罹患生殖道感染性疾病的风险高于非轮班者(P<0.05),但罹患妇科肿瘤的风险低于非轮班者(P<0.05)。结论阴道炎、子宫肌瘤、宫颈炎是基层女性医务人员的主要妇科疾病;妇科疾病的发生与年龄、婚育史、流产史和轮班制度有关。
Objective To investigate the prevalence and relevant influencing factors of gynecological diseases of grassroot level female medical staffs. Methods A total of 2 308 female medical workers from county, town and village in hengxian County of Guangxi Zhuang Autonomous Region were selected as study subjects by cluster sampling method. The basic information, occupational history, reproductive health and fertility of these subjects were investigated by Reproducetive Health Survey Questionnaine of Female Workers. Results The total prevalence of gynecological diseases in female medical staffs was 21.6%. Among them, the prevalence of genital tract infections was 15.6%, and gynecological tumors was 6.0%. The top three gynecologic diseases were vaginitis(9.2%), uterine fibroids(4.3%) and cervicitis(3.5%). Multivariate logistic regression analysis results indicated that the younger the patients, the higher the risk of reproductive tract infectious diseases(P<0.01), and the lower the risk of gynecological tumors(P<0.01). The risk of reproductive tract infectious diseases and gynecological tumors in married patients was higher than that in unmarried staffs(P<0.05). The higher the number of abortions, the higher the risk of reproductive tract infectious diseases and gynecological tumors(P<0.01). The risk of reproductive tract infectious diseases was higher and the risk of gynecological tumors was lower in female shift workers than that of non-shift workers(P<0.05). Conclusion Vaginitis, uterine fibroids and cervicitis are the main gynecological diseases in grassroot level female medical staffs. The incidence of gynecological diseases is related to age, history of marriage, childbirth and abortion, and work-shifts.
作者
卢灿健
高连
俞文兰
黎海红
周清春
滕翠兰
邓美琴
黄卓信
钟河
LU Canjian*;GAO Lian;YU Wenlan;LI Haihong;ZHOU Qingchun;TENG Cuilan;DENG Meiqin;HUANG Zhuoxin;ZHONG He(Hengxian Center for Disease Control and Prevention,Hengxian,Guangxi 530300,China)
出处
《中国职业医学》
CAS
北大核心
2019年第5期595-598,共4页
China Occupational Medicine
基金
国家妇女健康调查项目(FH20151101)
广西壮族自治区卫生和计划生育委员会科研课题(Z20170952)
关键词
女性
医务人员
妇科疾病
生殖道感染
妇科肿瘤
影响因素
Female
Medical staff
Gynecologic disease
Genital tract infection
Gynecological tumors
Influencing factors
