摘要
目的:对湖北省武汉市江岸区已婚育龄女性不孕症进行调查,探讨可能的危险因素。方法:采用分层整群抽样方法抽取该区常住人口中已婚育龄女性2332例,调查不孕症患病情况,分别用单因素分析法和logistic多因素回归分析法分析不孕症患病的相关影响因素。结果:调查的2332例已婚育龄女性中,符合不孕症诊断标准85例,患病率为3.6%。单因素分析显示,年龄、结婚年龄、初潮年龄、吸烟史、饮酒史、初次性生活年龄、不良性行为、流产史、有毒物质或重金属接触史、泌尿生殖系统感染史、生殖系统肿瘤病史是已婚育龄女性患不孕症的相关影响因素(P<0.05)。多因素回归分析显示,结婚年龄晚、吸烟史、初次性生活年龄早、流产史、有毒物质或重金属接触史、泌尿生殖系统感染史、生殖系统肿瘤病史是已婚育龄女性患不孕症的独立影响因素(OR=2.504、2.307、1.254、1.413、1.373、1.425、1.443,P<0.05)。结论:本次调查不孕症患病率为3.6%,结婚年龄晚、初次性生活年龄早,有吸烟史、流产史、有毒物质或重金属接触史、泌尿生殖系统感染史、生殖系统肿瘤病史是患不孕症的独立危险因素。
Objective:To investigate the infertility in married women of childbearing age in Jiang'an district of Wuhan,and to explore the risk factors of infertility.Methods:A total of 2,332 married women of childbearing age were selected from the permanent population in Jiang'an District of Wuhan by stratified cluster sampling method.The prevalence rate of infertility was investigated.The related influencing factors of infertility were analyzed by univariate analysis and Logistic multivariate regression analysis.Results:Among 2332 married women of childbearing age,85 women met the diagnostic criteria of infertility,with the prevalence rate of 3.6%.Single factor analysis showed that age,age of marriage,menarche age,smoking history,drinking history,age of the first sex,adverse sex behavior,abortion history,toxic substances or heavy metal history of exposure,infection of urogenital system,reproductive system tumor history were the related influencing factors of the married infertility women of childbearing age(P<0.05).Multivariate regression analysis showed that advanced marriageable age,smoking history,young when the first sexual life,abortion history,history of toxic substances or heavy metals exposure,history of urogenital system infection,and history of reproductive system tumors were the independent influencing factors of infertility of the married women of childbearing age(OR=2.504,2.307,1.254,1.413,1.373,1.425,1.443,P<0.05).Conclusion:The prevalence rate of infertility among married women of childbearing age in this investigation is 3.6%.The advanced marriageable age,young when the first sexual life,smoking history,history of toxic substances or heavy metals exposure,history of urogenital system infection,and history of reproductive system tumors are the independent risk factors of infertility.
作者
刘金珍
吴顺红
徐一玲
LIU Jinzhen;WU Shunhong;XU Yiling(Jiangan District Maternal and Child Health Care Hospital, Wuhan, Hubei Province, 430014;The Eighth Hospital of Wuhan, Hubei Province;Liyuan Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province)
出处
《中国计划生育学杂志》
2021年第10期2036-2039,共4页
Chinese Journal of Family Planning
关键词
武汉市江岸区
已婚育龄女性
不孕症患病调查
危险因素
Jiang'an district of Wuhan
Married women of childbearing age
Prevalence rate of infertility investigation
Risk factor
