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| Investigation of reproductive tract infection of married women of childbearing age and analysis of its influencing factors |
| 1. Beijing Electric Power Hospital, Beijing, 100073; 2. Haidian Maternal and Child Health Care Hospital; 3. Guang'anmen Hospital China Academy of Chinese Medical Sciences |
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Abstract To investigate the reproductive tract infection status of married women of childbearing age, and to study its influencing factors. Methods: The married women of childbearing age who underwent physical examination from February 2017 to May 2020 were investigated. All of these women had undergone reproductive tract health examination, and their general demographic characteristics, lifestyle, and other information were collected by questionnaires. The influencing factors of the reproductive tract infection of the women were analyzed by Logistic regression model. Results：A total of 3166 questionnaires were distributed and 3051 questionnaires were returned, and 2997 (94.7%) questionnaires were valid for analysis. Among the 2997 married women of childbearing age, the prevalence rate of reproductive tract infection was 33.9%, which included 402 (39.6%) cases with bacterial vaginosis, 361 (35.5%) cases with trichomonas vaginitis, 165 (16.2%) cases with vulvovaginal candidiasis, 151 (14.9%) cases with chronic cervicitis, 112 (11.0%) cases with chronic adnexitis, and 74 (7.3%) cases with chronic pelvic inflammatory disease. There were 45.8% cases with single pathogenic bacteria infection, 34.1% cases with two pathogenic bacteria infections, and 20.2% cases with more than two pathogenic bacteria infections. The proportions of abortion history, ≥2 sexual partners, no contraceptive measures, irregular menstruation, frequency of menstrual sexual intercourse, interval of underwear replacement ≥3 days, sitz bath, and unknown or unclear of the health knowledge of the women with reproductive tract infection were significantly higher than those of the women without reproductive tract infection (P<0.05). Multiple-factor analysis showed that abortion history,≥2 sexual partners, no contraceptive measures, menstrual sexual intercourse, interval of underwear replacement≥3 days, and unknown or unclear of the health knowledge of the women were the independent risk factors of their reproductive tract infections (P<0.05). Conclusions: The proportion of reproductive tract infections of the married women of childbearing age is high, and the factors leading to infections are closely related to their marriage and childbearing status, living habits, and knowledge of health education. Targeted interventions must be taken to increase the popularity of health education, which is conducive to the comprehensive prevention and treatment of reproductive tract infections of married women of childbearing age.
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