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调查上海市人流妇女中淋球菌和衣原体的感染率,发现其高危因素,并提出开展STD防治及生殖保健工作的建议。方法:于1997年10月～1998年10月,在上海某妇婴保健院妇科门诊进行研究对象的选择、问卷调查及采样检测。资料用EPI INFO软件建立数据库,SPSS软件做统计分析。结果:淋球菌和衣原体感染率分别为1.0％和6.3％。经Logistic回归分析,发现至今性伴数和母亲学历与感染淋球菌或衣原体有关。具有多性伴者感染的危险性是单一性伴者的3.05倍(95％CI为1.18,7.87);其母亲学历低者感染的危险性是母亲学历高者的2.13倍(95％CI为1.21,3.76)。结论:本次研究对象的淋球菌及衣原体感染率分别为1.0％和6.3％。建议把STD预防纳入计生部门的日常工作中,加强人流妇女的性卫生及STD知识宣教及咨询,并促进妇产科医生对人流妇女感染STD及其危害的认识。
To investigate the prevalence of Neisseria gonorrhoeae and Chlamydia among migrant women in Shanghai, and to find out the risk factors and to put forward the suggestions for STD prevention and treatment and reproductive health care. Methods: From October 1997 to October 1998, the subjects of gynecology clinic in a maternal and child hospital in Shanghai were selected, questionnaires and sampling. Data EPI INFO software to establish a database, SPSS software to do statistical analysis. Results: Neisseria gonorrhoeae and Chlamydia infection rates were 1.0% and 6.3% respectively. Logistic regression analysis found that the number of sexual partners so far and mothers with gonorrhea infection or chlamydia infection. The risk of multi-partner infection was 3.05 times higher than that of single partners (95% CI 1.18, 7.87). The risk of lower mother’s infection rate was 2.13 times higher than that of the mother (95% CI 1.21 , 3.76). Conclusion: The prevalence of Neisseria gonorrhoeae and Chlamydia in this study were 1.0% and 6.3% respectively. It is recommended that STD prevention should be included in the daily work of family planning departments to strengthen the sexual health and STD knowledge education and counseling of migrant women and to promote awareness of gynecologists on women infected with STD and their harm.