【摘要】 目的:了解广东省汉、瑶、壮3个民族新婚人群不孕症发病现况。方法:应用流行病学整群抽样方法,于2009年9～12月对广东省粤北山区的连南、连山和连州3地2007年结婚夫妇进行问卷调查。结果:4404对夫妇中有550对(12.5%)不孕,其中妻子为汉族的夫妇不孕症发病率为11.7%(411/3527),瑶族为16.7%(101/502),壮族为13.9%(38/274),不同民族新婚人群不孕症发病率有差异(P<0.05),瑶族不孕症发病率是汉族的1.533倍(95%CI=1.086～2.164)。不孕症夫妇就医率仅为7.5%,其中少数民族夫妇低于汉族。夫妻年龄、文化程度、家居环境、夫妻关系以及性生活质量等因素对不孕症发病率有影响(P<0.05)。结论:广东省不孕症流行除了有地域差异以外,还存在民族间的差异。更多还原

【Abstract】 Objective: To investigate the incidence of infertility in new couples of Han,Yao and Zhuang ethnic groups in Guangdong province. Methods: A questionnaire survey was conducted in 4,404 newly married couples selected by cluster sampling from 3 different ethnic areas (Liannan Yao Autonomous County,Lianshan Zhuang Autonomous County and Lianzhou City) of North Gruangdong in 2009. Results: 550 of 4,404 couples were found to fall into the category of infertility, and the incidence of infertility was 12.5%. The incidence of infertility in Han, Yao and Zhuang couples was 11.7% (411/3,527),16.7%(101/502) and 13.9% (38/274), respectively. There was a significant difference in the incidence of infertility among different ethnic groups (P<0.05), with the highest incidence in Yao couples. The rate of seeking for medical interventions in the infertile couples was only 7.5%, with even lower rate in minority couples than in Han couples. Many factors (couples’ age, ethnic, educational level, living condition, marital relationship and quality of sexual life) were found to be associated with the infertility (P<0.05). Conclusions: The incidence of infertility in the minority couples is higher than in Han couples. The prevalence of infertility may be different in regions and in ethnic groups.更多还原