【摘要】 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。更多还原

【Abstract】 Objective : To study the prevalence rates of gonococcus and Chlamydia infections in women seeking induced abortion in Shanghai. At the same time, the high risk factors of infection were studied to provide information for STD prevention and improving reproductive health care service among the studied population. Methods:610 women seeking induced abortion during October 1997 to October 1998 in the gynecological clinic at one matemal and child health hospital in Shanghai were recruited in this study. The main methods were questionnaire survey and pathogen examination. EPI INFO was used to build database and SPSS was used to analyze the date. Results:The prevalence rates of Gonococcus and Chlamydia infections in women seeking induced abortion in Shanghai were 1.0% and 6.3% respectively. Significant association between Gonococcus or Chlamydia infection and total sexual partners and their mothers’ educational level were detected. The likelihood of risk for those who had more than two sexual partners were 3. 05 times as high as that of those who have only one partner(and its 95% CI was 1. 18.7. 87). The likelihood of risk for those whose mothers’ educational level was primary or even lower were 2. 13 times as high as that of those whose mothers’ educational level was middle or higher(and its 95% CI was 1. 21,3. 76). Conclusions:The prevalence rates of Gonococcus and Chlamydia infection in women seeking induced abortion were considerably higher than that of the general reproductive age women during the same period in Shanhai. The study strongly recommends that efforts should be made to integrate STD prevention into routine care services of family planning,to emphasis education and counseling of women seeking induced abortion about sexual health and STD information and to increase awareness of clinic doctors about the prevalence of STD in women seeking induced-abortion and the subsequent adverse outcomes.更多还原