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The study of the factors that Married Reproductive Age Women’s Reproductive Tract Infections andcorrelation Service Countermeasures in Xing Hualing Balinqiao community of Taiyuan AbstractObjectives:To investigate influential factors and status of reproductive tract infections(RTI) in married reproductive age women and the demology whose in Xing Hualing district of Taiyuan, understand the RTI’s prevalence character in those women, analysis the possible risk factors of RTI for those women, so as to explore a new-style service model of reproductive health, and to provide a theoretical basis for interventions in the level of community health care institution.Methods: The community of Xing Hualing Balinqiao were selected as investigation site, the sample of 1937 individuals were selected by cluster random sampling from 25-50 years old married reproductive age women in that community and were asked to conduct a questionnaire survey, gynecological checking-up, cunt vagina secretion laboratory testing guided by prescriptive flow. The gynecology checking-up were conducted by clinic physicians who has been assistant director and worked more than decade, the laboratory testing programs were conducted by clinic laboratory technicians who with director level and has worked more than two decades. The investigation contents were consisted with the inquired women’s age, education level, occupation, income, RTI’s general knowledge commanded by them, the selection of conception control, living habit, working stress, and their attitudes for seeing a doctor for that, etc.Results:The community of Xing Hualing Balinqiao were selected as investigation site,1937 individuals were sampled on the strict standards of bring into and/or remove out, so 124 individuals who had been exposed to antibiotic, menses or diabetic were eliminated, the other 1813 individuals were investigated.,The prevalence rate of reproductive tract infections was 32.8% in married reproductive age women who live in Xing Hualing Balingqiao community, the rate of bacterial colpitis checking-out was 10.0%, the rate of trichomoniasis colpitis checking-out is 5.5%, the rate of mixed infection checking-out is 1.8%, the rate of vulvae vaginal False silk yeast fungus sickness was the highest, that is 12.7%. In the past year,32.7% women who had some symptom of RTI in sample population, but only 66% of those women went to see a doctor, only 28% equire women knew about colpitis than 72% who knew little about that. Talking about to the investigation of infection factors, the women who were contracepted by condom has the lowest prevalence rate of RTI as 15.1%, which had a significance in statistical test compared with those who were contracepted with intrauterine device (IUD) or prophylactic(p<0.05). About the investigation of women’s cleansing habits shows that who purging of pudendum everyday had the lower prevalence rate of colpitis as 24.0% than those did that every other day(s), and the difference was significance in statistical test (P＜0.05). Who purging of pudendum before and after sleeping together with mate has the prevelance rate of colpitis as 28.2% compared with 62.4%in those who didn’t do that, and the difference was significance in statistical test (p＜0.05). The analysis by LOGISTIC regression shows that: those were protection factors, including lower working stress(OR is 0.632), replacing inside pants (OR is 0.761), purging of pudendum(OR is 0.718), menstrual period cleanout(OR is 0.756), and those were risk factors as purging of pudendum before and after sleeping together (OR is 1.735), frequent sexual life(OR is 1.708), the attitude for seeing(OR is 1.616), no contraception(OR is 4.877), contraception with intrauterine device (IUD) (OR is 3.528). Among the relations between the fashion of contraception and RTI, the using of condom or IUD is not easier to make RTI than no contraception or other fashions, no contraception contributed to RTI most heavily, while working stress do most lightly. Along the increasing of per age, RTI’s OR is 0.969, it means that when other factors are fixed, RTI’s superiority is 96.9% of the background, namely receding 3.1%.Conclusions: Married reproductive age women who live in Balinqiao community of Taiyuan have higher RTI rate than those live in other developed cities. The prevalence rate of vulvae vaginal false silk yeast fungus sickness is the highest thereinto, visiting rate is low, the proportion of no symptom is high, and the rate of cognitive for RTI is low. RTI is related with age, working stress, cleanout habits, sexual life’s frequency, attitude of seeing a doctor, and contraception’s fashions tightly. So, we should strengthen the health care’s supply for married reproductive age women, establish a new model of community reproductive service dilivery, so as to protect women’s rights of reproductive health, to improve women’s awareness of self-health protection and to increasing their reproductive health level.
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