目的:调查北京地区成年女性阴道炎、宫颈炎和附件炎患病率,为制定临床治疗和社区干预政策提供依据. 方法:本研究采用分层多阶段整群系统抽样的方法,对北京市3个城区和3个郊区的48个居委会(村)20岁以上常住北京的成年女性进行问卷调查.应用Epidata3.0建立数据库,应用SPSS 16.0进行数据分析.结果:本研究共调查符合条件的调查对象3 120人,回收有效问卷3 058份.成年女性阴道炎、宫颈炎和附件炎患病率分别为10.9%(332/3 058例)、5.7%(173/3 058例)和4.6%(141/3 058例).不同年龄组城区和郊区女性阴道炎、宫颈炎和附件炎的患病率均存在显著性差异(P〈0.001),目前在婚女性阴道炎、宫颈炎和附件炎患病率均高于独身女性(P=0.001,P=0.001,P=0.002),家庭人均收入低于2000元/月的女性宫颈炎和附件炎患病率高于家庭人均收入高于2000元/月女性(P〈0.05).结论:阴道炎、宫颈炎和附件炎等妇科炎症是一组患病率高的疾病,临床治疗和社区干预亟待开展.
Objective:To investigate the prevalence of vaginitis, cervicitis, adnexitis among adult women in Beijing area, and to provide a scientific basis in developing the health policy. Method: A stratified multiple-cluster systemic method was used to select female residents ≥20 years old in 48 communities from 3 urban districts and 3 rural districts of Beijing. A self-administrated questionnaire was used to collect information. Epidata 3.0 was used to develop dataset, and SPSS 16. 0 was used to analyse data. Result: Three thousand and fifty-eight women out of 3 120 recipients completed the questionnaire. The incidence of vaginitis, cervicitis, adnexitis were 10. 9%(332/3 058 cases) ,5.7%(173/3 058 cases) and 4. 6% ( 141 / 3 058 cases) respectively. The incidence of vaginitis, cervicitis or adnexitis was significantly different among different age groups both in urban and rural adult women(P〈0.001). Married women reported a higher incidence of vaginitis, cervicitis, adnexitis than single women(P: 0. 001, P: 0. 001 and P: 0. 002 respectively). Women with average family income ≤2 000 RMB per month showed higher incidence of cervicitis or adnexitis than those with 〉 2 000 RMB per month(P〈 0. 05). Conclusion: Gynecological infections are a group of common diseases among adult women, clinical treatment and community-based intervention should be taken as a routine health service.