Study On Influencing Factors Of Reproductive Tract Infections Among Reproductive Aged Women In Changsha

Objectives To analysis the relationship between reproductive tract infections and Cognitive-behavioral status of reproductive tract infections, Clinical Features, H(3D-1,2 contents in vaginal secretions; to evalute the influencing factors of Reproductive tract infections and provide evidence for preventing reproductive tract infections.Methods Using cross-sectional study,140 reproductive aged women were surveyed in the Gynecology clinic of xiangya 2 hospital of Central South University during July and October,2009. These women all accepted questionnaire, gynecological and laboratory examination. All data were stored in Epidata 3.1 and analysed by software SPSS 13.0. Statistical methods include:descriptive statistics, two independent samples t test,χ2 test, Pearson correlation analysis, non-conditional Logistic regression analysis.Results (1) 68.5% of women perceived a moderate and low level of the score rates of Cognitive-behavioral. Pearson correlation analysis results showed that age, vaginal cleaning degree, vaginal bacteria, vaginal discharge pus cell, history of reproductive tract infections, humanβ-defensin-2 were positively correlated with reproductive tract infections (P=0.000); occupational characteristics, living region, education and cognitive-behavioral scores were negatively correlated with reproductive tract infections (P<0.05); Non-conditional logistic regression analysis revealed that education, vaginal discharge pus cell, history of reproductive tract infections, cognitive-behavioral scores were the key factors of reproductive tract infections (P<0.01).(2) Humanβ-defensin-1 in the vaginal secretions of detection rate was 8.6%. The secretions of the content as follows:infection group 139.160±93.849 (pg/ml), the control group 122.798±21.320 (pg/ml). There was no statistical difference beteen two groups (P=0.825). Humanβ-defensin-2 in the vaginal secretions of detection rate was 96.4%. The secretions of the content as follows:infection group,15.721±18.057 (ug /ml), control group,6.021±2.085 (ug/ml). There was statistical difference beteen two groups (P=0.000).Conclusions (1) The study showed that there was relationship between reproductive tract infections and age, degree of vaginal cleaning, vaginal bacteria, vaginal discharge pus cell, history of reproductive tract infections, human P-defensin-2, occupational characteristics, living region, education, cognitive-behavioral scores, and the key factors were the education level, vaginal discharge pus cell, history of reproductive tract infections, cognitive-behavioral scores.(2) H(3D-1 in reproductive tract of healthy women and women with reproductive tract infections has a weak expression, its expression has nothing to do with reproductive tract infections; HβD-2 in healthy women and women with reproductive tract infections were widely expressed in the reproductive tract and reproductive tract infections affected its secretion.