Study On The Situation Of Reproductive Tract Infections Among Rural Married Women Of Childbearing Age In Bengbu City Of Anhui Province

Objectives This study aims to describe the common disease spectrum and current status of reproductive tract infection among rural married women of reproductive age in Bengbu City of Anhui province, to understand the characteristic and related factors on the women with RTI, to evaluate the allocation of resources and service capacity of Family Planning Commissions which the sample got service from.Methods A multistage probability sampling method was used to identify a representative sample of3089married women aged18-49years. All participants were provided informed consents. Work in each village began with listing the residences who we selected by the local interviewers, and then the listed residences got a questionnaire interview and gynecological examination. Investigations and gynecological examinations were conducted by two steps:converging at the clinics at first, then visiting households for those not coming to clinics. The design of the investigation plan has checked by the epidemiology, gynecology and obstetrics experts, and has carried on the pre-experiment. The diagnosis and classification standard of RTI was according to ICD-9and "Obstetrics and gynecology"(the sixth edition).We set up the quantitative database using Epi Data3.1after checking and coding questionnaires. The database was analyzed using spss12.0. Chi-squared test and logistic regression analysis were used for analysis in the study. In all tests, the level of significance was set up at P<0.05. Results1420(46.0%) women among our samples (3089women) had RTI,427(13.8%) women had at least two RTIs and60(1.9%) women had at least three RTIs. The four most frequent RTIs are chronic cervicitis (38.9%), bacterial vaginosis (10.3%), colpitis mycotica(5.9%),trichomonas vaginitis(3.4%),.Multivariate analysis showed that women’s education level, yearly income, age at menarche, menstrual cycle, menstrual blood volume, dysmenorrheal, numbers of delivery, abortion, were all related to RTIs in our samples.The analysis indicated that older age at menarche (OR=1.225,95%CI:1.103-1.360), the menstrual cycle was irregular (OR=1.363,95%CI:1.085-1.712), menstrual blood volume was irregular (OR=1.377,95%CI:1.150-1.649), more numbers of delivery (OR=1.197,95%CI:1.027-1.395) are risk factors for RTIs.Conclusions RTIs were prevalent among rural married women of childbearing age in Bengbu city of Anhui Province, but the rate of seeing doctor was low, and it was affected by multi-factor. Relevant people and departments should pay more attention, and carry out health education and gynecological census to decrease the rate of RTIs.