CAJ | 학술논문

目的探讨农村育龄妇女罹患生殖道感染(RTI)的求医行为及其影响因素,为有针对性地开展防治工作提供基础数据.方法在保证市级代表性基础上,分层、整群抽取15～49岁54 540名农村育龄妇女,采用先集中和后入户的调查方式进行现场调查和妇科检查,以其中至少出现一种RTI症状的31 624人作为分析对象.结果农村育龄妇女至少出现一种RTI症状发生率为59.8%,平均为(1.66±0.89)种,在出现症状的31 624人农村育龄妇女中有15 989人选择就医,占50.6%.多因素logistic回归分析显示,罹患RTI农村育龄妇女学历、丈夫学历、家庭经济年收入越高、出现RTI症状数越多、RTI知晓越好者则越愿意去就医;而丈夫外出务工、初产年龄越高者、总生产次数越多者,则不愿意就医.在不就医原因中,"不知道这是病"的有2137人(13.7%),"觉得每个妇女都会有,没有关系"的7443人(47.6%);"不好意思去"有1629人(10.4%),"别人说治也治不好,所以没有去"的有349人(2.2%),"治疗费太贵"的有975人(6.2%),"没有时间去医院"的有2101人(13.4%),其他原因主要是"自己购药治疗"的有1001人(6.4%).结论农村育龄妇女RTI症状发生率较高,但求医意识十分淡漠,并受多种因素影响,应大力开展有针对性的健康教育和妇科普查,提高RTI诊治率.
목적 탐토농촌육령부녀리환생식도감염(RTI)적구의행위급기영향인소,위유침대성지개전방치공작제공기출수거.방법 재보증시급대표성기출상,분층、정군추취15～49세54 540명농촌육령부녀,채용선집중화후입호적조사방식진행현장조사화부과검사,이기중지소출현일충RTI증상적31 624인작위분석대상.결과 농촌육령부녀지소출현일충RTI증상발생솔위59.8%,평균위(1.66±0.89)충,재출현증상적31 624인농촌육령부녀중유15 989인선택취의,점50.6%.다인소logistic회귀분석현시,리환RTI농촌육령부녀학력、장부학력、가정경제년수입월고、출현RTI증상수월다、RTI지효월호자칙월원의거취의;이장부외출무공、초산년령월고자、총생산차수월다자,칙불원의취의.재불취의원인중,"불지도저시병"적유2137인(13.7%),"각득매개부녀도회유,몰유관계"적7443인(47.6%);"불호의사거"유1629인(10.4%),"별인설치야치불호,소이몰유거"적유349인(2.2%),"치료비태귀"적유975인(6.2%),"몰유시간거의원"적유2101인(13.4%),기타원인주요시"자기구약치료"적유1001인(6.4%).결론 농촌육령부녀RTI증상발생솔교고,단구의의식십분담막,병수다충인소영향,응대력개전유침대성적건강교육화부과보사,제고RTI진치솔.
Objective To understand health seeking behavior and its influential factors to reproductive tract infections (RTIs) on women at reproductive age in the rural areas. Methods 54 540 fertile women aged 15-49 were surveyed by a stratified-cluster-random sampling method and gynecological examination were conducted in two steps: converging at the clinics, and then visiting their households, later, 31 624 women who had at least one RTI symptom were chosen. Results Among all the women at reproductive age, the rate of having at least one RTI symptom was 59.8% with the means of RTI symptom as 1.66±0.89. 15 989 women went to see doctors out of the 31 624 women who had RTI symptoms, with a proportion of 50.6 %. The results of logistic regressy showed that those women whose husbands having higher education level, higher income, more RTI symptoms and better knowledge on RTI were more easily to go to the hospitals. However, those women whose husbands working out of the county, having older first bearing age and more numbers of pregnancy were less likely to go to the hospitals. Reasons that refrained them from going to see a doctor would include: 2137(13.7%) did not know that RTI was a disease; 7443(47.6%) of them thought that every woman were bound to have at least one symptom and it did not matter; 1629 (10.4%) of them felt shameful; 349 (2.2%) learned that the diseases were incurable; 975 (6.2 % ) felt the cost of treatment was too expensive; 2101 (13.4 %) had no time; 1001 (6.4 %) would treat themselves through buying medicines over the counter. Conclusion RTI symptoms were quite prevalent among women at reproductive age but the rate of seeing a doctor was low and caused by multi-factors. Health education and gynecological census in increasing the curable rate of RTIs should to be strengthened.