Investigation and analysis on status of vaginitis among the postmenopausal women in a community in Pudong new area of Shanghai
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摘要: 目的 了解社区绝经后女性阴道炎患病状况,并探讨其影响因素。 方法 2014年6-9月采用整群随机抽样法,以浦东新区某社区33个居委调查的693例绝经后女性为研究对象,采用自行设计的问卷进行调查,并对其进行阴道分泌物检测。问卷内容包括:一般社会经济学状况、绝经年数、绝经前、后阴道炎患病情况等。 结果 693例研究对象最终纳入有效样本670例。670例研究对象绝经后阴道炎患病率39.0%,其中患萎缩性阴道炎为208例(79.7%)。经阴道分泌物检测,670例中检测结果为阴道炎者147例,阴道炎罹患率为21.9%。其中,绝经后曾患阴道炎者阴道炎罹患率为29.89%,绝经后未患过阴道炎者阴道炎罹患率为16.87%。不同学历教育、医疗保险、家庭收入状况、不同绝经时间的研究对象,其绝经后阴道炎患病率的差异无统计学意义(χ2=2.126,P=0.547;χ2=1.916,P=0.590;χ2=2.010,P=0.366;χ2=0.062,P=5.573)。绝经前曾患阴道炎及绝经后曾患阴道炎者,其阴道炎的患病率及罹患率均高于无阴道炎病史者,差异有统计学意义(χ2=45.223,P<0.001;χ2=15.757,P<0.001)。 结论 社区绝经后女性所患的阴道炎以萎缩性阴道炎为主。建议社区医师采取健康教育、临床治疗以及定期随访等多种手段帮助绝经后女性改善和治疗绝经后阴道炎症,提高生活质量。Abstract: Objective To understand vaginitis prevalence of women after menopause in a community,and to explore the influencing factors. Methods From June to September in 2014,cluster random sampling method was used to extract 670 cases of postmenopausal women in one of Pudong New Area community which was divided into 33 residents'committee.A self-designed questionnaire was used to survey while the women's vaginal secretions were detected.The questionnaire included:economic status,menopause span,the history of premenopausal and postmenopausal vaginitis. Results A total of 693 women were enrolled and 670 were eligible for analysis.The prevalence rate of vaginitis of 670 women was 39.0%,including atrophic vaginitis accounted for 208 cases (79.7%).By examining vaginal secretions,147 women were diagnosed with vaginitis (21.9%).The attack rate of vaginitis among the women who had history of postmenopausal vaginitis was 29.89%,while the rate of vaginitis among the women without history of postmenopausal vaginitis was 16.87%.There were no significant differences in prevalence rates of vaginitis between the women with different academic education,medical insurance,family income status,menopause span (χ2=2.126,P=0.547;χ2=1.916,P=0.590;χ2=2.010,P=0.366;χ2=0.062,P=5.573).The women who once suffered from vaginitis in her premenopause and postmenopause had higher risk of suffering from vaginitis than those who had no history of vaginitis.There's significant difference in both prevalence rate and attack rate (χ2=45.223,P<0.001;χ2=15.757,P<0.001). Conclusion The atrophy vaginitis is the disorder that most commonly occurs in postmenopausal women in the community.Health care providers of the community should help the postmenopausal women who suffered from the vaginitis,especially the atrophic vaginitis,to promote the life quality and to give treatment options by giving health education,suitable treatment and regular follow-up.
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Key words:
- Postmenopausal women /
- Atrophic vaginitis /
- Influencing factors
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