摘要
目的了解浙西地区农村外出务工女性宫颈病变情况及相关危险因素。方法采用宫颈液基膜式薄层细胞学(TCT)检查和阴道镜下活检组织学检查相结合的方法 ,对2313名外出务工女性(研究组)和2080名农村常住女性(对照组)进行宫颈病变筛查,同时对外出务工女性进行相关因素的问卷调查,并作统计学分析。结果研究组宫颈脱落细胞TCT检查低级别鳞状上皮内病变(LSIL)及以上病变检出率12.5%,组织病理学CIN>Ⅰ级病变检出率10.7%,均高于对照组(P<0.05);年龄分层分析,<50岁年龄段外出务工女性宫颈病变检出率高于常住农村女性,其中以41～50岁年龄段的研究组女性检出率最高(14.6%);单因素和多因素Logistic回归分析表明从事服务行业或工厂务工、居住集体宿舍、孕>3胎和有不洁性行为是共同危险因素。结论外出务工女性宫颈病变患病率高于农村常住女性,应加强对外出务工女性宫颈病变筛查,开展生殖健康教育活动。
OBJECTIVE To estimate the status of cervix lesion and the associated risk factors among the female migrant workers from the west rural areas of Zhejiang Province. METHODS Cervical shedding cell specimens of 2313 rural female migrant workers （study group） and 2080 rural female residents （control group） were detected with the Thin Cytology Test （TCT）. A questionnaire survey on the associated cervix lesion factors was conducted among the study group. The results were analyzed by Statistical Package for the Social Science （SPSS） Software. RESULTS The detection rate of cervix lesion with TCT diagnosis as LSIL or lower grade was 12. 5% and CIN lesion with biopsy was 10. 7% in the study group, which were both higher than those in the control group （P〈0.05）. Through the stratified analysis of age, the detection rate of females under 50 was higher than that in the control group. Moreover, the detection rate of the females between 41and 50 got to the top （14.6%） in the study group. The univariate and multivariate logistic regression analysis shown that engagement in service, working in factories, living in group dormitories, being pregnant for three times or more and unsafe sexual behaviors were common risk factors. CONCLUSIONS The rate of cervical lesion of the female migrantworkers is higher than that of the rural residents group, therefore, the screening work for cervix lesion should be strengthened and reproduction health education should be carried out among the rural migrant workers.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2010年第11期1558-1560,共3页
Chinese Journal of Nosocomiology
基金
衢州市科技计划项目资助(20081118)
关键词
宫颈病变
筛查
务工女性
农村
Cervix lesion
Screening
Female migrant workers
Rural areas
