title: Prevalence of reproductive tract infections, genital prolapse, and obesity in a rural community in Lebanon.
abstract: OBJECTIVE
  To determine the prevalence of reproduction-related illnesses in a rural community in Lebanon.
  
  
  METHODS
  Data were collected through interviews with women in their homes, physical examinations and history taking by physicians in a clinic in the community, and laboratory tests. A total of 557 ever-married women aged 15-60 years were selected randomly.
  
  
  RESULTS
  Just over half of the sample (268, 50.6%) had five or more children, and (320, 78.9%) of women aged < 45 years were using contraception. The prevalence of reproductive tract infections was very low: six (1.2%) women had sexually transmitted diseases and 47 (9.3%) had endogenous reproductive tract infections. None had chlamydial infection or a positive serological finding of syphilis. None had invasive cervical cancer, and only one had cervical dysplasia. In contrast, genital prolapse and gynaecological morbidity were elevated. Half of the women studied (251, 49.6%) had genital prolapse, and 153 (30.2%) were obese.
  
  
  CONCLUSIONS
  The prevalence of reproductive tract infections in this conservative rural community in east Lebanon was low. Possible explanations include the conservative nature of the community, the high rate of utilization of health care services, and the liberal use of antibiotics without a prescription. More importantly, the study showed an unexpectedly high prevalence of genital prolapse and obesity--a finding that has clear implications for primary health care priorities in such rural communities.
authors.affiliation: Department of Epidemiology and Biostatistics, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon. azur@aub.edu.lb
authors.forename: Mary E
authors.initials: ME
authors.lastname: Deeb
authors.forename: Johnny
authors.initials: J
authors.lastname: Awwad
authors.forename: Joumana S
authors.initials: JS
authors.lastname: Yeretzian
authors.forename: Hanna G
authors.initials: HG
authors.lastname: Kaspar
mesh_terms: D000293:Adolescent; D000328:Adult; D004522:Educational Status; D005260:Female; D005831:Genital Diseases, Female / Q000453:epidemiology*; D006801:Humans; D007861:Lebanon / Q000453:epidemiology; D008875:Middle Aged; D009765:Obesity / Q000453:epidemiology*; D010298:Parity; D015995:Prevalence; D012307:Risk Factors; D012423:Rural Health; D012749:Sexually Transmitted Diseases / Q000453:epidemiology*; D012923:Social Class; D014552:Urinary Tract Infections / Q000453:epidemiology*; D014596:Uterine Prolapse / Q000453:epidemiology*