[Analysis on the relative factors of trichomonal vaginitis in married childbearing age women in rural impoverished area].
OBJECTIVE
To investigate the status and relative factors of trichomonal vaginitis among married childbearing age women in rural impoverished area of the northwestern part of China and hence identify the risk factors and provide a basis for the prevention and treatment of trichomonal vaginitis.


METHODS
Questionnaire investigation, gynecological and laboratory examination were carried out in 480 women who had been selected by multi-stage cluster sampling in rural impoverished area of Bao Ji in ShannXi province. A case-control study was conducted to analyze the relative factors of trichomonal vaginitis and other reproductive tract infection (RTI) complications.


RESULTS
The prevalence rate of trichomonal vaginitis was 12.9%, and 64.5% of the cases were complicated with chronic cervicitis, 17.7% were complicated with adnexitis. Uni-variated and multi-variated logistic regression analyses revealed that lack of reproductive health knowledge, bath with polluted water, washing vulva or penis with polluted water before sexual intercourse, having intercourse during menstrual period, having past history of trichomonal vaginitis, as well as no-income woman's and husband's negative attitude towards wife's RTIs were risk factors of trichomonal vaginitis and complicating chronic cervicitis or adnexitis. And lack of reproductive health knowledge, bath with polluted water, washing penis with polluted water before sexual intercourse, past history of trichomonal vaginitis, husband's negative attitude to wife's RTIs were relative factors of trichomonal vaginitis and complicating chronic cervicitis or adnexitis revealed by the binary logistic regression analysis. The less score of reproductive health knowledge, the more risk of suffering from trichomonal vaginitis complicating chronic cervicitis.


CONCLUSIONS
Compositive and successive prevention and treatment scheme should be used to control trichomonal vaginitis and other RTI complications in rural impoverished area of northwestern China. The scheme should be focused on four ways, including improving sanitation behaviors in couples, insisting on normative treatment, generalizing reproductive health knowledge and mobilizing husbands to pay attention.
Zhang
Tong
T
Department of Health Statistics, West China School of Public Health, Sichuan University, Chengdu 610041, China.
Yang
Wen-fang
WF
Ni
Zong-zan
ZZ
Li
Fen
F
Sun
Chang-tian
CT
Jin
Hui
H
Yu
Xue-wen
XW
Wang
Feng-qin
FQ
Han
Zhen
Z
Ren
Yong-hui
YH
Wang
Yi
Y
Li
Xue-cheng
XC
Hu
Chang-jiang
CJ
Gao
Zhi-min
ZM
D000328:Adult; D000818:Animals; D002681:China / Q000453:epidemiology; D005260:Female; D006801:Humans; D015995:Prevalence; D012307:Risk Factors; D012423:Rural Health; D014247:Trichomonas Vaginitis / Q000453:epidemiology* / Q000209:etiology; D014246:Trichomonas vaginalis / Q000302:isolation & purification*; D002575:Uterine Cervicitis / Q000150:complications