摘要
目的了解重庆市已婚育龄妇女不育症患病率状况及相关影响因素。方法于2005年1月至2006年1月在重庆市辖区内40个区、县、市选择7个区、县采用多级分层机械抽样法抽取5000对女方年龄介于20-45岁的已婚育龄夫妇进行问卷调查，了解不育症患病率及相关的生殖健康问题。结果完整问卷4697份，发现不育症夫妇256对，不育症患病率为5．45％。城镇不育症患病率高于农村；农村、城镇不育症类型存在显著性差异；不育症发生率与经济发展水平、女方年龄、职业、受教育程度有关；不育症病因分析结果显示不育症夫妇中女方月经稀发发生率、人工流产次数、末次终止妊娠时并发症发生率高于对照组，Logistic回归分析结果显示月经不规律、女方婚前性行为及婚前人工流产、末次终止妊娠发生并发症、丈夫吸烟、酗酒、感染性传播性疾病是不育症的危险因素。结论重庆市已婚育龄妇女中不育症患病率为5．45％；不育症患病率与经济发展水平相关，婚育观念是影响不育症的重要因素，不良生活习惯及性传播疾病也是影响不育症的因素。
Objective To learn the infertility rate in married pregnant-able age women in Chongqing and their status of fertility. Methods Multi-stages combined with mechanical sampling method was used and the 5 000 couples with female partners aged 20-- 45 in 7 cities or areas in Chongqing were interviewed by trained health workers under a structured questionair during Jan. 2005 to Jan. 2006 to learn their fertility status and the influnce factors. Results In the 5000 answered sheets,4 679 were completed and could be used for analyzing. There were 256 couples suffered from infertility. The infertility rate in Chongqing married pregnant-able age couples was 5.45 %. In agriculture couples, the infertility rate was lower than that in non-agriculture couples （4.5 % vs 6.7 % ）. In agriculture couples, the primary infertility was dominant （50.4 %）, while in non agriculture couples, the secondary infertility was dominant （75.9 %）. The infertility rate was affected by the female partner＇ age, occupation, education level,and economic level. Logistic regression analysis results showed that the infertitlity rate was correlated with female＇s sexual behavire and induced abortion before marriage, the complication incidence during the termination of the last pregnancy, smoking, alcohol abuse and sexually transmitted disease in male partners. Conclusion In Chongqing married fertility age couples,the infertility rate is 5.45 %. The infertlity rate is related with economic level, life behavior and fertility attitude.
出处
《重庆医学》
CAS
CSCD
北大核心
2009年第24期3089-3091,共3页
Chongqing medicine
基金
卫生部/世界卫生组织国际合作基金资助项目(WP/2004/CHN/RPH/3.2/001)
关键词
不育症
患病率
育龄妇女
infertility
rate
pregnant able age women
