关键词: Bacterial vaginosis Yunnan reproductive-age women trichomonal vaginitis vaginitis vulvovaginal candidiasis

Mesh : Pregnancy Female Humans Young Adult Adult Vaginosis, Bacterial / epidemiology microbiology Candidiasis, Vulvovaginal / epidemiology drug therapy Abortion, Spontaneous China / epidemiology Trichomonas Vaginitis / diagnosis epidemiology microbiology

来  源:   DOI:10.1080/01443615.2022.2109134

Abstract:
This study aimed to determine the prevalence of and risk factors associated with BV(bacterial vaginosis, BV), VVC (vulvovaginal candidiasis, VVC) and TV (trichomonal vaginitis, TV) among non-pregnant women. Among 770 women included in analyses, surveyed using a questionnaire and subsequently diagnosed with BV, VVC and TV via Gram staining and vaginal swab microscopy. Vaginal infections were prevalent in 31.30%, with BV being the most prevalent (21.35%). Single-variable analysis revealed that an age of 20-29 years (odds ratio [OR] = 2.31, 95% CI: 1.24-4.29; p = .007) and lack of education (OR = 0.50, 95% CI: 0.28-0.89; p = .018) were significantly associated with BV. However, an age of 30-39 years was significantly associated with VVC (OR = 2.12, 95% CI: 1.03-4.38; p = .038). Multivariable analysis confirmed that miscarriage was an independent predictor of BV and VVC. Miscarriage was significantly associated with the incidence of BV and VVC (OR = 1.680, 95% CI: 1.146-2.462; p = .011 and OR = 2.04, 95% CI: 1.30-3.20; p = .002, respectively). In conclusion, BV appears to be the predominant cause of vaginitis, risk factors for vaginitis include age and level of education and miscarriage.IMPACT STATEMENTWhat is already known on this subject? Inflammation of the vagina, or vaginitis, is caused by various infectious and non-infectious factors. The most common causes of infectious vaginitis are BV, VVC and TV. Kunming located at the southwestern border of China, However, there is still no systematic research investigating the status of vaginitis infection in Yunnan Province. Therefore, the present study aimed to determine the prevalence of these vaginal infections; BV, VVC, and TV, among women of childbearing age, and to assess the prevalence of vaginal infections and the associated risk factors.What do the results of this study add? In our study we found that vaginal infections were prevalent in 31.30% of reproductive-age women, with BV being the most prevalent (21.35%). We believe that our study makes a significant contribution to the literature because we report that BV appears to be the predominant cause of vaginitis, followed by VVC and TV. Risk factors for vaginitis include age, miscarriage and level of education.What are the implications of these findings for clinical practice and/or further research? This study aimed to determine the prevalence of these vaginal infections, BV, VVC and TV, and to assess the prevalence of vaginal infections and the associated risk factors. Health education interventions are recommended to raise women\'s awareness of vaginitis and its prevention.
摘要:
本研究旨在确定与BV(细菌性阴道病,BV),VVC(外阴阴道念珠菌病,VVC)和电视(滴虫性阴道炎,电视)在非孕妇中。在纳入分析的770名妇女中,使用问卷调查并随后诊断为BV,VVC和TV经革兰氏染色和阴道拭子显微镜检查。阴道感染占31.30%,BV是最普遍的(21.35%)。单变量分析显示,年龄20-29岁(比值比[OR]=2.31,95%CI:1.24-4.29;p=.007)和缺乏教育(OR=0.50,95%CI:0.28-0.89;p=.018)与BV显着相关。然而,年龄30-39岁与VVC显著相关(OR=2.12,95%CI:1.03-4.38;p=0.038)。多变量分析证实流产是BV和VVC的独立预测因子。流产与BV和VVC的发生率显着相关(OR=1.680,95%CI:1.146-2.462;p=.011和OR=2.04,95%CI:1.30-3.20;p=.002,分别)。总之,BV似乎是阴道炎的主要原因,阴道炎的危险因素包括年龄、教育程度和流产。影响状态关于这个主题已经知道什么?阴道炎症,或者阴道炎,是由各种传染性和非传染性因素引起的。感染性阴道炎最常见的原因是BV,VVC和电视昆明位于中国西南边境,然而,目前尚没有系统的调查云南省阴道炎感染状况的研究。因此,本研究旨在确定这些阴道感染的患病率;BV,VVC,和电视,在育龄妇女中,并评估阴道感染的患病率和相关危险因素。这项研究的结果补充了什么?在我们的研究中,我们发现31.30%的育龄女性普遍存在阴道感染,BV是最普遍的(21.35%)。我们相信我们的研究对文献做出了重大贡献,因为我们报道BV似乎是阴道炎的主要原因,其次是VVC和电视。阴道炎的危险因素包括年龄,流产和教育水平。这些发现对临床实践和/或进一步研究有什么意义?本研究旨在确定这些阴道感染的患病率,BV,VVC和电视,并评估阴道感染的患病率和相关危险因素。建议采取健康教育干预措施,提高妇女对阴道炎的认识和预防。
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