复发性泌尿生殖道感染,如细菌性阴道病,外阴阴道念珠菌病,尿路感染有很高的患病率和明显的社会心理影响。然而,没有综述比较不同感染类型的社会心理影响.这篇叙述性综述讨论了常见的复发性泌尿生殖道感染对心理社会方面的影响,包括生活质量,压力,心理健康,性健康,工作效率,种族和民族,以及对医疗服务的满意度。经过验证的问卷显示,患有复发性外阴阴道念珠菌病和尿路感染的女性在生活质量的各个方面得分均下降。与普通人群相比,复发性外阴阴道念珠菌病和尿路感染患者的心理健康评分较低,焦虑和抑郁的风险增加。复发性泌尿生殖道感染影响性关系和亲密关系,包括由于症状或作为预防方法的回避。反复感染还会增加医疗成本,并对工作效率产生负面影响,导致每年的总成本估计超过130亿美元。涉及少数群体的种族不平等显然会影响诊断,治疗,患病率,并报告复发性泌尿生殖道感染。满意的医疗改善了患有这些疾病的人的生活质量和心理健康。评估复发性泌尿生殖系统感染的社会心理方面的研究是可变的,并且在外阴阴道疾病中无法比较。即便如此,心理社会因素对于理解泌尿生殖道感染的贡献和后果很重要。教育,意识,归一化,社区支持,获得护理可以帮助减轻复发性泌尿生殖道感染的负面影响。
叙述性综述讨论了常见复发性泌尿生殖道感染的社会心理影响,并强调了需要进一步研究以改善临床护理的领域。
Recurrent urogenital infections such as bacterial vaginosis, vulvovaginal candidiasis, and urinary tract infections have a high prevalence and pronounced psychosocial impact. However, no
review has compared the psychosocial impacts across infection types. This narrative
review discusses the impact of common recurrent urogenital infections on psychosocial aspects, including quality of life, stress, mental health, sexual health, work productivity, race and ethnicity, and satisfaction of medical care. Validated questionnaires show that women with recurrent vulvovaginal candidiasis and urinary tract infections have decreased scores on all aspects of quality of life. Those with recurrent vulvovaginal candidiasis and urinary tract infections show lower mental health scores compared to the general population, with increased risk of anxiety and depression. Recurrent urogenital infections affect sexual relationships and intimacy, including avoidance due to symptoms or as a method of prevention. Recurrent infections also increase medical cost and negatively affect work productivity, leading to a combined estimated cost of over US$13 billion per year. There are clear effects of racial inequality involving minority populations that affect diagnosis, treatment, prevalence, and reporting of recurrent urogenital infections. Satisfactory medical treatment improves quality of life and mental health in those suffering from these conditions. Research evaluating psychosocial aspects of recurrent urogenital infections is variable and is not comparable across vulvovaginal conditions. Even so, psychosocial factors are important in understanding contribution and consequence of urogenital infections. Education, awareness, normalization, community support, and access to care can help to alleviate the negative implications of recurrent urogenital infections.
A narrative
review discussing the psychosocial impact of common recurrent urogenital infections and highlights areas where further research is needed to improve clinical care.