| Objective：A survey about reproductive health was carried out on reproductivemale workers in a city, to discuss reproductive health status and its influencing factors,for further scientific targeted interventions.Methods：The study recruited4000male works by simple random sampling.Using the self-made questionnaire "Male workers Reproductive Health Questionnaire"and "Male workers Health Examination Table" to investigate and analyze reproductivemale reproductive health education, reproductive system disorders, birth control andother reproductive health status of infertility and its influencing factors.Results：The total rate of reproductive male reproductive system knowledge is34.63%, which the clinical symptoms of the reproductive system diseases awarenessonly19.91%.Reproductive system symptoms positive rate was higher for50.65percent, mainly positive symptoms are severe lower back pain or persistent swellingpain.There is1.65%of male infertility. Varicocele, benign prostatic hyperplasia,prostatitis prevalence rates were9.61%,18.28%,14.59%.Different age groups（F=161.90,P<0.001）,marital status（F=4.46,P=0.004）,educational level （F=126.86,P<0.001）, occupation（F=10.40,P<0.001）, healthinsurance situation （F=11.56,P<0.001）, the monthly per capita income（F=57.09,P<0.001）,smoking status（F=8.80,P<0.001）,drinking（F=6.74,P=0.001）,whether the night shift（t=2.45,P=0.015） are significant difference in reproductivehealth knowledge.Marital status（F=5.06,P=0.002）, educational level（F=18.56,P<0.001）, healthinsurance（F=3.70,P=0.005）, the monthly per capita income（F=13.86,P<0.001）, drinkTea（F=3.16,P=0.042）, internet using in the past30days（F=11.53,P <0.001）, in thepast30days a week to eat vegetables and fruits（F=5.35, P=0.001）, in the past30daysa week to eat fish/lean/poultry（F=9.87, P<0.001）, in the past30days weekly eat milkand its products（F=3.16, P=0.024）, in the past30days a week to eat more salty foods (F=3.47, P=0.016), in the past30days a week to eat sweets foods (F=3.85, P=0.009), dietary bias(F=13.17,P<0.001), eating fast-food(F=30.54,P<0.001), driving a car (t=-22.63,P=0.009), in the past30days sadness/depression/irritability and other mood (F=26.43,P<0.001), working pressure (F=8.52,P<0.001), economic pressure (F=10.44,P<0.001), their physical condition (F=19.31,P<0.001), conjugal relations (F=9.71,P<0.001), whether have children (t=2.18, P=0.029), whether the night shift (t=4.27,P<0.001) are related with reproductive symptom scores. Knowledge score is negatively correlated with reproductive system symptoms scores (spearman=-0.12, P<0.001). Attitude score is negatively correlated with reproductive system symptoms scores (spearman=-0.07, P<0.001).Age is positively correlated with reproductive system symptom score (spearman=0.17, P<0.001). Mean diastolic blood pressure is positively correlated with reproductive system symptoms score (spearman=0.04, P=0.001). Results obtained by generalized linear models age, health insurance, drink tea now, the time spend on the Internet, nearly30days weekly eat sweets, dietary bias, often eat fast food, the mood status, frequency of sexual activity, contraceptive methods and prostate B super results occur for the symptoms to promote reproductive system.Reproductive system knowledge score is above the high school level of education, monthly per capita income of more than2,000yuan, nearly30days a week to eat fresh vegetables and fruit, the nearly30days a week to eat lean meat/fish/poultry, nearly30days a week to eat beans and their products, no driving, nearly30days of less sadness/depression/anger, less stress, have less economic situation and the pressure the current health situation of the reproductive system to reduce the effect of the occurrence of symptoms.Age group (χcmh2=10.79, P=0.013), education level (χcmh2=30.72, P<0.001) marital status (χcmh2=11.32, P=0.011), smoking (χcmh2=8.22, P=0.016), drinking situation (χcmh2=8.41, P=0.015), in the past30days a week to eat vegetables and fruits situation (χcmh2=9.23, P=0.026), dietary bias (χcmh2=10-95, P=0.027) frequency of sexual activity over the past year (χcmh2=31.12,P<0.001),contraceptive methods (χcmh2=28.28,P<0.001),prostate bladder B ultrasound conditions (χcmh2=5.75,P=0.016)are related with male infertility.Logistic regression analysis of fasting blood glucose,diet bias,frequency of sexual activity,other forms of contraception are risk factprs for infertilitt.Prostate bladder B ultrasound,age,nearly30days a week to eat fresh vegetables and fruits,no male contraception,condoms contraception,coitus contraception is a protective factor for infertility.Age group (χcmh2=32.99,P<0.001),education level (χcmh2=10.61,P=0.001), health insurance (χcmh2=12.64,P=0.013),in the past30days the Internet situation (χcmh2=18.55,P=0.031),in the past30days a week to eat vegetables and fruits situation (χcmh2=11.79,P=0.008),use your phone every day time (χcmh2=11.38,P=0.044),whether night shift (χcmh2=8.03,P=0.005),serum uric acid (χcmh2=6.81,P=0.009) are related with varicocele.Logistic regression analysis age,night work is a risk factor of varicocele.Whether have children,LDL is a protective factor for varicocele.Age group (χcmh2=411.79,P<0.001),marital status (χcmh2=52.02,P<0.001) education level (χcmh2=34.67,P<0.001),smoking (χcmh2=19.45,P<0.001),the situation in the past30days the Internet (χcmh2=93.80,P<0.001),in the past30days a week to eat vegetables and fruits situation (χcmh2=9.60,P=0.022),in the past30days weekly to eata milk and its productions (χcmh2=16.73,P<0.001),in the past30day a week to eat beans and soy situation (χcmh2=8.84,P=0.032),usually eat fast food situation (χcmh2=29.97,P<0.001),daily use of the phone’s time (χcmh2=24.13, P<0.001),health situation(χcmh2=17.86,P=0.001),frequency of sexual activity over the past year∈60.53,P<0.001),contraception(χcmh2=44.45,P<0.001),body mass index(χcmh2=17.06,P=0.004),fasting glucose(χcmh2=7.42,P=0.006),blood pressure(χcmh2=42.71,P<0.001),serum creatinine(χcmh2=9.63,P=0.002),prostate bladder B ultrasound (χcmh2=1781.04,P<0.001),and liver and spleen B ultrasound (χcmh2=4.37,P<0.036),knowledge scores(Z=-6.47,P<0.001),attitude scores(Z=-4.72,P<0.001),behavior scores(z=-3.31,P=0.001) are related with benign prostatic hyperplasia.Logistic regression analysis of age,prostate B ultrasound results are risk factors for benign prostatic hyperplasia.Nearly30days eating fresh vegetables and fruits a week,BMI is a protective factor of benign prostatic hyperplasia.Age group(χcmh2=36.16,P<0.001),marital status(χcmh2=15.39,P=0.002), education level(χcmh2=22.52,P=0.002),tea situation(χcmh2=6.82,P=0.033), smoking (χcmh2=5.90,P=0.050),drinking situation (χcmh2=5.98,P=0.050),in the past30days have depression/irritability/depression,etc.(χcmh2=12.03,P=0.017),in good health conditions(χcmh2=31.81,P<0.001),f.requency of sexual activity over the past year(χcmh2=60.53,P<0.001),contraception(χcmh2=44.45,P<0.001),body mass index(χcmh2=13.25,P=0.010),marital situation(χcmh2=16.95,P<0.001), whether night shift (χcmh2=7.43,P=0.006),HDL(χcmh2=7.98,P=0.005),serum uric acid (χcmh2=4.27,P=0.039),prostate B ultrasound results (χcmh2=567,P=0.017), knowledge scores(z=-3.45,P<0.001),attitude scores(z=-2.29,P=0.004)are related with prostatitis.Logistic regression analysis age,current health status,marital relationship,whether the night shift,whether normal HDL is a risk factor prostatitis.Drink,the fast-food consumption,triglyceride,LDL are protect risks for propstatiti s. Conclusions:Reproductive male reproductive situation is not optimistic. The total rate of reproductive male reproductive system knowledge is34.63%. Reproductive system symptoms positive rate was higher for50.65%. There is1.65%of male infertility. Varicocele, benign prostatic hyperplasia, prostatitis prevalence rates are9.61%,18.28%,14.59%.Factors that affect the male reproductive system symptoms include age, education level, medical insurance, monthly per capita income, tea case, nearly30days online, the diet of nearly30days of driving circumstances, the mood of nearly30days, the working pressure, economic pressure, current physical health, frequency of sexual activity, contraceptive methods, B-ultrasound prostate, reproductive health knowledge to understand the situation; infertility factors influence fasting glucose, prostate B super, age, diet bias, nearly30days eating fresh fruits and vegetables, the frequency of sexual activity, contraceptive methods; varicocele factors are age, whether the night shift, whether children, low-density lipoprotein levels; influencing factors age of benign prostatic hyperplasia, prostate B super, nearly30days times fresh fruits and vegetables, the body mass index; prostatitis factors are age, drinking situation, health, marital relationship, whether night shift, lipoprotein levels, the use of fast-food situation.There are good ways to promote male reproductive health by strengthening the social emphasis on male fertility, health education, poor lifestyle interventions, exploring the community of male reproductive health services and the strengthening of the management of sexually transmitted diseases and health. |
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