| Objective: With the improvement of people’s quality of life,reproductive health has become a more prominent social issue that people are increasingly concerned about.For women,their reproductive health is not only related to women themselves,but also to the health of future children.Since China is a developing country,its understanding of reproductive health is still at a stage of development.At the same time,there are many social phenomena in towns and villages in China.These women are relatively disadvantaged groups.Therefore,their reproductive health problems are particularly prominent.To this end,this study combines the National Women’s Disease Survey for free of all rural women initiated by the Women’s Federation of China and the Ministry of Health in 2009 to discuss the reproductive health status of women in rural areas in Yixing City;analyze the main risk factors affecting women ’ s reproductive health in the region;Countermeasures and measures.Methods: The stratified cluster sampling method was used to extract 1588 cases of non-menstrual period and non-menstrual married women aged from 35 to 64 years in the three townships of Yixing City in April,2016.The cases were sent to all women.Table,record the relevant information of the object,and further free implementation of gynecological,breast and other related checks.The reproductive health of all women was analyzed and the risk factors affecting the reproductive health of women and towns in Yixing were analyzed by Logistic regression analysis.Results:(1)There were 109 cases of cervical disease in 1588 women,accounting for 7.1%,including 55 cases of cervical polyps,accounting for 3.5%,followed by cervical erosion(2.5%);13.9% of breast diseases,including breast hyperplasia(10.1%),Breast benign tumors(3.5%);genital tract infections,accounting for 48.2%,including 318 cases of cervicitis,accounting for 20.0%,followed by 286 cases of pelvic inflammatory disease,accounting for 18.0%,161 cases of vaginitis,accounting for 10.1%;Ovarian disease 54 cases,accounting for 3.4%,of which ovarian benign tumors in 40 cases,accounting for 2.5%,followed by 13 cases of polycystic ovary syndrome,accounting for 0.8%;120 cases of uterine disease,accounting for 7.6%,of which 60 cases of uterine fibroids,accounting for 3.8 %,followed by 38 cases of uterine polyps,accounting for 2.4%.(2)Among the patients with cervical diseases,the proportion of age between 35-44 and 16.1% was higher than that between 45-54 and 4.8% respectively,and the age between 55 and 64 years was 4.9%.The abortion history accounted for 12.6% more than that without abortion.5.4%,the smoking history accounted for 12.4% more than the non-smoking history accounted for 6.2%,oral contraceptives accounted for 10.5% higher than no oral contraceptives accounted for 7.0%,the history of reproductive tract infection accounted for 9.0% higher than no reproduction The history of tract infection accounted for 4.9%,and the difference was statistically significant(P<0.05).(3)In patients with breast disease,the age at menarche was less than 14 years old,accounting for 16.7%,higher than ≥14 years,accounting for 11.2%;the history of abortion was 18.6% higher than that without abortion,12.7%;and the family history of breast disease was 18.6%.The family history was higher than that of non-breast diseases accounted for 12.7%,the difference was statistically significant(P<0.05).(4)Among the patients with genital tract infections,the ratio between ages 35-44 and 62.9% was higher than that between the ages 45-54 and 43.1%,and the age between 55 and 64 was 46.7%.The ratio of unmarried to 60.0% was higher than that of married people.Compared with 47.7%,the proportion of missing persons was 47.3%,and the other ratio was 46.2%.The proportion of births accounting for 49.0% was higher than that without birth,accounting for 28.6%.The abortion history accounted for 56.6%,which was higher than that without abortion,accounting for 46.1%.Statistically significant(P<0.05).(5)Ovarian disease patients aged 55-64 years old accounted for 6.4% more than the age of 35-44 years accounted for 1.4%,age 45-54 years accounted for 1.5%,abortion history accounted for 6.3% higher than the history of no abortion Compared with 2.7%,the difference was statistically significant(P<0.05).(6)Patients with uterine diseases accounted for 12.6% of dysmenorrhea and 6.3% of those without pain.The ratio of childbirth to birth was 7.8% higher than that of no childbirth and 1.4%.The history of abortion was 11.0% higher than that of no abortion.6.7%,the difference was statistically significant(P<0.05).Conclusion:(1)The reproductive health status of women in rural areas of Yixing City is not optimistic,especially the incidence of reproductive system infections is high.(2)(2)Age 35-44 years old,abortion history,smoking history,oral contraceptives and history of reproductive tract infection are risk factors for cervical disease;menarche age <14 years old,abortion history and family history of breast disease are factors affecting breast disease Risk factors(P<0.05);Ages 35-44,unmarried,childbirth history,and abortion history were risk factors affecting reproductive tract infections(P<0.05);ages 55-64 years and abortions were factors affecting ovarian disease Risk factors(P<0.05);dysmenorrhea,history of childbirth,and abortion were risk factors that affected the occurrence of uterine diseases(P<0.05).(3)Periodically providing free lectures on reproductive health knowledge and distribution of relevant knowledge and materials to women in towns and townships; strengthening publicity of media so that women in towns and villages can better understand how to protect their reproductive health and widely publicize the harms of reproductive system diseases and preventive measures;Women of childbearing age and their spouses provide education on eugenics,birth control hazards and other related knowledge;Women’s Federation actively protects the legitimate rights of women in towns and villages;Maternal and child health hospitals open consulting clinics and consultation telephones to resolve relevant issues in a timely manner,and will increase the reproductive health of women in towns and villages.Develop as a long-term project. |
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