Logistic Regression Analysis Of Relative Factors About Bacterial Vaginosis On Married Women Of Reproductive Age In Rural South Anhui

Objective The aims of this study was to describe the current status of bacterial vaginosis among married women of reproductive age in Rural South Anhui, to explore the relative factors on bacterial vaginosis in the target population, covering demographic characteristics, menstrual and reproductive history and sexual life, personal hygiene behavior, knowledge scores, gynecological disease, and to allocate health resources reasonably and provide the basis information for related departments to make the intervention measures.Methods The survey was conducted among 18818 married women aged 18-49 years with stratified-cluster sampling method in accordance with the inclusion and exclusion standards in rural South Anhui. All participants were provided informed consents and keep confidential. These objects would accept the questionnaire survey and gynecological examination. We set up the quantitative database using Epi Data3.1 after checking and coding questionnaires. The database was analyzed using SPSS 17.0. General characteristic was described with mean, standard deviation, median, or proportion. Logistic regression analysis was used for analysis in the study. In all tests, the level of significance was set up at P < 0.05.Results The prevalence of bacterial vaginal disease was 11.8%(95%CI:11.4-12.2). Multivariate analysis showed that age, nationality, women’s education levels, occupation, contraceptive methods, the time of induced abortion, dysmenorrhea, sexual intercourse during menstruation, frequency of changing underwear and sexual intercourse per month, shower way, RTIs knowledge, and pelvic inflammatory reaction disease.The analysis indicated that minority nationality(OR=2.361, 95%CI:1.377-4.048),migrant work ≥1 year(OR=1.272, 95%CI:1.017-1.589),other professions(OR=1.434,95%CI:1.210-1.699). menorrhagia(OR=1.160,95%CI:1.016-1.326),hypomenorrhea(OR=1.202,95%CI:1.046-1.382), dysmenorrhea(OR=1.191, 95%CI:1.074-1.321), usage of an intrauterine device(OR=1.539, 95%CI:1.217-1.946), female ligation(OR=1.500,95%CI:1.182-1.904), more times of induced abortion(OR=1.206,95%CI:1.013-1.436), sexual intercourse during menstruation(OR=1.241,95%CI:1.001-1.537), bathhouse(OR=4.395, 95%CI:3.490-5.534), and lower frequency of changing underwear(OR=1.157, 95%CI:1.056-1.268), pelvic inflammatory disease(OR=1.370, 95%CI:1.039-1.806) were more likely to have bacterial vaginal.Women’s higher education levels(OR=0.847, 95%CI:0.799-0.899), higher scores of RTIs knowledge(OR=0.852,95%CI:0.811-0.896), and sexual intercourse per month(OR=0.911, 95%CI:0.852-0.974) were less likely to have bacterial vaginal.Conclusion The prevalent of bacterial vaginosis among rural married women of reproductive age in rural South Anhui was within the range in China and was related to many factors. Concerned departments should actively develop and implement comprehensive policies, and timingly designatedly provide screening for rural women of reproductive age in villages to control the occurrence and prevalence of bacterial vaginal.