查詢結果分析
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題 名 | Correlates of Trichomonas Vaginalis Infection in Women: Cross-Sectional Results from a Study Conducted in Tri-Service General Hospital=婦女感染陰道滴蟲之相關因素:三軍總醫院婦產科橫斷性研究的結果 |
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作 者 | 孫建安; 劉嘉燿; 吳美萱; 許雲霞; 楊智如; 吳德敏; 蕭孟芳; | 書刊名 | 醫學研究 |
卷 期 | 20:9 2000.12[民89.12] |
頁 次 | 頁496-504 |
分類號 | 417.153 |
關鍵詞 | 盛行率; 陰道滴蟲; 陰道濕抹片法; Prevalence; Trichomonas vaginalis; Vaginal wet mount preparation; |
語 文 | 英文(English) |
中文摘要 | 陰道滴蟲感染是常見之性接觸傳染病之一,然而臺灣地區婦女感染陰道滴蟲之相關危險因子的流行病學研究則較少見。本研究係於民國86年9月起至87年1月止,以橫斷性研究的方式在三軍總醫院針對同意接受調查的婦科門診婦女,進行陰道分泌物的收取和理學檢查,以及使用結構式問卷收取危險因子的資料。在研究期間一共完成269位婦科門診婦女的收案。本研究室在當次門診期間收取陰道分泌物檢體後,即刻以濕抹片法來進行陰道滴蟲感染檢驗。結果顯示,婦科門診婦女的陰道滴蟲感染率為7.8%(95%信賴區間=4.6%-11.0%)。婦女年齡較老者比年齡較輕者有較高的陽性率(11.9%比上3.7%)。另外,在校正了年齡的影響後,與婦女感染陰道滴蟲有顯著相關的性行為危險因子包括:其他性病的感染史(相對危險性=15.2,95%信賴區間=1.3-200.9),多重性伴侶(相對危險性=5.9,95%信賴區間=1.8-19.4)以及有流產的經驗(相對危險性=2.8,95%信賴區間=1.1-7.2)。本研究也發現,同時具有前述多項危險因子的婦女相對於不具有前述危險因子的婦女有顯著較高的感染率(66.7%比上3.8%)。 |
英文摘要 | Trichomonas vaginalis is thought to be one of the most common sexually transmitted organisms, while there is little available information on the epidemiology of Trichomonas vaginalis infection among women in Taiwan. Thus, this study was conducted to define the prevalence of T. vaginalis infection and to investigate correlates for the infection. A cross-sectional survey was carried out on women attended gynecologic clinics at the Tri-Service General hospital in Taipei, from September 1997 to January 1998. Using vaginal wet-mount preparations for T. vaginalis, we examined the disease in 269 participants ranged from 17 to 78 years old. Personal interviews were conducted by a trained interviewer to obtain information on the correlates of infection. The results showed that the prevalence of T. vaginalis infection was 7.8% [95% confidence interval (CI)=4.6-11.0 %]. Women positive for T. vaginalis were significantly more likely to be older. Additionally, behavioral factors associated with the increased risk included previous history of syphilis/gonorrhea [age-adjusted odds ratio (OR)=15.2, 95% CI=1.3-200.9], greater numbers of sexual partners (age-adjusted OR=5.9, 95% CI-1.8-19.4), and a history of spontaneous abortions (age-adjusted OR=2.8, 95% CI-1.1-7.2). More interestingly, the prevalence of T. vaginalis infection significantly increased in women with multiple risk factors compared with women without those factors of interest (66.7% vs. 3.8%), resulting in an OR of 50.0 (95% CI=3.5-717.3). These data elucidate those correlates of T. vaginalis infection, which may aid in designing strategies to control this infection among women in Taiwan. |
本系統中英文摘要資訊取自各篇刊載內容。