目的 通过孕前优生健康检查,了解参检的女性健康状况及影响健康的主要危险因素,以便针对性提出干预措施,降低不良妊娠结局和减少出生缺陷发生风险。方法 根据2018年1月1日~6月30日安庆市1 332名女性孕前优生健康检查项目的体检资料,采用单因素和多因素有序多分类logistic回归模型分析参检女性患病种数的关联因素,调查数据采用SPSS 21.0软件进行统计分析。结果 1 332名女性的平均年龄(31.1±5.7)岁,30岁以上者占总人数的53.9%,患病率居前三位的疾病分别为妇科疾病(32.4%)、甲状腺功能异常(25.5%)和传染性疾病(8.6%)。调节年龄、职业、文化程度、孕次、产次、剖宫产史混杂因素后发现,年龄在“20~”岁及“30~”岁、职业为“工人”、“服务业”和“教师、医护人员、公务员等”与患病种数负向相关;文化程度为“初中及以下”与患病种数正向相关(P均＜0.05)。结论 年龄、文化程度及职业与参检女性健康状况存在关联,应根据参检女性实际人口学情况,针对性的给予生育孕前健康指导,以进一步降低安庆地区出生缺陷发生的风险。
Abstract
Objective To understand the health status of women and the main risk factors affecting their health through prenatal eugenic health examination,so as to put forward targeted pertinent intervention measures to reduce adverse pregnancy outcomes and the risk of birth defects. Methods According to the prenatal eugenic health examination data of 1 332 women in Anqing City from January 1 to June 30,2018,the correlation factors of the number of disease types among pregnant women participating in the examination were analyzed by single factor and multi-factor ordered multi-classification logistic regression model.The survey data were analyzed by SPSS 21.0 software. Results The average age of 1 332 women was (31.1±5.7) years old.53.9% of the total were over 30 years old.The top three diseases were gynecological diseases (32.4%),thyroid dysfunction (25.5%) and infectious diseases (8.6%).After adjusting the mixed factors of age,occupation,education level,pregnancy times,parity and cesarean section history,it was found that people aged "20 ~" and "30 ~",professions as workers,service industries and teachers,medical staff and civil servants were negatively correlated with the number of diseases. Conclusion Age,education level and occupation are related to the health status of women participating in the examination.According to the actual demographic situation of women participating in the examination,health guidance before childbirth should be given to further reduce the risk of birth defects in Anqing area.
关键词
孕前优生健康检查 /
女性 /
出生缺陷 /
优生优育
Key words
Pre-pregnancy eugenic health examination /
Female /
Birth defects /
Eugenics
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