孟加拉国妇女阴道念珠菌病患病率与经期卫生及其他风险因素的关系分析:一项横断面研究

Qeios Pub Date : 2024-03-12 DOI:10.32388/5cordf
Bristy Gloria Gomes, Mohammad Rafiqul Islam
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摘要

阴道念珠菌病是女性生殖系统的一种感染,仍然是发病率的主要风险因素,对全世界妇女的身心健康造成了负面影响。尽管人们对念珠菌阴道炎有广泛的认识,但在孟加拉国等许多贫困国家,念珠菌阴道炎仍被视为一个小的健康问题。本研究旨在通过横断面研究,检查和评估育龄妇女阴道念珠菌病的发病率及其与经期卫生和其他风险因素的关系。在这项研究中,37.30%的妇女(244 名患者中的 91 人)阴道念珠菌病检测呈阳性。研究发现,处于生育初期和生育高峰期的患者更容易患病。年龄在 15-34 岁之间的参与者发病率最高(33%),其次是 35-44 岁年龄组的 20.9%,70.3%的患者已婚。在这项研究中,患者最常见的症状是生殖器附近红肿(24.8%)、阴道分泌物异常(22.6%)、生殖器附近瘙痒(20.4%)、排尿时疼痛或灼烧感(16.8%)和性交疼痛(11.7%)。此外,还发现导致患者患病的风险因素包括:经期卫生差(35%)、不安全性交(38%)、非棉质和不洁内衣(18.6%)、使用非处方抗生素(14.2%)、糖尿病(8%)、性伴侣感染(3.4%)、性传播疾病(3%)和更年期(0.8%)。研究的另一个主要部分是了解经期卫生与阴道念珠菌病之间的关系。约 33% 的妇女使用布,另有 33% 的妇女同时使用卫生巾和布作为吸收剂。调查还发现,74.7%的妇女每天只更换 1-2 次吸水剂。尽管阴道念珠菌病在大多数情况下是一种轻度感染,但仍需引起重视,因为它会导致麻烦和严重的并发症,如反复感染、念珠菌血症等。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Analysis of Vaginal Candidiasis Prevalence Among Bangladeshi Women in Relation to Menstrual Hygiene and Other Risk Factors: A Cross-Sectional Study
Vaginal candidiasis, which is an infection of the female reproductive system, continues to be a leading risk factor of morbidity, which negatively impact the physical and mental health of women worldwide. Despite widespread awareness, vaginal candidiasis is still seen as a minor health issue in many impoverished nations like Bangladesh. This study aimed to examine and evaluate the prevalence of vaginal candidiasis and its association with menstrual hygiene and other risk factors among reproductive-aged women by cross-sectional study. In this research study 37.30% of women (91 out of 244 patients) tested positive with vaginal candidiasis. From this study is was found that patients in their early and peak reproductive years are more susceptible to illness. The highest prevalence was seen among the participants who aged between 15-34 years (33%), which followed by 20.9% patients are from 35-44 years age group and 70.3% of patients were married. The most common symptoms patients faced in this study are irritation and swelling near genital area (24.8%), unusual vaginal discharge (22.6%), itching near genital area (20.4%), pain or burning sensation during urination (16.8%) and painful intercourse (11.7%). Besides, risk factors that caused the disease in patients to be found are, poor menstrual hygiene (35%), unsafe intercourse (38%), non-cotton and unclean undergarment (18.6%), use of over the counter antibiotic (14.2%), diabetes (8%), infected sexual partner (3.4%), STD (3%) and menopause (0.8%). Another major part of the study is to know about the relation between menstrual hygiene and vaginal candidiasis. About 33% of the women use cloth and another 33% use both sanitary napkin and cloth as an absorbent. It is also observed that 74.7% women change the absorbent only about 1-2 times per day. Though, Vaginal Candidiasis is a type of mild infection for most the cases still it needs to be given importance as it can cause troublesome and serious complications such as recurrent infection, candidemia etc.
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