Prevalence of and Factors Associated with Reproductive Tract Infections among Pregnant Women in Ten Communes in Nghe An Province, Vietnam
| Autor: | Aya Goto, Sumie Ishii, Thi Phi Nga Cao, Nghiem Minh Pham, Quang Vinh Nguyen, Ba Tan Nguyen, Mayumi Katsube, Seiji Yasumura, Thi Hoai Chung Le, Kumiko Kato, Thi Quynh Nga Le, Quoc Kieu Hoang |
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| Jazyk: | angličtina |
| Rok vydání: | 2005 |
| Předmět: |
Adult
medicine.medical_specialty Epidemiology Cross-sectional study Gonorrhea Sexually Transmitted Diseases Group B Streptococcal Infection Pregnancy Risk Factors Streptococcal Infections Surveys and Questionnaires medicine Prevalence Humans Pregnancy Complications Infectious Candidiasis Vulvovaginal Hepatitis Gynecology Trichomoniasis Obstetrics business.industry General Medicine Odds ratio reproductive tract infection Vaginosis Bacterial Hepatitis B medicine.disease Cross-Sectional Studies Reproductive Medicine Vietnam Original Article Female Bacterial vaginosis business Trichomonas Vaginitis Genital Diseases Female |
| Zdroj: | Journal of Epidemiology |
| ISSN: | 1349-9092 0917-5040 |
| Popis: | BACKGROUND: A community-based survey was conducted to investigate reproductive tract infections (RTIs) among pregnant women in Vietnam, where epidemiologic data on these infections are scarce.METHODS: The focus of the study were: candidiasis, bacterial vaginosis, group B streptococcal infection,trichomoniasis, gonorrhea, syphilis, and hepatitis B. In addition to their prevalence, a generalized estimating equation was used to analyze infection-associated factors and diagnostic test analysis to examine the accuracy of currently performed presumptive clinical diagnoses.RESULTS: Among 505 pregnant women in 10 communes, 182 (36%) had at least one infection with a wide regional variation in prevalence. The most prevalent infection was candidiasis (17%); sexually transmitted infections were rare except hepatitis B (10%); and the prevalence of bacterial vaginosis and group B streptococcal infections was 7% and 4%, respectively. Two factors were associated with the decreased risk of endogenous infections: a higher household assets score (odds ratio [OR] = 0.67) and condom use (OR = 0.15). Not living with a husband (OR = 1.55) was associated with an increased risk. For hepatitis B, three factors were associated with a decreased risk: employment by the government (OR = 0.26), higher education (OR = 0.18), and being older at the time of first sexual intercourse (OR = 0.58). Women's self-reported symptoms and clinical findings had low positive predictive values. Only clinical findings from the vaginal wall showed both a sensitivity and specificity over 50%.CONCLUSIONS: Suggested recommendations are: extensive application of microscopic diagnosis, prevention of hepatitis B transmission, and addressing the issues of regional differences in the prevalence of RTI and of less wealthy people.J Epidemiol 2005; 15: 163-172. |
| Databáze: | OpenAIRE |
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