Barriers to reproductive tract infection (RTI) care among Vietnamese women - Implications for RTI control programs
Barriers to reproductive tract infection (RTI) care among Vietnamese women - Implications for RTI control programs
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DOI：
10.1097/00007435-200204000-00003
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发表时间：
2002-04-01
影响因子：
3.1
通讯作者：
Celentano, DD
中科院分区：
文献类型：
--
作者：
Go, VF;Quan, VM;Celentano, DD
背景：越南妇女可能特别容易受到生殖道感染（RTIs）及其生物和社会后遗症的影响。关于越南妇女生殖道感染的患病率和寻求健康行为的数据很少。目的：评估越南妇女生殖道感染症状的患病率，描述寻求治疗的行为，并确定越南妇女护理的障碍。研究设计：对1163名年龄在18岁至49岁之间的越南妇女进行了基于人口的调查。结果：507名妇女（43.6%）在过去6个月内报告RTI症状，包括异常阴道分泌物（78.3%），下腹部疼痛（46.7%）和生殖器溃疡（3.6%）。这些妇女中有64%在某种类型的医疗场所寻求护理：卫生站（即，政府诊所（24.7%）、医院（15.8%）、药房（15.2%）或私家医生（8.1%）。其余妇女忽视症状（24.8%）或自行治疗（11.4%）。在多变量分析中，耻辱与性传播感染相关（比值比[OR] = 1.83; 95%置信区间[CI] = 1.25-2.70）;未寻求非正式建议（OR = 2.90; 95%CI = 1.82-4.62）;症状轻（OR = 3.01; 95% CI = 1.45-6.23）;无明显发病（OR = 3.56，95%CI = 2.20-5.77）;症状持续时间短（OR = 2.53; 95%CI = 1.04-6.16）与忽视RTI症状显着相关。结论：在越南北方，有相当数量的妇女报告有RTI症状，但没有寻求治疗。干预措施，以提高对RTI症状及其后果的认识，消除负面的陈规定型观念，并鼓励公开讨论RTI应促进适当的照顾寻求RTI。
Background: Vietnamese women may be especially vulnerable to reproductive tract infections (RTIs) and their biological and social sequelae. Few data are available on the prevalence of and health-seeking behavior for RTIs among women in Vietnam.Goal: To assess prevalence of RTI symptoms, describe treatment-seeking behaviors, and identify barriers to care among Vietnamese women.Study Design: A population-based survey was conducted among 1163 Vietnamese women aged 18 years to 49 years.Results: Five hundred seven women (43.6%) reported RTI symptoms in the previous 6 months, including abnormal vaginal discharge (78.3%), lower abdominal pain (46.7%), and genital ulcers (3.6%). Sixty-four percent of these women sought care at some type of medical venue: health station (i.e., government clinic; 24.7%), hospital (15.8%), pharmacy (15.2%), or private doctor (8.1%). The remaining women ignored symptoms (24.8%) or were self-treated (11.4%). In multivariate analysis, stigma associated with sexually transmitted infections (odds ratio [OR] = 1.83; 95% confidence interval [CI] = 1.25-2.70); not seeking informal advice (OR = 2.90; 95% CI = 1.82-4.62); mildness of symptoms (OR = 3.01; 95% CI = 1.45-6.23); absence of perceived morbidity (OR = 3.56; 95% CI = 2.20-5.77); and short duration of symptoms (OR = 2.53; 95% CI = 1.04-6.16) were significantly associated with ignoring RTI symptoms.Conclusion: A substantial number of women in northern Vietnam who reported RTI symptoms did not seek care. Interventions to raise awareness about RTI symptoms and their consequences, dissipate negative stereotypes, and encourage open discussion about RTIs should facilitate appropriate care-seeking for RTIs.