Levels and determinants of gynecological morbidity in a district of South India
Levels and determinants of gynecological morbidity in a district of South India
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DOI：
10.2307/2138112
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发表时间：
1997-06-01
影响因子：
2.1
通讯作者：
Rao, NSN
中科院分区：
文献类型：
--
作者：
Bhatia, JC;Cleland, J;Rao, NSN
本文介绍了在印度南部卡纳塔克邦的一个地区居住的385名有幼儿的妇女的妇科发病率的评估结果。所有三种主要评估模式（临床检查、实验室检查和自我报告）都显示出生殖道感染的高负担。两种最常见的情况，通过实验室检查确定，是细菌性阴道病和粘液化脓性宫颈炎。大约四分之一的妇女有盆腔炎、宫颈异位和瘘管的临床证据。性传播疾病对总体妇科发病率的贡献似乎相对较小；10%的人被诊断为如此。伴随贫血和慢性能量缺乏的情况很常见。17%的患者患有严重贫血，12%的患者患有严重的慢性能量缺乏。这些结果表明，要从根本上改善印度妇女的健康状况，所需要的远远不只是诊断和治疗生殖道感染。
This article presents the results of an assessment of gynecological morbidity among 385 women with young children residing in a district of Karnataka State, South India. All three main modes of assessment (clinical examination, laboratory tests, and self-reports) reveal a high burden of reproductive tract infections. The two most common conditions, identified by laboratory tests, were bacterial vaginosis and mucopurulent cervicitis. Approximately one-fourth of the women had clinical evidence of pelvic inflammatory disease, cervical ectopy, and fistula. The contribution of sexually transmitted diseases to overall gynecological morbidity appears to be relatively modest; 10 percent were so diagnosed. Associated conditions of anemia and chronic energy deficiency were common. Severe anemia was found in 17 percent of cases and severe chronic energy deficiency in 12 percent. These results indicate that radical improvements in women's health in India will require far more than the diagnosis and treatment of reproductive tract infections.