生活方式及行为因素与细菌性阴道病、外阴阴道假丝酵母菌病发病风险的相关性分析
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福建省三明市沙县区妇幼保健院婚优检科

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Correlation analysis of lifestyle and behavioral factors with the risk of bacterial vaginosis and vulvovaginal candidiasis
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    摘要:

    目的:探讨生活方式及行为因素与细菌性阴道病(BV)、外阴阴道假丝酵母菌病(VVC)发病风险的相关性。方法:选取2023年5月~2025年5月收治的150例妇科患者,按诊断结果分为BV组、VVC组及对照组(各50例),通过问卷收集生活方式及行为因素,采用多因素Logistic回归分析生活方式及行为因素与BV、VVC发病风险的相关性。结果:单因素分析显示,BV组、VVC组的月经周期、经期卫生用品更换频率、清洗阴道频率、性生活频率、性伴侣个数、避孕方式、饮食偏好、睡眠质量与对照组比较有差异(P<0.05)。多因素Logistic回归显示,月经周期不规律、经期卫生用品更换频率<3次/d、清洗阴道频率≥2次/周、性生活频率≥3次/周、性伴侣个数≥2个、体外射精或无避孕措施、喜食甜食或辛辣食物、睡眠质量差(均OR>1,P<0.05)均是BV、VVC发病的危险因素。结论:生活方式及行为因素与BV、VVC发病风险密切相关,临床应加强对女性生活方式及行为的干预,以降低BV、VVC的发病风险。

    Abstract:

    Objective: To explore the correlation between lifestyle and behavioral factors and the risk of bacterial vaginosis (BV) and vulvovaginal candidiasis (VVC). Methods: A total of 150 gynecological patients admitted from May 2023 to May 2025 were selected and divided into the BV group, the VVC group and the control group (50 cases in each group) according to the diagnosis results. Lifestyle and behavioral factors were collected through questionnaires, and multivariate Logistic regression analysis was used to analyze the correlation between lifestyle and behavioral factors and the risk of BV and VVC. Results: Univariate analysis showed that there were statistically significant differences in menstrual cycle, frequency of changing menstrual hygiene products, frequency of vaginal cleaning, frequency of sexual life, number of sexual partners, contraceptive methods, dietary preferences, and sleep quality between the BV group and the VVC group and the control group (P<0.05). Multivariate Logistic regression showed that irregular menstrual cycle, frequency of changing menstrual hygiene products <3 times/day, frequency of vaginal cleaning ≥2 times/week, frequency of sexual life ≥3 times/week, number of sexual partners ≥2, external ejaculation OR no contraceptive measures, preference for sweet or spicy food, and poor sleep quality (all OR>1) P<0.05) were all risk factors for the onset of BV and VVC. Conclusion: Lifestyle and behavioral factors are closely related to the risk of BV and VVC. Clinical intervention in women"s lifestyle and behavior should be strengthened to reduce the risk of BV and VVC.

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  • 收稿日期:2026-01-13
  • 最后修改日期:2026-02-25
  • 录用日期:2026-03-15
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