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Prevalence of Reproductive Tract Infections Among Rural Married Women in Tamil Nadu, India: A Community Based Study

並列摘要


BACKGROUND: Reproductive tract infections (RTIs), which include sexually transmitted infections (STIs), cause considerable morbidity among women of reproductive age worldwide. Any morbidity in this group presents as a huge obstacle to the overall socioeconomic development of the community. Countrywide data in India indicate a higher prevalence in rural areas compared to urban areas. This study was conducted to determine the prevalence of RTIs in married women aged 18 to 45 years in a rural area of Kancheepuram District, Tamil Nadu, and to determine its association with social, demographic, obstetric factors, and contraceptive and menstrual hygiene practices. METHODS: This was a community based, cross sectional study conducted between March and November 2011, using a three stage sampling method on the prevalence of RTIs among married women aged 18-45 years. The study recorded the symptoms in the previous 12 months in the Karanai Puducheri village of Panchayat (Kancheepuram district, Tamil Nadu) using a standardized, semi-structured questionnaire. RESULTS: Among the 520 women who participated in the study, the prevalence of RTIs was 33.3% (95% CI: 33.3+3.4%). Vaginal discharge was the commonest symptom (23.7%). RTIs were significantly associated with age of women, duration of marriage, contraceptive practices, and personal and menstrual hygiene practices (p<0.05). CONCLUSION: The high prevalence of symptoms of RTIs and their association with modifiable risk factors, such as contraceptive usage and, personal and menstrual hygiene factors, suggest scope for intervention through health education programmes among women in preventing RTIs.

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