生殖道感染―影响妇女精神状态的主要因素：有无生殖道感染的纳西族妇女的焦虑和抑郁症状的比较
摘要
Objective: 1) to explore the relationship between RTIs and mental status of Naxi women; 2) to compare the differences of depression & anxiety between Naxi women who have and not have RTIs; and 3) to put forward some suggestions for improving Naxi women's reproductive health in psychological point of view. Methods: A cross-sectional survey was adopted. 280 married Naxi female volunteers who aged above 20 were selected by cluster random sampling front the two selected villages of Luguhu Township of Yanyuan county in Sichuan where Naxi mainly reside. Two self-reporting scales, CES-D and SAS were used for assessment of depression and anxiety of the subjects. Results: The fasts of mental status of Sichuan Naxi women brook no optimism. Among 280 Naxi reproductive age women who were investigated in current study, only 74 (26.4%) have no depression symptoms, and 116 (41.4%) have no anxiety symptoms. For the study population, the average total scores (TS) of CES-D was 20.1, and the average total index scores (TIS) of SAS was 50.2, and both of them were above a minimum value doubted to have symptoms. There were big differences of both average TS of CES-D and TIS of SAS between Naxi women who have and not have RTIs. Further analysis revealed that RTI is a main risk factor influencing women's mental status (OR=16.043 for depression, and OR=12.954 for anxiety). In addition, Naxi women's depression and anxiety are related to order births (≤2, OR=3.149, 95% CI: 1.228, 8.076), sex debut is younger (17, OR=3.043, 95% CI: 1.895, 4.884), and multiple pregnancy (3, OR=2.728, 95% CI: 1.990, 4.173), etc. It was suggested that for improving Naxi women's mental status, a pressing matter of the moment is to obtain the knowledge about mental health and the diagnosis and treatment levels of psychological disorders for local medical persons. Meanwhile, psychological counselling may be an important evenet in reproductive health services.