NGHIÊN CỨU TÌNH HÌNH VIÊM ÂM ĐẠO NHIỀU LẦN Ở PHỤ NỮ ĐẾN KHÁM TẠI BỆNH VIỆN PHỤ SẢN THÀNH PHỐ CẦN THƠ NĂM 2023-2024

Abstract

Background: Recurrent vaginitis or multiple episodes of vaginitis are related concepts involving repeated vaginal infections, but they differ in characteristics, frequency, and implications for diagnosis and treatment. Objectives: To determine the prevalence of recurrent vaginitis and to identify some risk factors for recurrent vaginitis in women examine Can Tho Gynecology and Obstetrics Hospital in 2023 - 2024. Subjects and methods: The study employed a complete sampling method from May 1, 2023, to May 31, 2024, recording a total sample size of n=5,063 participants for the cross-sectional descriptive study (objective 1). A simple random sampling method was used with a case-to-control ratio of 1:1, yielding a sample size of n1=n2=140 for each group in the case-control study (objective 2). Results: The prevalence of recurrent vaginitis was 20.5%. The distribution of recurrent vaginitis cases by frequency showed that 72.3% of patients experienced it twice, 17.3% three times, and 10.4% four or more times. Five significant risk factors for recurrent vaginitis were identified: overweight/obesity; high intake of sugary foods; wearing tight underwear; drying underwear in shaded or indoor areas; and sexual intercourse during menstruation. The odds ratios and 95% confidence intervals for these factors were 2.408 (1.386–4.183), 1.987 (1.109–3.559), 3.914 (1.906–8.04), 3.717 (1.398–9.883), and 5.071 (1.29–19.932), respectively, with p < 0.05. Conclusion: It is recommended to implement awareness campaigns on recurrent  vaginitis or multiple episodes of vaginitis  prevention, emphasizing risk factors such as weight management, dietary habits, and personal hygiene.