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首页> 外文期刊>Journal of women’s health >Self-Reported Reproductive Tract Infections and Ultrasound Diagnosed Uterine Fibroids in African-American Women
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Self-Reported Reproductive Tract Infections and Ultrasound Diagnosed Uterine Fibroids in African-American Women

机译：黑人妇女的自我报告的生殖道感染和超声诊断的子宫肌瘤

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Background: For decades, it has been hypothesized that reproductive tract infections (RTIs) are risk factors for uterine fibroids. However, only two recent studies have been conducted. We aimed to investigate the relationship between RTIs and fibroids in a large study using ultrasound screening for fibroids. Methods: We used cross-sectional enrollment data from African American women ages 23-34 years with no previous fibroid diagnosis. RTI history was measured by self-report and fibroid status by standardized ultrasound. Secondary fibroid outcomes were size, number, and total volume. Age- and multivariable-adjusted logistic regression were used to estimate odds ratios (ORs). Results: In total, 1,656 women were included; 22% had fibroids. Bacterial vaginosis (BV) was associated with a 21% increased odds of fibroids [aOR 1.21, 95% confidence interval (CI) 0.93-1.58]. Chlamydia infection and pelvic inflammatory disease were associated with a 38% (aOR 0.62, 95% CI 0.40-0.97) and a 46% (aOR 0.54, 95% CI 0.25-1.17) reduced odds of having two or more fibroids, respectively. Those with a previous BV diagnosis had a 47% increased odds of having 2 or more fibroids (aOR 1.47, 95% CI 0.98-2.21) and a 41% increased odds of having a larger total fibroid volume (aOR 1.41, 95% CI 0.98-2.04). Conclusions: Our study was the first to explore the relationship between RTIs and fibroid size, number, and total volume. There appeared to be no strong associations between self-reported RTIs and fibroids. Studies using serology, a biochemical measure of past infection, are needed to better investigate associations between RTIs and fibroids.
机译：背景：数十年来，一直有人认为生殖道感染（RTI）是子宫肌瘤的危险因素。但是，最近仅进行了两项研究。我们旨在通过超声筛查肌瘤来研究RTIs和肌瘤之间的关系。方法：我们使用了23-34岁的非裔美国女性的横断面研究数据，这些患者先前均未诊断为肌瘤。 RTI病史通过自我报告和肌瘤状态通过标准超声测量。次生肌瘤的结局是大小，数量和总体积。使用年龄和多变量调整的逻辑回归来估计比值比（OR）。结果：总共包括1656名妇女; 22％有肌瘤。细菌性阴道病（BV）与肌瘤几率增加21％相关[aOR 1.21，95％置信区间（CI）0.93-1.58]。衣原体感染和盆腔炎与分别有两个或多个肌瘤的几率降低了38％（aOR 0.62，95％CI 0.40-0.97）和46％（aOR 0.54，95％CI 0.25-1.17）。先前有BV诊断的患者具有2个或更多肌瘤的机率增加了47％（aOR 1.47，95％CI 0.98-2.21），具有较大的总肌瘤体积的机率增加了41％（aOR 1.41，95％CI 0.98） -2.04）。结论：我们的研究是第一个探讨RTIs与肌瘤大小，数量和总体积之间关系的研究。自我报告的RTI和肌瘤之间似乎没有很强的联系。需要使用血清学（一种过去感染的生化指标）进行研究，以更好地研究RTI和肌瘤之间的关联。

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