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CME Table of Contents   
Year : 2006  |  Volume : 31  |  Issue : 1  |  Page : 32-33
 

Reproductive tract infection among female adolescents


Department of Community Medicine, Calcutta National Medical College, Kolkata., India

Date of Web Publication8-Aug-2009

Correspondence Address:
R Ram
Department of Community Medicine, Calcutta National Medical College, Kolkata.
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-0218.54931

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How to cite this article:
Ram R, Bhattacharya S K, Bhattacharya K, Baur B, Sarkar T, Bhattacharya A, Gupta D. Reproductive tract infection among female adolescents. Indian J Community Med 2006;31:32-3

How to cite this URL:
Ram R, Bhattacharya S K, Bhattacharya K, Baur B, Sarkar T, Bhattacharya A, Gupta D. Reproductive tract infection among female adolescents. Indian J Community Med [serial online] 2006 [cited 2019 Jun 16];31:32-3. Available from: http://www.ijcm.org.in/text.asp?2006/31/1/32/54931



   Introduction Top


Women's reproductive health is largely influenced by the state of their health during infancy, childhood and adolescence. Adolescents are parents of tomorrow. Compared with the boys, the adolescent girl's health, nutrition, education and development are more neglected, which has adverse effect on reproductive health. Moreover, a large number of people suffer in silence due to Reproductive Tract Infections and Sexually Transmitted Diseases, which are recognised to be an important health problem in India. Reproductive Tract Infections (RTI), which are preventable and treatable, are responsible for causing serious consequences of infertility, ectopic pregnancy, pregnancy wastage, low birth weight, etc [1] . Among the RTIs cervicitis (21-86%), PID (19-45%) and Vaginitis (21-32%) top the list as revealed by community-based studies in India [2] ,[3] . As the adolescents are important target group of prevention of RTIs assessment of the problem among them is urgently needed.

Under the above consideration the present study was under taken to estimate the prevalence of RTI among adolescent girls and determine the socio-demographic correlates of RTI.


   Material and Methods Top


The study was conducted in the Immunisation clinic run by the Department of Community Medicine of Calcutta National Medical College, Kolkata among the female adolescents aged 10 to 19 years who accompanied the beneficiaries of the clinic for vaccination. The total period of study was one month. Total 106 adolescents attending during the study period were selected for interview. Nevertheless, due to language barrier and unwillingness to response 6 of them were rejected from the study thus the sample population came to be 100. The respondents were asked whether they were having any problem realted to reproductive tracts, followed by direct questions on presence of symptoms of excessive vaginal discharge, pain in the lower abdomen, low backache, pain or burning while passing urine and dysmenorrhoea, etc.

Information was also collected about different socio­demographic factors on predesigned and pretested proforma. As a segment of the respondents was unmarried, per vaginal examination had not been done. So the operational definition of RTI was framed based on self-reported symptoms. Vaginitis was diagnosed in presence of visible or excessive vaginal discharge without lower abdominal pain/low backache. History of lower abdominal pain/low backache with vaginitis and only vaginal discharge together constituted RTI. Data thus collected were analysed statistically.


   Results and Discussion Top


It was observed that 35% of the girls had given the history excessive vaginal discharge without low backache/lower abdominal pain and they were supposed to suffer from vaginitis and 29% have history of lower abdominal pain / low backache with vaginal discharge. So considering both the groups together 64% of the girls were suffering from RTIs. Among them 12% had history of burning sensation during micturition and 50% had dysmenorrhoea.

Aggarwal et al in their study of RTI among ever-married women of reproductive age in a rural area of Haryana estimated that 70% of of women were suffering from reproductive tract infections, which was nearly similar to the present study finding [2] . Misra et al in urban resettlement colony of Delhi observed dysmenorrhoea among 69.3% of their study subjects, which was more than that found in the present study [1] . In another study by Kumar et al 53% of respondents were reported to be suffering from pain during micturition which was much greater than the finding of the present study [4] .

The mean age of the adolescent girls interviewed was 17.8 ± 0.82 years. There was no significant difference between the mean ages of the RTI and non-RTI group. The mean ages of menarche of RTI group, non-RTI group and all the respondents were 12.7, 12.8 and 13.1 years respectively. The mean ages of respondents at marriage and at first pregnancy were 17.2 and 17.5 years respectively but no significant difference was observed between the RTI and non-RTI groups.

Majority of study subject were Muslims (57%) and prevalence of RTI was also observed highest (54.7%) among them but statistically the observed difference among the two communities was not significant. Although, 80% the study subjects were married but the prevalence RTI among the unmarried group (70%) was more compared to the married (60%). However, the difference was not statistically significant. The mean number of children of the girls was found to be 1.05. In the infected and the non-infected, group the mean number of children was 1.08 and 1.04 respectively, but the difference was not statistically significant. Prevalence of infection was seen to be highest among the illiterate group of girls (77%) and that gradually diminished with the improvement of literacy status. Prevalence of RTI was seen to be minimum in small-sized family (50%) and it gradually increased with the increase in the number of family members. But the association is also not significant.

 
   References Top

1.Misra TN, Chawla SC, Bajaj P, Goyal U, Pillai BP. Gynaecological diseases in women of reproductive age group - unmet needs in MCH care Indian J Comm Medicine 1997; 22: 104-9  Back to cited text no. 1    
2.Aggarwal AK, Kaur M, Kumar R. Community based study of reproductive tract infection among ever married women of reproductive age in rural area of Haryana J Common Dis 1999; 31:223-8.  Back to cited text no. 2    
3.Bang RA, Bang AT, Baitule M, Chaudhary Y, Sarmukaddam S, Tale O. High prevalence of gynaecological diseases in rural Indian women. The Lancet 1989; 1:85-8.  Back to cited text no. 3    
4.Kumar R, Kaur M, Aggarwal A K, Mahandiretta L., Reproductive tract infections and associated difficulties. World Health Forum 1996; 18:80-2.  Back to cited text no. 4    




 

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    Introduction
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    Results and Disc...
    References

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