高流行地区HIV感染产妇配偶HIV检测情况及影响因素分析

发布时间：2018-04-08 18:31

本文选题：艾滋病病毒　切入点：产妇　出处：《中国艾滋病性病》2015年06期

【摘要】：目的了解中国四川、云南、新疆三个艾滋病高流行地区,艾滋病病毒(HIV)感染产妇配偶的检测情况及影响因素,分析近年来配偶的HIV检测结果及感染的危险途径。方法选取3个艾滋病疫情相对高发省(自治区)中的3个地区(市、州)作为调查地区,常规收集2012-2014年间,HIV感染产妇在医疗保健机构接受预防艾滋病母婴传播服务时所提供的配偶的HIV检测相关信息,并通过国家预防艾滋病、梅毒和乙型肝炎母婴传播管理信息系统报告与收集相关数据,分析配偶HIV检测现状及感染途径等相关信息。结果共调查2007例HIV感染产妇及其配偶。其中接受过HIV检测的配偶占69.7%(1399人),检测结果为阳性者占63.6%(890/1399)。2012-2014年,各年配偶检测阳性率分别为60.7%(250/412)、64.2%(327/509)和65.5%(313/478),差异有统计学意义(χ2=11.71,P0.05)。37.8%(758/2007)的人报告有过注射吸毒行为。产妇及配偶均为HIV阳性的家庭,在孕期接受预防艾滋病母婴传播服务的比例为62.1%,高于其他类型家庭的49.6%,差异有统计学意义(χ2=46.22,P0.01)。结论配偶的HIV检测阳性率逐年提高,产妇及其配偶均为HIV感染的家庭,在孕期接受预防艾滋病母婴传播服务的比例较高,产妇及配偶的年龄、文化程度、婚姻状况、妊娠经历等,均为配偶接受HIV检测的影响因素。应针对不同类型的人群加强HIV检测的力度。
[Abstract]:Objective to investigate the status and influencing factors of spouses infected with HIV in Sichuan, Yunnan and Xinjiang in China, and to analyze the results of HIV detection and the risk ways of infection in recent years.Methods three regions (cities and states) of the three provinces (autonomous regions) with relatively high incidence of HIV / AIDS were selected as investigation areas.Routine collection of information on HIV testing for spouses provided by HIV-infected women in health care institutions during the period 2012-2014 when they receive services for the prevention of mother-to-child transmission of HIV, and prevention of AIDS through the country,The management information system for mother-to-child transmission of syphilis and hepatitis B reported and collected relevant data, and analyzed the current status of HIV detection and infection routes of spouses.Results A total of 2007 pregnant women with HIV infection and their spouses were investigated.The proportion of pregnant women receiving PMTCT services during pregnancy was 62.1, which was higher than that of other families (49.6p 0.01). The difference was statistically significant (蠂 2: 46.22 P 0.01).Conclusion the positive rate of HIV detection for spouses is increasing year by year. The proportion of pregnant women and their spouses who are infected with HIV is higher than that of pregnant women. The age, education level and marital status of pregnant women and their spouses are higher than those of their spouses.Pregnancy experience was the influencing factor for spouse to accept HIV test.HIV detection should be strengthened for different types of population.
【作者单位】：中国疾病预防控制中心妇幼保健中心;
【分类号】：R512.91

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