四川省凉山州HIV感染产妇所生婴儿安全人工喂养及影响因素
发布时间：2018-12-20 06:11
【摘要】：目的在艾滋病疫情严重的四川凉山州,开展艾滋病病毒(HIV)感染产妇所生婴儿喂养方式的调查,为制定适合该地区艾滋病暴露儿童安全喂养策略提供依据。方法从预防艾滋病、梅毒、乙型肝炎母婴传播管理信息系统中,获得调查对象的基本信息。使用自行设计的问卷通过一对一、面对面的询问方式,回顾性调查HIV感染产妇及所生婴儿接受预防艾滋病母婴传播服务和保健服务的相关信息。结果 2014年凉山州308例HIV感染产妇所生婴儿的人工喂养率为92.2%(284/308),其中仅21.8%(62/284)符合安全人工喂养行为。母亲或抚养人实施人工喂养时,不能每次洗手和清洗喂养容器是调查地区最常见的不安全人工喂养行为。多因素Logistic回归分析显示:家庭收入相对较高与安全人工喂养有关,同年收入5 000元的家庭相比,收入在5 000~10 000元和10 000元的家庭安全喂养比例高,调整比值比(aOR)分别为0.34[95%可信区间(CI):0.131~0.885]和0.367(95%CI:0.149~0.902),水源为安全饮用水的家庭发生非安全人工喂养的风险是水源为不安全饮用水家庭的0.2倍(aOR=0.2,95%CI:0.06~0.654)。结论凉山州HIV感染产妇所生婴儿人工喂养比例高,但是符合安全人工喂养要求的比例低,家庭收入和家庭饮用水源等因素影响安全人工喂养行为。
[Abstract]:Objective to investigate the feeding methods of infants born to pregnant women infected with HIV (HIV) in Liangshan Prefecture of Sichuan Province so as to provide a basis for the formulation of safe feeding strategies for children exposed to AIDS in this area. Methods from the prevention of AIDS, syphilis, hepatitis B mother-to-child transmission management information system, to obtain the basic information of the survey object. The self-designed questionnaire was used to investigate retrospectively the information of HIV infected women and their babies receiving PMTCT services and health care services through one-to-one, face-to-face inquiry. Results in 2014, the rate of artificial feeding of 308 infants with HIV infection in Liangshan state was 92.2% (284 / 308), of which only 21.8% (62 / 284) was safe artificial feeding. It is the most common unsafe feeding behavior for mothers or dependents to wash their hands and clean feeding containers every time. Multivariate Logistic regression analysis showed that the relatively high household income was related to safe artificial feeding. Compared with the families with annual income of 5,000 yuan, the proportion of safe feeding in families with income of 5 000 yuan or 10 000 yuan was higher than that of families with income of 5 000 yuan or 10 000 yuan per year. The adjusted ratios of (aOR) were 0.34 [95% confidence interval (CI): 0.131 ~ 0.885] and 0.367 (95%CI:0.149~0.902), respectively. Households with safe drinking water were 0. 2 times more likely to develop unsafe artificial feeding than households with unsafe drinking water (aOR=0.2,95%CI:0.06~0.654). Conclusion the rate of artificial feeding of infants born to pregnant women infected with HIV in Liangshan state is high, but the proportion that meets the requirement of safe artificial feeding is low. The factors such as family income and family drinking water source influence the safe artificial feeding behavior.
【作者单位】： 凉山州妇幼保健计划生育服务中心;中国疾病预防控制中心妇幼保健中心;
【基金】：国家卫生计生委-联合国儿童基金会预防艾滋病,梅毒和乙肝母婴传播项目(0135YH 602)~~
【分类号】：R714.251
，
本文编号：2387550
[Abstract]:Objective to investigate the feeding methods of infants born to pregnant women infected with HIV (HIV) in Liangshan Prefecture of Sichuan Province so as to provide a basis for the formulation of safe feeding strategies for children exposed to AIDS in this area. Methods from the prevention of AIDS, syphilis, hepatitis B mother-to-child transmission management information system, to obtain the basic information of the survey object. The self-designed questionnaire was used to investigate retrospectively the information of HIV infected women and their babies receiving PMTCT services and health care services through one-to-one, face-to-face inquiry. Results in 2014, the rate of artificial feeding of 308 infants with HIV infection in Liangshan state was 92.2% (284 / 308), of which only 21.8% (62 / 284) was safe artificial feeding. It is the most common unsafe feeding behavior for mothers or dependents to wash their hands and clean feeding containers every time. Multivariate Logistic regression analysis showed that the relatively high household income was related to safe artificial feeding. Compared with the families with annual income of 5,000 yuan, the proportion of safe feeding in families with income of 5 000 yuan or 10 000 yuan was higher than that of families with income of 5 000 yuan or 10 000 yuan per year. The adjusted ratios of (aOR) were 0.34 [95% confidence interval (CI): 0.131 ~ 0.885] and 0.367 (95%CI:0.149~0.902), respectively. Households with safe drinking water were 0. 2 times more likely to develop unsafe artificial feeding than households with unsafe drinking water (aOR=0.2,95%CI:0.06~0.654). Conclusion the rate of artificial feeding of infants born to pregnant women infected with HIV in Liangshan state is high, but the proportion that meets the requirement of safe artificial feeding is low. The factors such as family income and family drinking water source influence the safe artificial feeding behavior.
【作者单位】： 凉山州妇幼保健计划生育服务中心;中国疾病预防控制中心妇幼保健中心;
【基金】：国家卫生计生委-联合国儿童基金会预防艾滋病,梅毒和乙肝母婴传播项目(0135YH 602)~~
【分类号】：R714.251
，
本文编号：2387550
本文链接：https://www.wllwen.com/yixuelunwen/fuchankeerkelunwen/2387550.html
最近更新
教材专著
