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    贵州省预防艾滋病母婴传播调研报告

    摘要

    本报告系统研究了贵州省孕产妇人群中HIV流行趋势及流行特征、孕产妇对艾滋病相关知识知晓及HIV检测服务利用、HIV感染孕产妇生育意愿及影响因素、各级医疗保健机构干预技术提供及影响因素、HIV感染孕产妇孕期干预效果及影响因素。研究结果显示,全省孕产妇HIV检测率、孕期检测率分别从2011年的86。06%、31。50%显著提高至近年的96。99%、59。02%(P<0。001),HIV阳性检出率从3。78/万增加至4。01/万(P>0。05);近三年确诊的HIV孕产妇人口学特征均以21~30岁、汉族、初中以下文化和初婚妊娠为主,性传播感染的比例由84。85%上升至90。59%;孕产妇对艾滋病知识的平均知晓率仅为61。54%,对HIV抗体检测服务利用较好,93。77%接受HIV检测;近三年HIV阳性孕产妇选择终止妊娠的比例从7。46%增加至26。47%,无职业的HIV感染孕产妇更愿意选择终止妊娠。396例继续妊娠的HIV感染孕产妇,抗病毒治疗率、孕期抗病毒治疗率均不足50%,且近三年无明显提高。孕期抗病毒治疗与孕产妇现有子女数、确认感染时期、接受干预服务时期3个因素密切相关。通过将系列研究成果应用于实际工作,全省孕产妇HIV检测率提升至2013年的96。99%,达到全国平均水平,基本实现“逢孕必检”;通过推广应用母婴阻断综合干预技术,贵州省艾滋病母婴传播率由2010年的7。78%(全国为7。9%)下降至2014年的5。48%(全国6。1%),贵州省预防艾滋病母婴传播成效非常显著。但HIV感染孕产妇主要为文化程度低、经济状况差的农民或农民工,孕产妇HIV感染有上升趋势,90%以上通过性传播感染等特征应引起各级政府高度重视,应切实加强对高危人群的艾滋病防控,才能减少育龄妇女感染风险。

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    Abstract

    This report system was studied in guizhou province maternal crowd characteristic, maternal HIV epidemic trend and fashion on HIV/AIDS related knowledge about and HIV testing services use, HIV infection and influencing factors of maternal childbearing willing, medical and health institutions at various levels intervention techniques provide and influencing factors of maternal pregnancy, HIV intervention effect and influence factors. The results showed that the province maternal HIV detection rate, pregnancy detection rate from 86.06% in 2011, significantly increased from 31.50% in recent years were 96.99%, 59.02% (P < 0.001), HIV positive detection rate increased from 3.78/4.01 / million (P > 0.05); Confirmed HIV maternal demographic characteristics are nearly three years in 21 ~ 30 years old, the han nationality, junior high school the following culture and marriage for pregnancy is given priority to, the proportion of sexually transmitted infections (stis) rose from 84.85% to 90.59%; The average knowledge of maternal knowledge of HIV/AIDS was only 61.54%, with better use of HIV antibody testing services and 93.77% for HIV testing; The proportion of hiv-positive mothers who had chosen to terminate their pregnancies increased from 7.46% to 26.47 percent in nearly three years, while non-occupational HIV infected mothers preferred to terminate their pregnancies. There were 396 cases of HIV infection with continued pregnancy, less than 50% of antiviral treatment, and no significant improvement in the past three years. Three factors are closely related to the treatment of antivirus in pregnancy and the number of children present, the confirmation of infection, and the period of intervention. The application of series of research results to the practical work, the provincial maternal HIV detection rate up to 96.99% in 2013, reached the national average, basic implementation "every pregnancy will check"; Through integrated intervention technology, maternal and child block mother-to-child transmission of HIV/AIDS in guizhou rate from 7.78% in 2010 (the 7.9%) dropped to 5.48% in 2014 (6.1%), prevention of HIV mother-to-child transmission effect is significant in guizhou. But maternal HIV infection are mainly low degree of culture, poor economic condition of the farmers or migrant workers, maternal HIV infection have a rising trend, more than 90% of the sexually transmitted infection characteristics should be taken at all levels of government attaches great importance to, and should strengthen to the high risk population of HIV/AIDS prevention and control, to reduce the risk of infection among women of reproductive age.

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    作者简介
    牟鸿江:牟鸿江,贵州省疾病预防控制中心妇幼保健所所长,主任医师,硕士生导师,主要研究方向为妇幼保健管理及预防母婴传播。
    张玉琼:张玉琼,通信作者,贵州省疾病预防控制中心主任,副主任医师,硕士生导师。
    王伟人:
    杨梅:
    何蕾:
    朱玲:
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