摘要
目的:了解边远山区妇女孕早期艾滋病、梅毒、乙型肝炎检测的现况,探讨检测的影响因素。方法:采用成组病例对照的研究方法,以云南省艾滋病高发地区4个边缘乡为研究地点,问卷调查怀孕32周～产后6月的妇女孕早期艾滋病、梅毒、乙型肝炎检测情况及相关因素。结果:共调查孕早期未接受艾滋病、梅毒、乙型肝炎检测的妇女83例,孕早期接受艾滋病、梅毒、乙型肝炎检测的妇女83例,42.0%的孕产妇未接受检测的原因是不知道有艾滋病、梅毒、乙型肝炎检测。病例组孕产妇艾滋病、梅毒、乙型肝炎相关知识知晓率分别为55.8%、38.6%和44.1%;对照组孕产妇艾滋病、梅毒、乙型肝炎相关知识知晓率分别为67.6%、73.3%和55.3%。无住院分娩经历、缺乏孕期动员检测、不知道艾滋病性传播途径、不知道梅毒的危害、艾森克人格问卷N量表分高是未接受检测的危险因素。结论:孕期保健与动员检测难以有效结合,缺乏艾滋病、梅毒、乙型肝炎的相关知识限制了边远山区妇女孕早期对其检测的开展,神经质人格特质也影响孕产妇接受检测。
Objective： To understand the current situations of acquired immune deficiency syndrome（AIDS）,syphilis and hepatitis B screening among women during the first trimester of pregnancy from remote mountainous areas,and explore the influencing factors.Methods： A paired case-control study was conducted,four villages from areas with high prevalence rate of AIDS in Yunan province were selected as study points,a questionnaire survey was carried out to investigate the screening situations and related factors of AIDS,syphilis and hepatitis B among women from 32 gestational weeks to six months after delivery.Results： A total of 83 women during the first trimester of pregnancy didn＇t receive AIDS,syphilis and hepatitis B screening,while AIDS,syphilis and hepatitis B screening received AIDS,syphilis and hepatitis B screening,the cause of 42.0% of the pregnant women not receiving screening was that they didn＇t understand AIDS,syphilis and hepatitis B screening.In case group,the awareness rates of AIDS,syphilis and hepatitis B-related knowledge among the pregnant women were 55.8%,38.6% and 44.1%,respectively;while in control group,the awareness rates were 67.6%,73.3% and 55.3%,respectively.The risk factors of AIDS,syphilis and hepatitis B screening including not having hospital delivery history,lacking gestational mobilization of screening,having no idea about sexual transmission route of AIDS and the harms of syphilis and high score of Eysenck Personality Questionnaire.Conclusion： Gestational health care and mobilization of screening can ＇t combine with each other,the deficiencies of AIDS,syphilis and hepatitis B-related knowledge limit the development of AIDS,syphilis and hepatitis B screening among women during the first trimester of pregnancy from remote mountainous areas,neuroticism also has impact on the screening.
出处
《中国妇幼保健》
CAS
北大核心
2013年第22期3629-3632,共4页
Maternal and Child Health Care of China
基金
云南省卫生厅卫生系统学科带头人培养计划〔D-201253〕
中国疾病预防控制中心妇幼保健中心母婴营养与健康研究项目〔2012FY021〕
