摘要
目的:研究我国艾滋病高流行的4省6县(市、区)HIV感染孕产妇HIV感染途径和危险行为特征。方法:对我国艾滋病高流行地区的4省6县(市、区)2006-2010年检测发现并确认感染的931例HIV感染孕产妇进行问卷调查。结果:①HIV感染孕产妇平均年龄(28.5±5.7)岁,78.8%集中在21-35岁年龄段,45.1%为汉族、54.9%为少数民族,87.6%为初中和小学及以下文化程度,67.2%为农民、26.2%为无业人员,92.5%为本县区户籍人口。②68.7%经异性途径感染,且经性接触途径感染HIV孕产妇比例逐年增加(χ2=6.577,P<0.05)。61.8%孕产期HIV筛查初次了解其HIV感染状况,38.2%经其他医疗保健途径发现。③与HIV感染丈夫/男友性行为占50.3%,多性伴占24.4%,有偿采供血(浆)占11.9%。有多性伴经历的HIV感染孕产妇所占比例呈逐年上升(χ2=5.029,P<0.05)。结论:性传播是孕产妇感染HIV的主要途径,与HIV感染固定性伴侣性行为和多性伴是HIV感染的主要危险因素;孕产期HIV筛查是发现HIV感染孕产妇的主要途径。
Objective： To learn HIV transmission routes and risk behavior of pregnant women living with HIV/AIDS in 6 counties of 4 provinces with relatively high - prevalence of HIV/AIDS. Methods： All 931 cases identified HIV - infected pregnant women were inves- tigated with structured questionnaire. Results： （j~）Median age of 931 HIV - infected pregnant women was 28 ＋ 5.7 years old, 78. 8% were ranged from 21 to 35 years old; 45. 1% were HaM; 54. 9% were from minority groups; 87. 6% had middle school or lower education level; 67. 2% were farmers; 26. 2% were unemployed; 92. 5% were residental while 7.5% were floating population. （~）68.7% were infected with HIV through heteroseuxal behavior. The proportion of women infected through heterosexual behavior were increased yearly （X2 = 6. 577, P 〈 0. 05） . 61.8% knew their HIV -positive status firstly through HIV testing during ANC, 38.2% knew that through other medical care. （~） Risk behavior： 50. 3% had sex with HIV - infected husbands of boyfriends, 24. 4% had multiple sexual partners. The proportion of women who had multiple sexual partners was increased yearly （X2 = 5. 029, P 〈 0. 05） . Conclusion： Heterosexual transmission is the main infec- tious route among HIV - positive pregnant women, having sex with HIV - infected husband or boyfriend and having multiple sexual partners is the main risk behavior. HIV Screening during ANC is the main route to dectect HIV - infected pregnant women.
出处
《中国妇幼保健》
CAS
北大核心
2013年第26期4285-4287,共3页
Maternal and Child Health Care of China
关键词
HIV
孕产妇
感染途径
Human immunodeficiency virus
Pregnant women
Infected route
