摘要
目的了解我国东部地区梅毒感染孕产妇配偶/性伴的梅毒检测情况,探讨相关影响因素。方法利用预防艾滋病、梅毒和乙肝母婴传播管理信息系统中我国东部两个省份的监测数据,对2013年分娩的梅毒感染孕产妇配偶/性伴的梅毒检测和感染状况进行分析。结果共有2620例梅毒感染孕产妇及其配偶/性伴纳入本次分析。仅有687例（26.2%）配偶/性伴的梅毒感染状态得到明确诊断,其中梅毒感染者174例,占诊断明确者的25.3%。孕产妇文化程度越高,其配偶/性伴感染状态明确诊断可能性也越大（a OR=1.184,95%CI：1.049~1.335;P=0.006）。有梅毒既往感染史孕产妇的配偶/性伴者比没有既往史者感染明确诊断可能性大（a OR=2.092,95%CI：1.710~2.558;P〈0.001）。孕产妇妊娠梅毒诊断时期越晚,配偶/性伴感染明确诊断的可能性也越小（a OR=0.492,95%CI：0.415~0.584;P〈0.001）。结论梅毒感染孕产妇配偶/性伴的梅毒检测率较低。配偶/性伴感染状态是否明确诊断同孕产妇的教育程度、既往妊娠感染史及妊娠梅毒诊断时期等多个因素之间存在关联。建议加强措施,进一步提高配偶/性伴检测率并及时治疗感染者,降低孕产妇再次发生感染的危险性。
Objective To understand the uptake and associated factors of syphilis testing among spouses / partners of syphilis infected pregnant women in the eastern area of China. Methods Syphilis case reporting data of two provinces in eastern China from the ‘Information System of Prevention of Mother-to-child Transmission of HIV,syphilis and HBV Management’were included in the study. Testing data were analyzed among spouses / partners of infected women delivered in 2013. Results 2620 syphilis infected pregnant women and their spouses / partners were involved in this study. Only 687（ 26. 2%） partners’ syphilis infection status had beendiagnosed,of whom 174（ 25. 3%） being syphilis positive. Spouses / partners of women with higher education levels were more likely to have their infection status diagnosed（ a OR = 1. 184,95% CI： 1. 049- 1. 335; P = 0. 006）. Compared with spouses / partners of women with no previous history of syphilis infection,those of women with infection history were more likely to have their infection status diagnosed（ a OR = 2. 092,95% CI： 1. 710- 2. 558; P 〈 0. 001）. The later the syphilis being detected for the pregnant women,the less likely their spouses / partners to have the infection status diagnosed（ a OR = 0. 492,95% CI： 0. 415- 0. 584; P 〈 0. 001）. Conclusion The uptake of Syphilis testing among spouses / partners of syphilis infected pregnant women was very low. The diagnosis ofspouses /partners’ infection status were associated with pregnant women’s education levels,history of syphilis infection and the time of pregnant women’s syphilis diagnosis. We suggest that further measures should be taken to promote the uptake of syphilis testing among spouses /partners of syphilis infected pregnant women and provide adequate treatment for those positive,hence to reduce the re-infection risk among pregnant women.
出处
《中国妇幼卫生杂志》
2015年第6期21-24,29,共5页
Chinese Journal of Women and Children Health
关键词
妊娠梅毒
配偶性伴检测
影响因素
maternal syphilis
spouses
partners
testing
associated factors
