摘要
目的了解湖南省孕产妇艾滋病感染及阳性孕产妇流行特征。方法采集“预防艾滋病母婴传播管理信息系统”内湖南省2011年至2015年预防艾滋病母婴传播工作月报表和个案卡数据进行整理和分析（年份按3＋1模式统计）。结果湖南省2011年至2015的孕产妇艾滋病阳性感染率平均为0．19‰，呈逐年上升趋势（P〈0．05）；艾滋病产时诊断阳性病例占44．66％，呈逐年下降趋势（P〈0．05）。786例艾滋病阳性孕产妇民族以汉族为主，年龄主要分布在20-〈35岁，职业农民及农民工、家务及待业者占90．21％，文化程度高中／中专以下者占76．84％；HIV感染孕产妇确认感染时期在产时与产后者占37．91％；HIV感染孕产妇本次怀孕接受服务时期在产时产后者占36．51％；HIV感染孕产妇感染途径为性传播者占45．67％，感染途径不详者占46．82％；HIV感染孕产妇主要分布在三类地区和一类地区。结论湖南省孕产妇艾滋病感染率逐年上升，建议加大孕产妇预防艾滋病母婴传播宣教力度，提高孕产妇孕早期检测率，落实各项母婴阻断措施，降低艾滋病母婴传播率。
Objective To investigate the prevalence of human immunodeficiency virus （HIV） in- fection and its characteristics among pregnant women in HuMan. Methods Data from information system of prevention of mother-to-child transmission of HIV management in HuMan 2011 -2015 was analyzed in the study （3 ＋ 1 mode by year statistics）. Results The total HIV-positive infection rate was 0. 19‰ among pregnant women from 2011 to 2015 in HuMan. The rate of HIV infection showed upward trend by years （P 〈0. 05）. The proportion of diagnosis of HIV positive cases intrapartum was 44. 66%, showed declining trend by years （P 〈 0. 05 ）. The 786 cases of HIV positive pregnant women were mainly the Han＇s, the age distribution of 20 to 35 years old, 90. 21% of them were farmers or unemployed. A percentage （76. 84% ） of them had junior high school education level or lower 37.91% of them were found in delivery or postpar- tum. A percentage （36.51%） of them accepted service in delivery or postpartum. A percentage （45.67%） of them was infected through sexual contact, 46. 82% of them were infected by unknown ways. Conclusions The rate of HIV infection among pregnant women was increased by years in Hunan. It is sug- gested to strengthen health education among high-risk groups and high incidence areas, improve detection rate of early pregnant women, implement the Prevention of Mother to Child Transmission （PMTCT） measures to reduce the rate of mother to child transmission of Acquired Immune Deficiency Syndrome （AIDS）.
出处
《中国医师杂志》
CAS
2016年第12期1816-1819,共4页
Journal of Chinese Physician
