摘要
目的了解钦州市2010—2014年预防艾滋病母婴传播干预措施的效果,为进一步制定预防艾滋病母婴传播策略提供依据。方法从国家妇幼卫生综合信息平台中的"预防艾滋病、梅毒和乙肝母婴传播管理信息系统",收集2010—2014年HIV阳性孕产妇及所生婴儿个案等相关资料进行回顾性分析。结果五年来接受艾滋病咨询和HIV抗体检测的孕产妇均为374 190例,咨询率和检测率均为99.37%;经检测发现及确认HIV抗体阳性孕产妇416例,HIV抗体检测阳性率为0.11%;在HIV抗体阳性孕产妇人口学特征中,阳性率占比例较高的分别是20~30岁组(66.99%)、汉族(92.55%)、农民及民工(31.25%)、初婚者(71.63%)和初中及高中文化(70.76%)这类人员;HIV抗体阳性孕产妇服用抗HIV药物的共357人,服药率为85.82%。而HIV抗体阳性产妇所生婴儿414人,服用抗HIV药物的婴儿共390人,服药率为94.20%。两者服药率均呈上升趋势(P<0.001);对服用抗HIV药物后并满18月龄的321例儿童检测HIV抗体,共发现并确认7例HIV阳性儿童,检测阳性率为2.18%。结论钦州市实施预防艾滋病母婴传播干预策略取得显著效果,艾滋病母婴传播率远低于我国防治艾滋病十二五规划制定<5%的目标。
Objective To understand the effect of intervention measures for mother-to-child transmission of AIDS inQinzhou City, 2010-2014, we provided the evidence for making effective intervention measures. Methods The HIV data ofpregnant and puerperal women and their newborns, 2010- 2014 were collected from the＂prevention of mother- to- childtransmission of HIV, syphilis and hepatitis B management system＂and analyzed. Results A total of 374 190 pregnantwomen accepted HIV counseling and HIV antibody tests in last five years, and the consulting rate and detection rate were both99.37%. Totally 416 pregnant women were HIV antibody positive with the positive rate of 0.11%. The populations with the highpositive rate included 20-30 years old group（66.99%）, Han nationality（92.55%）, farmers, migrant workers（31.25%）, the firstmarriage persons（71.63%） and persons with junior or senior high school education level（70.76%）. A total of 357 pregnantwomen with positive HIV antibody took the anti-HIV drugs with the rate of 85.82%. Among the 414 cases of live births, 390 cases took the anti-HIV drugs with the rate of 94.20%. Both the medicine-taken rates of pregnant women and live birthsshowed upward trends（P〈0.001）. HIV antibodies were detected in 321 children aged 18 months who took anti-HIV drugs,and 7 cases were HIV positive with the positive rate of 2.18%. Conclusion The intervention measures for mother-to-childtransmission of AIDS are significantly effective in Qinzhou City, and the HIV/AIDS rate of mother-to-child transmission is farlower than 5%, which is the aim of the 12 th five-year plan of our country.
作者
唐维骏
沈平
陆艳
孙雷
覃允
TANG Weijun SHEN Ping LU Yan SUN Lei QIN Yun(Qinzhou Maternal and Child Health Hospital, Qinzhou, Guangxi 535099, China)
出处
《中国热带医学》
CAS
2017年第1期72-75,共4页
China Tropical Medicine
基金
钦州市科技开发项目(No.201411301)
