摘要
目的了解瑞安市2016—2018年孕产妇艾滋病知晓情况和相关性行为特征,为制定艾滋病防治策略和干预措施提供依据。方法对2016—2018年每年4—7月期间首次到瑞安市妇幼保健院进行孕产期保健的孕产妇进行问卷调查,并采血进行HIV抗体、梅毒抗体、HCV抗体血清学检查。结果2016—2018年共监测孕产妇1200人,其艾滋病知识总体知晓率86.25%,各年度分别为82.00%、85.00%、91.75%,呈逐年上升趋势(χ^2=16.82,P<0.001)。年龄大于25岁、文化程度越高、初次孕产及生育次数越少者知晓率越高。孕产妇本人和其丈夫去过外地打工经商的比例分别为16.08%、19.25%,吸毒的比例分别为0.25%、1.16%,丈夫患过艾滋病或性病的占0.08%。孕产妇HIV抗体、梅毒抗体和HCV抗体阳性检出率分别为0、0.17%和0.08%。结论瑞安市孕产妇艾滋病HIV感染率总体处于低流行水平,但部分孕产妇存在本人或丈夫吸毒、丈夫患性病等现象,存在感染艾滋病/性病的风险,应当进一步采取有效措施,控制艾滋病/性病在该人群中传播。
Objective To investigate HIV/AIDS-related knowledge awareness and sexual behavior characteristics among pregnant women and puerperae in Ruian city from 2016 to 2018,and provide a basis for developing HIV/AIDS prevention and treatment strategies and intervention measures.Methods Questionnaire surveys were conducted among pregnant women and puerperae who visited Rui’an Maternal and Child Health Care Hospital for the first time from April to July each year in 2016-2018,and blood samples were collected to detect serum antibodies against HIV,syphilis and HCV.Results A total of 1,200 pregnant and lying-in women were monitored from 2016 to 2018,and the total awareness rate of HIV/AIDS-related knowledge was 86.25%.The awareness rates of HIV/AIDS-related knowledge in 2016-2018 were 82.00%,85.00%and 91.75%,respectively,showing an upward tendency year by year(χ^2=16.82,P<0.001).The awareness rate was found to be higher in pregnant and lying-in women aged above 25 years,those with higher educational background,primiparae and those with fewer births.The proportions of pregnant and lying-in women and their husbands who had been to other cities for working or doing business were 16.08% and 19.25%,respectively,and the proportions of drug abuse were 0.25% and 1.16%,respectively.Husbands who suffered from AIDS or sexually transmitted diseases(STDs)accounted for 0.08%.The positive detection rates of antibodies against HIV,syphilis and HCV in pregnant and lying-in women were 0,0.17% and 0.08%,respectively.Conclusions The rate of HIV infection in pregnant and lying-in women in Rui’an city is generally at a low prevalence level.Drug abuse is observed in some pregnant and lying-in women and their husbands,and STDs are found in their husbands;and hence,the maternal are at risk of contracting HIV/AIDS&STDs infection.We should take further effective measures to control the spread of HIV/AIDS&STDs among this population.
作者
包佳佳
王大勇
叶振淼
胡允雷
BAO Jia-jia;WANG Da-yong;YE Zhen-miao;HU Yun-lei(Wenzhou Maternal and Child Health Care Institute,Wenzhou,Zhejiang 325000,China;Wenzhou Municipal Center for Disease Control and Prevention,Wenzhou,Zhejiang 325000,China;Ruian Center for Disease Control and Prevention,Wenzhou,Zhejiang 325200,China)
出处
《实用预防医学》
CAS
2019年第12期1421-1424,共4页
Practical Preventive Medicine
关键词
孕产妇
艾滋病
哨点监测
pregnant and lying-in women
AIDS
sentinel surveillance
