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目的了解兴化市孕产妇艾滋病(HIV)、梅毒(SP)和丙型肝炎病毒(HCV)感染现状、相关危险因素及艾滋病防治知识知晓情况,为制定兴化市母婴传播传染病防控提供科学依据。方法按照《全国艾滋病哨点监测实施方案操作手册》要求,对2010-2014年全市共计2 014名孕产妇进行问卷调查和血清学检测。结果 2010-2014年兴化市孕产妇中HIV阳性检出率0.05%,SP阳性检出率0.74%,HCV阳性检出率0.25%;艾滋病防治知识知晓率84.46%,呈逐年上升趋势(χ2=70.41,P<0.001),且文化水平越高,防治知识知晓率越高(χ2=118.10,P<0.001)。结论兴化市孕产妇人群艾滋病感染率尚低于全国水平,但该人群及其配偶流动性较大,其健康行为直接影响到全市的生育质量,因此,加大孕产妇艾滋病防治知晓的健康教育和行为干预仍是我市艾滋病防治工作的重点。
Objective To understand the status quo of HIV, syphilis (SP) and hepatitis C virus (HCV) infection among pregnant women in Xinghua City, the related risk factors and knowledge of HIV / AIDS prevention and control, so as to provide evidence for the prevention and control of MTCT in Xinghua Scientific basis. Methods A total of 2,014 pregnant women in the city from 2010 to 2014 were surveyed and serologically tested in accordance with the “Operation Manual of National AIDS Sentinel Surveillance Program”. Results In 2010-2014, the positive rate of HIV in pregnant women in Xinghua was 0.05%, the positive rate of SP was 0.74% and the positive rate of HCV was 0.25%. The awareness rate of AIDS prevention and treatment was 84.46% (χ2 = 70.41, P <0.001). The higher the level of education was, the higher the awareness of prevention and treatment was (χ2 = 118.10, P <0.001). Conclusion The prevalence of HIV infection among pregnant women in Xinghua City is still below the national average. However, the mobility of the population and their spouses is relatively high, and their health behaviors have a direct impact on the quality of childbirth in the city. Therefore, health education for HIV / AIDS prevention and control among pregnant women should be stepped up And behavioral intervention is still the focus of AIDS prevention and control work in our city.