2005-2011年中国西部HIV感染孕产妇配偶对其态度及影响因素分析  

Analysis of partner attitude toward HIV infected pregnant women and its influencing factors in western China during 2005-2011

作　　者：王前[1] 方利文[1] 王芳[1] 张志慧[1] 王爱玲[1] 王潇滟[1] 乔亚萍[1] 王临虹[1] 

机构地区：[1]中国疾病预防控制中心妇幼保健中心,北京100050

出　　处：《中华预防医学杂志》2013年第12期1118-1121,共4页Chinese Journal of Preventive Medicine

摘　　要：目的 调查HIV感染孕产妇配偶知晓孕产妇HIV感染状态后对其态度变化情况及影响因素.方法 采用多阶段横断面调查方法,于2005年至201 1年对新疆的伊宁市,云南的瑞丽市和陇川县,广西的贺州市、灵山县和凭祥市等6个研究地区医疗保健机构所发现的1164例HIV感染孕产妇进行问卷调查.调查研究对象的社会人口学特征、性行为及其配偶的态度,分析HIV感染孕产妇受配偶歧视的影响因素.结果 85.1％ （991/1164）的感染HIV孕产妇配偶已知晓其HIV感染状态,其中有39例HIV感染孕产妇认为配偶对自己有歧视,占3.9％.多因素分析结果显示,城镇户籍的HIV感染孕产妇遭受配偶歧视的比例为6.5％ （15/231）,农村户籍HIV感染孕产妇受到配偶歧视的比例较低,为3.2％（24/760）（OR=0.40,95％ CI：0.12 ～ 0.77）;初婚HIV感染孕产妇受到配偶歧视的比例为2.9％ （21/731）,再婚者及其他婚姻状态HIV感染孕产妇现任配偶歧视的比例较高,分别为6.5％ （15/232）（OR=2.45,95％ CI：1.61～5.25）、10.7％ （3/28）（OR=3.77,95％CI：1.46～9.88）;未与现任配偶以外的人发生过性关系的HIV孕产妇受到配偶歧视的比例是2.6％ （15/580）,而与现任配偶以外的人发生过性关系者受配偶歧视的比例较高,为5.9％（23/389）（OR =2.21,95％ CI：1.80 ～6.23）.结论 HIV感染孕产妇受配偶歧视与其人口学特征及性行为特征有关.Objective To analyze partner attitude change and influencing factors on HIV infected pregnant women HIV disclosure. Method A nmhi-stage cross sectional method was used to collect information by questionnaires on 1164 HIV infected pregnant women in 6 counties including Ruili and l,ongchuan in Yunnan, Hezhou, Lingshan and Pingxiaug in Guangxi and Yining in Xinjiang. lntbrmation on demographic charac, teristies and sexual behavior of the subjects and partner attitude toward HIV infected pregnant women were obtained. The influencing factors of partner＇s discrimination against HIV infected pregnant women were analyzed. Result A total of 991 （85. 1%） HIV infected pregnant women have disclosed HIV statns to partners among 1164 respondents and 39 （3.9%） reported they were discriminated against partners. Multivariate analysis showed that the 6. 5% （ 15/231 ） of HIV infected pregnant women in urban had discrimination from their husbands while the ratio among rural pregnant women was lower（3.2% （24/760） , OR ：0. 40,95% CI：0. 12 -0. 77）. Compared with the ratio of discrimination among the women of first marriage（ 2. 9% , 21/731 ） , the discrimination ratio among women with remarriage and other status was higher （ 6. 5 % （ 15/232 ）, OR = 2. 45,95 % CI： 1.61 - 5.25 and 10.7 % （ 3/28 ）, OR = 3.77,95 % CI： 1.46 - 9.88 ） respectively. The discrimination ratio among pregnant women with multiple sexual partners was 5.9% （ 23/389 ）, higher than women with single partner （ 2. 6%, 15/580） （ OR = 2.21,95% CI： 1.80 - 6.23 ）. Conclusion The discrimination toward HIV infected pregnant women from husbands was related to demographic characteristics and sexual behaviors.

关 键 词：获得性免疫缺陷综合征 配偶 态度 孕产妇 影响因素 

分 类 号：R512.91[医药卫生—内科学]