2012-2014年凉山州预防艾滋病母婴传播工作状况及影响因素分析  

Analysis of the prevention of and the influencing factors for mother-to-child transmission of AIDS in Liangshan Prefecture between 2012 and 2014

作　　者：崔鑫宇 李崇行 曾璨[1] 奚静[1] 彭竞[3] 何海[1] 李巧巧[1] 栾荣生[1] 

机构地区：[1]四川大学华西公共卫生学院(华西第四医院),四川成都610041 [2]四川省凉山州性病艾滋病防治协会,四川西昌615000 [3]四川省凉山州妇幼保健院,四川西昌615000

出　　处：《现代预防医学》2016年第4期640-642,共3页Modern Preventive Medicine

基　　金：凉山州性病艾滋病防治协会项目(LSHIV2014-01)

摘　　要：目的描述凉山州2012-2014年预防艾滋病母婴传播工作开展状况,并分析其影响因素。方法采用定量与定性相结合的方式,描述凉山州预防艾滋病母婴传播工作状况;运用个人深入访谈、焦点小组访谈等方法探究预防艾滋病母婴传播工作中的影响因素。结果 2012-2014年凉山州孕产妇HIV阳性检出率分别为0.54%(238/43 827)、0.64%(367/56 992)、0.92%(607/66 130),HIV感染孕产妇及所娩儿童服药比例逐年提高,2013-2014年满18月龄儿童检测率较低(77.25%、84.39%)。影响因素包括:政策制定及管理体系、多部门合作、妇幼卫生资源、随访干预工作开展等。结论凉山州预防艾滋病母婴传播工作取得一定成效。但仍需制定并完善相关政策,构建科学的管理体系,整合多部门资源,开发有效随访干预模式,最终保证预防艾滋病母婴传播工作效果。Objective The study aimed to describe the progress in prevention of mother-to-child transmission of AIDS in Liangshan Prefecture between 2012 and 2014 and analyze the influencing factors. Methods The progress in prevention of mother-to-child transmission of AIDS in Liangshan Prefecture was quantitatively and qualitatively analyzed. In-depth one-on-one interviews and focus group interviews were conducted to study on the influencing factors for the status of the mother-to-child AIDS transmission preventionl Results The positive rates of HIV among pregnant and postnatal women in Liangshan Prefecture were 0.54% （238/43827）, 0.64% （367/56992）, and 0.92% （607/66130） in 2012 through 2014, respectively. The percentage of treated HIV-positive pregnant women and postnatal women and their children had increased over the years, and the positive rates in 2013 and 2014 were low （77.25% and 84.39%） among children over 18 months of age. The influencing factors included policy-making and management structure, multi-departmental collaboration, health resources for women and children, and follow-up intervention. Conclusion The prevention of mother-to-child transmission of AIDS in Liangshan Prefecture has been effective. However, related policies should continue to be implemented and improved, scientific management mechanism should be established, multi- depamnental resources should be integrated, and effective follow-up intervention model should be designed to ultimately ensure the effectiveness of mother-to-child AIDS transmission prevention.

关 键 词：艾滋病 母婴传播 影响因素 

分 类 号：R181.13[医药卫生—流行病学]