2012—2016年北京市西城区孕产妇艾滋病哨点监测结果  

Results of sentinel surveillance of AIDS/HIV among pregnant women in Xicheng District of Beijing from 2012-2016

作　　者：李良辰[1] 孙晓云[1] 闵婕[1] 李民[1] LI Liang-chen;SUN Xiao-yun;MIN Jie;LI Min(Department of STD and AIDS Control, Xicheng District Center for Disease Control and Prevention, Beijing, 100120, China)

机构地区：[1]北京市西城区疾病预防控制中心性病艾滋病防治科,北京100120

出　　处：《职业与健康》2018年第7期905-908,共4页Occupation and Health

摘　　要：目的了解北京市西城区孕产期妇女人类免疫缺陷病毒(HIV)及梅毒的感染现状、艾滋病防治知识知晓情况及其影响因素,为西城区防控策略制定及干预效果评估提供依据。方法 2012—2016年北京市西城区孕产妇监测哨点按照《全国艾滋病哨点监测实施方案操作手册》中的要求,对符合条件孕产妇开展的行为学调查问卷和血清学检测数据进行分析。结果 2012—2016年北京市西城区共监测孕产妇2 232例,收集有效问卷2 232份,血清学样本2 232份,无HIV阳性病例,梅毒阳性检出率为0.04%。2012—2016年2 232名孕产妇对艾滋病防治知识的平均知晓率为86.4%,且对艾滋病的非传播途径知识知晓情况较差。户籍、生育情况、文化程度及艾滋病咨询检测/安全套宣传与发放是影响孕产妇艾滋病防治知识知晓情况的4个危险因素。结论北京市西城区孕产妇人群中HIV多年未检出,梅毒检出率处于极低水平。应继续加强孕产妇人群,尤其是符合非本地户籍、低文化程度、经产妇(除本次怀孕外曾有过生育史)、未接受过艾滋病咨询检测或安全套宣传发放等特征孕产妇人群的艾滋病防治知识宣传工作,必要时可结合孕产妇产检服务进行一对一重点宣传。[Objective]To understand the status of human immunodeficiency virus（HIV） and syphilis infection, knowledge about AIDS prevention and control and influencing factors in pregnant women in Xicheng District of Beijing, provide a scientific basis for the formulation of the prevention and control strategy and evaluation of intervention effect in this area. [Methods] During2012 to 2016, in accordance with the requirements from the National AIDS sentinel surveillance program implementation manual, the maternal surveillance sentinels in Xicheng District conducted the behavioral questionnaire survey and serological test in eligible pregnant women, and analyzed the results. [Results] From 2012 to 2016, totally 2 232 pregnant women were monitored in Xicheng District. 2 232 valid questionnaires and 2 232 serological samples were collected. There was no positive case of HIV, and the positive rate of syphilis was 0.04%. From 2012 to 2016, the average awareness rate of knowledge about AIDS prevention and control among 2 232 pregnant women was 86.4%, and the awareness rate of knowledge about nontransmission routes of AIDS was low. Registered residence, fertility situation, degree of educationm and AIDS counseling and testing or condom publicity and distribution were four risk factors that affects the knowledge of AIDS prevention and d treatment among pregnant women. [Conclusion] In Xicheng District of Beijing, HIV has not been detected for many years in pregnant women, and the detection rate of syphilis is at a very low level. It is necessary to continue to strengthen the publicity of knowledge about AIDS prevention and control in pregnant women, especially those with non-local registered residence, low education level, multipara（has a history of fertility in addition to this pregnancy） and have not received HIV counseling and testing or condom propaganda issued. One-to-one publicity should be carried out in combination with maternity inspection services if necessary.

关 键 词：艾滋病 梅毒 孕产妇 哨点监测 

分 类 号：R181.3[医药卫生—流行病学]