2011—2016年德宏州终止妊娠孕妇HIV筛查分析  

Analysis of HIV Screening for Pregnant Women during 2011-2016 in DeHong Prefecture

作　　者：高洁[1] 马静 杨世江[1] 俞秋嫣 叶润华[1] 杨跃诚[1] 唐仁海[1] 李林[1] 姚仕堂[1] 王继宝[1] 何纳[3] 段松[1] GAO Jie;MA Jing;YANG Shi-jiang

机构地区：[1]德宏州疾病预防控制中心,云南德宏678400 [2]中国疾病预防控制中心性病艾滋病预防控制中心,北京100000 [3]复旦大学公共卫生学院流行病学教研室公共卫生安全教育部重点实验室,上海200032

出　　处：《中国初级卫生保健》2018年第11期48-50,共3页Chinese Primary Health Care

基　　金：国家重点地区艾滋病防治项目;国家科技重大专项(2013zx10004-906)

摘　　要：目的了解云南省德宏州2011—2016年间终止妊娠人群中艾滋病病毒(HIV)的感染状况及HIV阳性者特征。方法对德宏州2011—2016年所有参加孕检的终止妊娠人群资料统计其HIV感染者例数,并对新发现HIV感染者的社会人口学特征及行为学特征进行统计分析。结果 2011—2016年间德宏州终止妊娠人群接受HIV抗体检测共66 106人次,发现HIV感染者485例,其中95例(19.6%)为新发现感染者,30～39岁占47.0%(228/485);中国国籍者448人(91.8%),228人在婚(88.5%),415人(85.6%)怀孕≥2次。新发现感染者和原阳性感染者在国籍、年龄、监测地区、婚姻状况、职业、怀孕次数和生育次数等构成上有统计学差异。结论德宏州在今后工作中应重点加强对年轻人、缅甸籍、景颇族及低文化水平女性的宣传教育,同时重视对已感染人群的监测随访和抗病毒治疗,鼓励使用安全套,减少非意愿怀孕,防止婚内性传播。孕检是在艾滋病严重流行区发现HIV感染者、预防HIV性传播及阻断母婴传播的有效手段,应坚持在艾滋病流行地区大力推广。OBJECTIVE To study the status of HIV infections and characteristics of HIV-positive individuals among pregnant women in Dehong prefecture,Yunnan Province during 2011—2016. METHODS All pregnant women participating in pregnancy test were interviewed with a questionnaire and tested for HIV to know their HIV status. HIV positives were divided into a group of newly diagnosed positives and another group of formerly diagnosed positives,which were compared in terms of their social demographic characteristics and behavioral characteristics. RESULTS Among 66 106 participants received HIV testing,485 were detected positive for HIV. 47.0% of the HIV-infected individuals were aged 30-39 years,91.8% were Chinese nationality,88.5% were being married,85.6% have had pregnancies more than one. Among all HIV infections,390（80.4%）were formerly confirmed and were newly diagnosed. Nationality,monitoring,marital status,career,number of pregnancies and number of births were significantly different between the two groups. CONCLUSION More efforts were needed for providing publicity and education to younger,Myanmar,Jingpo minority and lower cultural level women by CDC workers in Dehong Prefecture. Meanwhile,pay attention to follow-up,consist anti-virus treatment,encourage the use of condoms for diagnosed infectio ns to reduce unwanted pregnancies and prevent sexual transmission. Pregnancy test was an effective method to detect HIV infections,prevent martial and mother-to-child transmissions of HIV in HIV highly epidemic areas and should be continuously and widely promoted.

关 键 词：艾滋病病毒 终止妊娠 新发现感染者 德宏州 

分 类 号：R512.91[医药卫生—内科学]