2016-2018年芜湖市孕产妇艾滋病哨点监测结果  

Results of sentinel surveillance on AIDS among pregnant women in Wuhu City from 2016-2018

作　　者：张正红[1] 豆正东[1] 方艳姣[1] 成国明[1] 张敏[1] ZHANG Zheng-hong;DOU Zheng-dong;FANG Yan-jiao;CHENG Guo-ming;ZHANG Min(Section of STDs and AIDS Control and Prerention.Wuhu Center for Disease Control and Prerention,wuhu Anhui,241000.China)

机构地区：[1]芜湖市疾病预防控制中心性病艾滋病防制科,安徽芜湖241000

出　　处：《职业与健康》2020年第5期622-625,共4页Occupation and Health

摘　　要：目的了解2016-2018年芜湖市孕产妇的人类免疫缺陷病毒(HIV)、梅毒及丙型肝炎病毒(HCV)感染情况,艾滋病防治知识水平及行为特征。方法2016-2018年每年的4-7月,对首次去芜湖市镜湖区和无为县妇女保健机构建卡或接受围产期保健的15~49岁孕产妇连续采样,进行横断面调查,包括问卷调查和采集血样检测HIV、梅毒等抗体,并对数据进行分析。结果共调查2400名孕产妇,其中城市和农村各1200人,年龄最小18岁,最大44岁,平均(27.78±4.51)岁;大专及以上文化程度占49.21%。调查对象均未检出HIV抗体,梅毒抗体阳性率为0.21%。调查对象的艾滋病知识知晓率为77.92%,来自农村的孕产妇2016-2018年艾滋病知识知晓率分别为78.25%(313/400)、77.50%(310/400)、69.25%(277/400),差异有统计学意义(P<0.05),来自城市者3年艾滋病知识知晓率分别为82.50%(330/400)、82.75%(331/400)、77.25%(309/400),差异无统计学意义(P>0.05)。多因素分析发现,2018年调查对象的艾滋病知识知晓率低于2016年[OR(95%CI)=0.618(0.486~0.785)],大专及以上文化者知晓艾滋病知识的可能性是初中及以下文化者的2.230倍(95%CI:1.775~2.801),处于孕晚期者艾滋病知识知晓率低于孕早期者[OR(95%CI)=0.632(0.469~0.852)]。结论2016-2018年芜湖市孕产妇的艾滋病知识知晓率较低,尤其需关注农村和低文化程度的孕产妇。应对育龄女性开展针对性健康宣教,促进优生优育及孕早期检查,以提高艾滋病知识水平,减少不良妊娠结局的发生。Objective To understand the infection of human immunodeficiency virus(HIV)、syphilis and Hepatitis C virus(HCV)among pregnant women in Wuhu City from 2016-2018,explore the knowledge level of AIDS prevention and control and behavior characteristics.Methods April to July in every year of 2016-2018,a cross-sectional survey was conducted among 15-49 year-old pregnant women who went to Maternal and Child Health Care Hospital in Jinghu District and Wuwei County for the first time to build cards or receive prenatal care,including questionnaire survey and blood samples for HIV and syphilis antibody test.And the data were analyzed.Results Totally 2400 pregnant women were investigated,half were from urban areas and half were from rural areas.The youngest and oldest was 18 years old and 44 years old respectively,with an average of(27.78±4.51)years old.The pregnant women with college educa-tion and above accounted for 49.21%.HIV antibody was not detected among all investigation objects,and the positive rate of syphilis antibody was 0.21%.The awareness rate of knowledge on AIDS was 77.92%,and those among pregnant women in rural areas from 2016-2018 were respectively 78.25%(313/400),77.50%(310/400)and 69.25%(277/400),with statistically significant difference(P<0.05),while those among pregnant women in urban areas were respectively(330/400),82.75%(331/400)and 77.25%(309/400),without statistically significant difference(P>0.05).Multivariate analysis showed that the awareness rate of knowledge related to AIDS among participants in 2018 was lower than that in 2016[OR(95%CI)=0.618(0.486-0.785)],the probability of knowing AIDS knowledge among participants with college and above was 2.230 times higher than that among participants with junior high school and below(95%CI:1.775-2.801),and the awareness rate of knowledge related to AIDS in late pregnancy was lower than that in early pregnancy[OR(95%CI)=0.632(0.469-0.852)].Conclusion The awareness rate of knowledge related to AIDS among pregnant women in Wuhu City from 2016-2018 is low,

关 键 词：孕产妇 艾滋病 哨点监测 知识知晓 

分 类 号：R181.82[医药卫生—流行病学]