摘要
目的 了解孕产妇艾滋病检测状况、探讨影响孕产妇孕期尽早接受艾滋病检测服务的因素.方法 于2011年2月27日-3月20日,在安徽、广东和四川6个有中央财政经费支持开展预防艾滋病母婴传播的县区,对2 270名分娩产妇进行问卷调查.了解产妇和配偶人口学特征以及产妇艾滋病检测情况;采用单因素和非条件logistic多因素回归模型分析影响孕产妇孕早、中期艾滋病检测的因素.结果 产妇艾滋病检测率达90.4%（2 053/2 270）,并集中于住院分娩时（61.0%,1 252/2 053）,孕早、中期检测比例仅为28.6%（587/2 053）.多变量分析结果 显示：产妇受教育程度[OR=1.48（95%CI：1.22-1.81）]是否初次妊娠[OR=0.77（95%CI：0.61-0.97）],妊娠期间配偶有无外出打工[OR=0.61（95%CI：0.48-0.76）],是否知晓艾滋病相关知识[OR=1.77（95%CI：1.38-2.26）],认为孕产妇是否有必要进行艾滋病检测,[OR=1.66（95%CI：1.13-2.43）],妊娠期是否接受过相关咨询[OR=1.97（95%CI：1.56-2.50）]等因素具有统计学意义.结论 孕早、中期接受艾滋病检测的因素有：受教育程度高、初次妊娠、妊娠期配偶在外地打工、知晓相关知识政策、可参与经济决策、认为孕产妇接受艾滋病检测有必要、妊娠期间获得了艾滋病检测信息、孕前接受过检测、配偶有相关危险行为等.
Objective To investigate the HIV detecting situation of pregnant women and explore its influencing factors. Methods From February 27 to March 20 in 2011,2270 pregnant women who delivered were investigated in six counties of Anhui, Guangdong and Sichuan province, where national program on prevention of mother-to-child transmission of HIV was implemented with central fund support. The social-demographic characters of pregnant women and their husbands and the situation of HIV detecting during pregnancy were investigated. Single-factor and non-conditional logistic regression model were used to analyze the influencing factors of HIV detecting of pregnant women. Results The detection rate of HIV was 90.4% （2 053/2 270）, and most of the pregnant women （61.0%, 1 252/2 053） were detected at delivery. The proportion of detection in the first and second gestation trimesters was merely 28.6% （587/2 053 ）. The results of multivariate analysis showed that the detecting proportion in early and medium pregnancy was relatively high when the education status of pregnant women was high [ OR = 1.48 （95% CI： 1.22-1.81 ） ], when this was the initial pregnancy [ versus not the initial pregnancy, OR =0.77（95% CI：0. 61-0.97） ], when their spouses didn＇ t work outside during pregnancy [ versus worked outside, OR = 0.61 （95% CI： O. 48-0.76], when they knew about the related knowledge [versus didn＇ t know, OR = 1.77 （95% CI： 1.38-2.26], when they thought it was necessary to receive HIV detection during pregnancy [ versus didn＇t think it necessary, OR = 1.66 （95% CI： 1.13-2.43 ], and when they received HIV counseling during pregnancy [ versus didn＇t receive counseling, OR = 1.97 （95% CI： 1.56-2. 50）]. Conclusion The detection proportion of HIV of pregnant women in first and second gestation trimesters is very low, and there are many factors influencing them on receiving HIV detecting in early and medium pregnancy including high education level,initial pregnancy, spouse working outside during pregnancy, knowing related knowledge, participating economic decision, thinking it is necessary to receive HIV detection, receiving HIV detection information, receiving examination before pregnancy , and spouse＇ s risk behavior.
出处
《中国妇幼健康研究》
2011年第3期306-309,共4页
Chinese Journal of Woman and Child Health Research
基金
全球基金中国艾滋病资助项目（CHN-304-G03-H）
关键词
获得性免疫缺陷综合征
妊娠
检测
影响因素
acquired immune deficiency syndrome
pregnancy
HIV detection
influencing factors
作者简介
王芳（1973-）,女,主治医师,主要从事艾滋病、梅毒和乙肝等疾病的母婴传播防治工作.
通讯作者 方利文，研究员。
