摘要
目的了解河南省2002-2013年艾滋病病毒(HIV)感染产妇的流行病学特征。方法通过预防艾滋病、梅毒和乙肝母婴传播管理信息系统,收集河南省2002-2013年上报的HIV抗体检测及HIV感染产妇的个案登记卡信息。对孕产妇检测阳性率、HIV母婴传播率、一般人口学特征、妊娠分娩情况、HIV感染途径等进行统计分析。结果共检测8 621 554名孕产妇,发现HIV感染孕产妇2264例,累计检测阳性率0.03%,HIV检测阳性率呈现逐年递减趋势(χ2=4.871,P=0.027)HIV产妇的年龄为17~48岁,平均年龄为(31.21±5.81)岁,民族以汉族为主(占95.77%),文化程度以小学或初中为主(占86.46%)、职业多是农民(占89.85%),多为初婚(占77.69%),地区分布以驻马店市、开封市、南阳市分布最多,占全省上报阳性病例数的63.62%,感染途径主要以有偿采供血感染(52.38%)为主,其次为性传播感染(38.69%),HIV感染产妇的感染途径中有偿采供血感染的比例逐渐降低,性传播感染的比例逐渐升高。阳性产妇于孕期保健时确诊率较低(11.15%)。结论河南省孕产妇HIV抗体检测阳性呈现逐年降低趋势,性传播感染已是HIV感染阳性的主要途径。婚前和孕早期确诊率较低,较多产妇在产时及产后接受预防艾滋病母婴传播服务。
Objective To understand the epidemiological characteristics of pregnant women with AIDS virus（HIV） infection in2002-2013 in Henan province. Methods The information of HIV-positive pregnant women in Henan province from 2002 to 2013 was collected from National mother-to child HIV transmission（PMTCT） management information system,and the positive rate of pregnant women,the rate of mother-baby transmission,demographic characteristics,pregnancy delivery and HIV infection ways were described.Results A total of 8 621 554 pregnant women were detecte4 d,and 2264 pregnant women were found with HIV infection,the HIVpositive rate was 0. 03%,and the HIV-positive rate showed decreasing trend year by year（χ2= 4. 871,P = 0. 027）. HIV-positive pregnancy was 17-48 years old,and the average age was（31. 21 ± 5. 81） years. Most of them are Han nationality（95. 77%）,86. 46% of them was primary or junior high school education,89. 85% of them was farmers,and 77. 69% of them was first marriage.Many of the pregnancy distributed in Zhumadian,Kaifeng and Nanyang,accounting for 63. 62% of Henan province. The main route of transmission was blood/blood products infection（52. 38%） and sexually transmitted infection（38. 69%）. During 2002 to 2013,the proportion of blood/blood products infection was gradually decreasing,while the proportion of sexually transmitted infection was increasing. Only 11. 15% of HIV-infected pregnant women are diagnosed during pregnancy health care. Conclusion HIV-positive pregnant detected rate showed decreasing trend year by year in Henan province,and sexually transmitted infection was the main ways of HIV infection. The diagnosis rate of HIV-positive pregnant during pregnancy and early marriage was low; most of them accepted mother-baby transmission preventing during intrapartum or postpartum.
作者
王奇
孙定勇
樊盼英
司珩
马彦民
李宁
WANG Qi SUN Ding Yong FAN Pan Ying SI Heng MA Yan Min LI Ning(Center for Disease Control and Prevention of Henan Province, Zhengzhou 450016, China)
出处
《中国妇幼卫生杂志》
2017年第1期8-11,共4页
Chinese Journal of Women and Children Health
基金
河南省医学科技攻关计划项目(201602308)
关键词
艾滋病
产妇
母婴传播
描述性分析
AIDS
pregnant women
mother-baby transmission
descriptive analysis
作者简介
通信作者：孙定勇，Email：sundy@hncdc．com．cn
