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目的:研究我国艾滋病高流行的4省6县(市、区)HIV感染孕产妇HIV感染途径和危险行为特征。方法:对我国艾滋病高流行地区的4省6县(市、区)2006-2010年检测发现并确认感染的931例HIV感染孕产妇进行问卷调查。结果:①HIV感染孕产妇平均年龄(28.5±5.7)岁,78.8%集中在21-35岁年龄段,45.1%为汉族、54.9%为少数民族,87.6%为初中和小学及以下文化程度,67.2%为农民、26.2%为无业人员,92.5%为本县区户籍人口。②68.7%经异性途径感染,且经性接触途径感染HIV孕产妇比例逐年增加(χ2=6.577,P<0.05)。61.8%孕产期HIV筛查初次了解其HIV感染状况,38.2%经其他医疗保健途径发现。③与HIV感染丈夫/男友性行为占50.3%,多性伴占24.4%,有偿采供血(浆)占11.9%。有多性伴经历的HIV感染孕产妇所占比例呈逐年上升(χ2=5.029,P<0.05)。结论:性传播是孕产妇感染HIV的主要途径,与HIV感染固定性伴侣性行为和多性伴是HIV感染的主要危险因素;孕产期HIV筛查是发现HIV感染孕产妇的主要途径。
Objective: To study the HIV infection and risk behaviors of HIV-infected pregnant women in 6 provinces (cities and districts) in four provinces and cities with high prevalence of HIV in China. Methods: A questionnaire survey was conducted among 931 HIV-infected pregnant women who were found and confirmed to be infected during 2006-2010 in 4 provinces (cities and districts) in areas with high AIDS prevalence in China. Results: ① The average age of pregnant women infected by HIV was (28.5 ± 5.7) years old, 78.8% were in the age group of 21-35 years old, 45.1% were Han nationality, 54.9% were ethnic minorities, 87.6% were junior high school, primary school and below, 67.2% 26.2% were unemployed and 92.5% were registered permanent residents in this county. 68.7% were infected by the heterosexual route, and the proportion of pregnant women infected by HIV through sexual contact increased year by year (χ2 = 6.577, P <0.05). 61.8% Maternal HIV Screening For the first time understand their HIV status, 38.2% found by other health care routes. ③Husband / boyfriend HIV infection with 50.3% of sex, multiple sex with 24.4%, paid for blood (plasma) accounted for 11.9%. The proportion of HIV-infected pregnant women with multiple sexual partners increased year by year (χ2 = 5.029, P <0.05). CONCLUSION: Sexual transmission is the main route of HIV infection in pregnant women, which is the main risk factor of HIV infection with sex partners with HIV infection and sexual partners. HIV screening during pregnancy and childbirth is the main way to find HIV infection in pregnant women.