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目的了解凉山州艾滋病感染孕产妇与正常孕产妇围产保健服务利用现状。方法以艾滋病高发区四川省凉山州为样本地区,选取2013~2014年检测确诊并可追踪的212例人类缺陷免疫病毒(human immunodeficiency virus,HIV)感染孕产妇为研究组,随机等距抽取402例正常孕产妇作为对照组,开展围产保健服务利用的问卷调查。结果两组孕产妇在民族、文化程度和家庭年收入比较,差异有统计学意义(P<0.05)。HIV感染孕产妇的住院分娩比例、产后访视比例高于对照组,产检次数低于对照组(P<0.05)。文化程度和家庭年收入的差异是两组孕产妇利用围产保健服务状况不同的主要原因。结论凉山州HIV感染和正常孕产妇的围产保健服务利用受诸多因素影响,在精准扶贫中应有针对性地推行免费孕产期保健和住院分娩项目,提高边远地区孕产妇系统管理率。
Objective To understand the status quo of perinatal health care services among pregnant women with HIV infection and normal pregnant women in Liangshan Prefecture. Methods A total of 212 pregnant women infected with human immunodeficiency virus (HIV), which were diagnosed and tracked in 2013-2014, were selected as samples from Liangshan Prefecture of Sichuan Province, a high prevalence area of AIDS. A total of 402 cases Normal pregnant women as a control group to carry out the use of perinatal health care services survey. Results The two groups of maternal in national, educational level and family annual income, the difference was statistically significant (P <0.05). The rate of hospital delivery among HIV-infected pregnant women was higher than that of the control group, and the number of antenatal visits was lower than that of the control group (P <0.05). The difference between the educational level and the annual family income is the main reason for the difference in the status of perinatal health care between the two groups. Conclusion The utilization of perinatal health care services in HIV infection and normal pregnant women in Liangshan Prefecture is affected by many factors. In the precise poverty alleviation, free maternal health care and hospital delivery projects should be targeted to improve the maternal system management rate in remote areas.