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目的了解云南省瑞丽市孕产妇在孕期首次接受艾滋病病毒(HIV)检测服务的时期及影响因素。方法利用2012年10-12月瑞丽市县乡级孕产妇艾滋病筛查登记表资料,描述孕产妇首次接受HIV检测的时期分布,采用单因素和无序多分类Logistic回归分析影响因素。结果 754例孕期首次接受HIV检测的孕产妇,在孕早、中、晚期检测的比例分别为32.6%、46.2%和21.2%。以孕早期检测为对照,对孕中期检测,年龄14~<22岁、傣族、居住在乡镇、在乡镇级机构检测的调整OR值分别为1.638(95%CI:1.038~2.583)、0.611(95%CI:0.377~0.988)、1.923(95%CI:1.177~3.140)、0.172(95%CI:0.073~0.408)。对孕晚期检测,小学及以下文化程度、居住地为乡镇、检测级别为乡镇的调整OR值分别为2.823(95%CI:1.582~5.039)、2.883(95%CI:1.619~5.135)、0.138(95%CI:0.048~0.401)。结论瑞丽市孕早期HIV检测比例仍有提升空间;居住在缅甸和乡镇的孕产妇为重点关注人群,建议提高乡镇级孕产妇HIV检测服务的可及性。
Objective To understand the period and influencing factors of HIV / AIDS testing for pregnant women in Ruili, Yunnan Province. Methods Using the registration form of HIV / AIDS screening at county and township level in Ruili City from October to December in 2012, the distribution of maternal HIV testing for the first time was described. The influencing factors were analyzed by univariate and disordered multi-classification Logistic regression. Results The proportion of pregnant women who first received HIV test during the first trimester of pregnancy was 32.6%, 46.2% and 21.2%, respectively. In the second trimester of pregnancy, the adjusted odds ratio (OR) was 1.638 (95% CI: 1.038-2.583) and 0.611 (95) for the detection of pregnant women aged 14 to 22 years old, living in townships and townships. % CI: 0.377-0.988), 1.923 (95% CI: 1.177-3.140), 0.172 (95% CI: 0.073-0.408). In the second trimester of pregnancy, the adjusted ORs for the third trimester of pregnancy, detection of primary school education and below, education level of township, and detection level of townships were 2.823 (95% CI: 1.582-5.039), 2.883 (95% CI 1.619-5.135) and 0.138 95% CI: 0.048 ~ 0.401). Conclusion There is still room for improvement in the detection of HIV in the first trimester of Ruili City. The pregnant women living in Myanmar and townships are the focus of the population, and it is suggested to improve the accessibility of HIV testing services at the township level.