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目的了解艾滋病高发区艾滋病病毒(human immunodeficiency virus,HIV)感染孕产妇的卫生服务及围产保健服务利用现状。方法选取艾滋病高发区四川省凉山州为样本地区,对212名HIV感染孕产妇开展卫生服务利用的问卷调查。结果 HIV感染孕产妇两周患病率和两周就诊率分别为31.13%和27.27%,年住院率为1.42%,需住院未住院率为66.67%。产前检查的比例为72.17%,产后访视的比例为57.08%,住院分娩比例为82.55%。两周患病率在不同年龄、民族和是否务农间有差异,两周就诊率在不同年收入家庭间存在差异。结论 HIV感染孕产妇卫生服务需求和门诊服务利用较高,住院服务和围产保健服务利用不足。
Objective To understand the status quo of health service and perinatal health service utilization of pregnant women infected with HIV in HIV high incidence areas. Methods A questionnaire survey on the utilization of health services for 212 pregnant women with HIV infection was selected from the sample area of Liangshan Prefecture in Sichuan Province, a high prevalence area of AIDS. Results The two-week pregnant rate and two-week visiting rate of HIV-infected pregnant women were 31.13% and 27.27% respectively. The annual hospitalization rate was 1.42% and the hospitalization rate was 66.67%. The proportion of prenatal examination was 72.17%, postpartum visit rate was 57.08%, hospital delivery rate was 82.55%. The prevalence of the two weeks is different at different ages, ethnic groups and whether they work or not. The two-week visiting rate is different among families with different annual incomes. Conclusion The prevalence of HIV infection in maternal health services and outpatient services is high, and the utilization of hospital services and perinatal health care services is insufficient.