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目的了解贵州省孕产妇的艾滋病病毒(HIV)、梅毒、丙型肝炎病毒(HCV)感染状况及艾滋病知识知晓率情况。方法采用现况调查的研究方法,2010-2015年每年4-7月间,在9个国家级孕产妇监测点,采用统一问卷进行调查,并检测HIV、梅毒、HCV抗体,两次检测结果均呈阳性时,即可判定监测结果阳性。对艾滋病知识知晓率及阳性检出率进行统计分析。结果共调查孕产妇21 784人。贵州省青年女性占93.04%,20~29岁占73.65%。孕产妇中有外出打工或经商史的占47.09%,其丈夫曾经外出打工或经商史的占46.90%。艾滋病知识知晓率平均为80.06%,不同年份、年龄组、民族、文化程度、孕期艾滋病知识知晓率差异有统计学意义(χ2=73.602、χ2=46.254、χ2=222.622、χ2=194.642、χ2=59.027,P<0.001)。各年孕产妇HIV检出率分别为0.14%、0.06%、0.05%、0.08%、0.17%、0.14%,梅毒检出率分别为0.44%、0.74%、0.74%、0.97%、1.03%、1.03%,HCV检出率分别为0.24%、0.28%、0.19%、0.28%、0.25%、0.36%,各年份间除梅毒外差异均无统计学意义(χ2=3.801、P>0.05,χ2=11.973、P<0.05,χ2=2.110、P>0.05)。结论贵州省HIV、梅毒、HCV的检出率趋于平稳,但由于每年外出务工青壮年较多,防控形势依然严峻,应积极开展有针对性的健康教育,提倡健康、安全性行为,减少艾滋病、性病的传播。
Objective To understand the status of HIV / AIDS, syphilis, hepatitis C virus (HCV) infection and HIV / AIDS among pregnant women in Guizhou Province. Methods According to the research methods of current situation survey, from April to July of each year from 2010 to 2015, nine national maternal monitoring sites were surveyed with a unified questionnaire and HIV, syphilis and HCV antibodies were detected. The results of two tests Positive, you can determine the positive monitoring results. Awareness of AIDS awareness and positive detection rate for statistical analysis. Results A total of 21 784 pregnant women were investigated. Guizhou Province, young women accounted for 93.04%, 20 to 29 years accounted for 73.65%. Among pregnant women, 47.09% went out to work or work in business, and 46.90% of their husbands went to work or business history. AIDS awareness rate was 80.06% on average, there were significant differences in knowledge of AIDS among different age groups, ethnic groups, educational level and pregnancy (χ2 = 73.602, χ2 = 46.254, χ2 = 222.622, χ2 = 194.642, χ2 = 59.027 , P <0.001). The detection rates of HIV among pregnant women in each year were 0.14%, 0.06%, 0.05%, 0.08%, 0.17% and 0.14% respectively, and the detection rates of syphilis were 0.44%, 0.74%, 0.74%, 0.97%, 1.03% and 1.03 The detection rates of HCV and HCV were 0.24%, 0.28%, 0.19%, 0.28%, 0.25% and 0.36%, respectively. There was no significant difference except syphilis in each year (χ2 = 3.801, P> 0.05, χ2 = 11.973 , P <0.05, χ2 = 2.110, P> 0.05). Conclusion The detection rate of HIV, syphilis and HCV in Guizhou Province tends to be stable. However, due to the large number of young and middle-aged migrant workers each year, the prevention and control of the disease situation is still grim. Health education should be actively targeted to promote healthy and safe behaviors and to reduce AIDS, the spread of sexually transmitted diseases.