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目的了解部分低流行区农村孕产妇艾滋病咨询检测服务利用状况,分析其影响因素,为加强低流行区农村孕产妇艾滋病防控提供依据。方法对吉林省4个县(市)401名农村孕产妇艾滋病咨询检测状况进行问卷调查,影响因素的单因素分析采用χ2检验,多因素分析采用logistic回归分析。结果孕产妇艾滋病咨询率为8%,人类免疫缺陷病毒(HIV)抗体检测率为57.9%,其中14.7%于孕早中期接受检测,74.6%于临产前接受检测;少数民族、与配偶感情一般、参加孕妇学校培训、孕期检查次数≥5次、知晓艾滋病母婴传播知识及参加预防艾滋病健康教育活动的孕产妇咨询率较高;少数民族、分娩2次、参加孕妇学校培训、孕期检查次数≥5次的孕产妇HIV抗体检测率高。结论吉林省农村孕产妇艾滋病咨询检测服务利用不足,少数民族、参加孕妇学校培训、孕期检查次数≥5次的孕产妇艾滋病咨询检测率高。
Objective To understand the utilization of HIV / AIDS counseling and testing services in rural pregnant women in some endemic areas and analyze the influencing factors to provide evidences for HIV / AIDS prevention and control among rural pregnant women in endemic areas. Methods A total of 401 rural maternal AIDS counseling and testing in four counties (cities) of Jilin Province were investigated by questionnaires. The univariate analysis of influencing factors was conducted by using χ2 test and multivariate analysis was performed by logistic regression analysis. Results The consultation rate of AIDS among pregnant women was 8%, the detection rate of HIV antibody was 57.9%, of which 14.7% were detected in early pregnancy and middle and early pregnancy, 74.6% were tested before labor. Minorities shared the same feelings with their spouses, Participate in pregnant women school training, the number of times of pregnancy check ≥ 5 times, knowledge of mother-to-child transmission of HIV and AIDS prevention and health education activities to participate in higher maternal counseling; minority, childbirth 2 times, to participate in pregnant women school training, pregnancy check times ≥ 5 Secondary maternal HIV antibody detection rate. Conclusion Maternal AIDS counseling and testing services in rural areas of Jilin Province are under-utilized, and ethnic minorities participate in the training of pregnant women schools. The detection rate of AIDS counseling among pregnant women is more than 5 times during pregnancy.