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目的:了解钦州市钦南区婚检与孕产妇人群HIV检测结果和特征,为预防和控制艾滋病传播提供决策依据。方法:从钦州市钦南区婚前医学检查和艾滋病母婴阻断项目信息系统中,收集2010-2014年婚前及孕产妇检测HIV和阳性病例信息,对收集的信息进行分析。结果:2010-2014年婚检人群检测HIV平均阳性率0.15%,其中新发现的占68%;孕产妇检测HIV平均阳性率0.04%,其中新发现的占96.73%。各年婚前HIV阳性率与孕产妇检测HIV阳性率差异均有统计学意义(P均<0.001)。在婚检人群HIV感染者构成比中,男(64%)多于女(36%);在婚前及孕产妇检测HIV感染者总病例构成比中,以汉族(91.26%)和壮族(8.74%)为主;以初中文化程度为主(68.93%);职业以家政、家务及待业(42.72%)和农民(22.33%)为主;年龄以20~35岁为主(占69.91%);以异性性接触传播为主(占88.35%);结论:钦州市钦南区通过开展婚前及孕产妇人群检测HIV,对预防配偶间和母婴传播艾滋病发挥了重要的作用,是预防控制艾滋病有效的方法,应进一步加强和完善,改进工作方法,提高工作质量。
OBJECTIVE: To understand the HIV test results and characteristics of premarital and maternal groups in Qinnan District of Qinzhou City, and to provide decision-making basis for the prevention and control of AIDS transmission. Methods: From pre-marital medical examination and HIV / AIDS information system of Qinan District, Qinzhou City, we collected information on pre-marital and maternal HIV-positive cases from 2010 to 2014 and analyzed the collected information. Results: In 2010-2014, the average positive rate of HIV testing in premarital people was 0.15%, of which 68% were newly detected. The average positive rate of HIV testing by pregnant women was 0.04%, of which 96.73% were newly discovered. The positive rates of HIV in premarital and premarital HIV positive rates were statistically significant (all P <0.001). The percentage of HIV infected persons in premarital groups was higher than that of women (64%) (36%). Among the constituent ratios of pre-marital and maternal detection of HIV infection, Han (91.26%) and Zhuang (8.74% (68.93%). Mainly occupational, housework and unemployed (42.72%) and peasants (22.33%) were the main occupations; the age was mainly 20-35 years old (69.91%); the opposite sex (88.35%). Conclusions: Qinnian District of Qinzhou City has played an important role in preventing HIV transmission between spouses and mother-to-child through the prenatal and maternal HIV testing and is an effective way to prevent and control AIDS It should be further strengthened and improved to improve working methods and improve the quality of work.