论文部分内容阅读
目的 了解云南省艾滋病病毒 (HIV)不同流行地区孕妇时艾滋病 (AIDS)的知识、态度及行为 ,为开展宣传教育、阻断母婴垂直传播自愿咨询、检测提供依据。方法 选择省、地区、县不同地理分布 ,孕妇HIV感染率高、中、低的 4个地区孕产妇为调查对象 ,用问卷调查表收集关于AIDS ,特别是母婴垂直传播有关的知识、态度及行为方面资料。结果 4个地区共调查 780名孕产妇 ,其中 6 41人听说过AIDS ,占 82 2 %,有关三种传播途径的正确回答率为 5 5 0 %～ 83 7%,但 73%的孕产妇认为日常生活中共餐、接吻、握手或入厕等会传播 ,37 2 %的人对婚前性行为的观念表示接受 ,77 2 %～ 81 8%的孕产妇认为婚检及产前检查中应加入HIV检测 ,91 4%的孕产妇愿意医生为其提供有关HIV知识宣传 ;83 6 %～ 84 5 %孕产妇愿意接受人工流产术、剖腹产及降低垂直传播的药物治疗。6 2 1%的孕产妇认识到安全套可预防AIDS传播。结论 孕产妇对AIDS的认识比较低 ,但愿意积极参与降低HIV垂直传播的工作。应加强预防AIDS宣传教育 ,特别是尽快在重点地区探索开展降低孕妇HIV垂直传播的工作 ,以预防AIDS的母婴垂直传播。
Objectives To understand the knowledge, attitudes, and behaviors of AIDS in pregnant women with HIV in different endemic areas in Yunnan Province, and to provide evidence for the promotion of public education, and to block the voluntary counseling and testing of vertical mother-to-child transmission. Methods The provinces, regions and counties were selected for geographical distribution. Pregnant women from four regions with high HIV prevalence among pregnant women were selected as the survey subjects. Questionnaires were used to collect knowledge and attitudes on AIDS, especially mother-to-child transmission. Behavioral data. Results A total of 780 pregnant and maternal women were investigated in 4 regions, of which 6 41 had heard of AIDS, accounting for 82 2%. The correct response rate for the three transmission routes was 55% to 83%, but 73% of the pregnant women They believe that sharing, kissing, shaking hands or going to the toilet in daily life will spread, 37 2% of people accept the concept of premarital sexual behavior, and 77 2% to 81 8% of pregnant women think HIV should be added to premarital examinations and prenatal examinations. In the test, 91.4% of pregnant women are willing to provide doctors with knowledge about HIV knowledge; 83-64% of women are willing to undergo artificial abortion, caesarean section, and medications to reduce vertical transmission. 6 2 1% of pregnant women recognize that condoms can prevent the spread of AIDS. Conclusions Maternal and childbearing women have low awareness of AIDS, but are willing to actively participate in efforts to reduce the vertical transmission of HIV. It is necessary to step up the prevention of AIDS propaganda and education, and in particular, to explore and reduce the vertical transmission of HIV in pregnant women in key regions as soon as possible so as to prevent the mother-infant vertical transmission of AIDS.