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目的:了解钦州市孕产妇人群艾滋病病毒感染情况及艾滋病知识知晓水平,分析该人群感染艾滋病(HIV)及艾滋病知识知晓水平的主要影响因素,为提出有效预防措施提供科学依据。方法:选取2009~2013年哨点监测期内(每年4月~6月)的3 965名孕产妇为研究对象,以面对面访谈方式调查HIV知识及一般人口学特征,并对其进行HIV的血清学检测,通过单因素和多因素Logistic回归模型分析HIV感染及艾滋病知识知晓水平的主要影响因素。结果:3 965名调查对象的平均年龄(26.86±5.01)岁,汉族为主,占90.3%;HIV知识总体知晓率为88.9%,2009~2013年艾滋病知识知晓率呈逐年上升趋势,差异有统计学意义(χ2=158.086 P<0.001),文化程度、既往吸毒史可能是影响孕产妇艾滋病知识知晓率的因素;3 965名孕产妇中感染HIV者27例,占0.7%,2009~2013年孕产妇中HIV感染率呈波动现象,但差异无统计学意义(χ2=0.270,P>0.05)。多因素分析显示,婚姻状况、怀孕次数、生育次数、丈夫是否吸毒以及是否曾经患过性病是孕产妇感染HIV的影响因素。结论:钦州市孕产妇人群艾滋病知识知晓水平逐年上升,HIV感染率在较高水平波动,应针对主要影响因素进行有效干预。
Objective: To understand the status of HIV infection among pregnant women in Qinzhou city and the level of AIDS knowledge, analyze the main influencing factors of HIV / AIDS awareness in this population, and provide a scientific basis for putting forward effective preventive measures. METHODS: A total of 3 965 pregnant women during the sentinel surveillance period (April to June of each year) from 2009 to 2013 were selected as the research subjects. HIV knowledge and general demographic characteristics were investigated by face-to-face interviews. HIV seropositive By means of single factor and multivariate logistic regression analysis, the main influencing factors of knowledge of HIV infection and AIDS were analyzed. Results: The average age of 3 965 subjects was (26.86 ± 5.01) years old, Han majority, accounting for 90.3%. The overall awareness rate of HIV knowledge was 88.9%. The awareness rate of HIV / AIDS knowledge from 2009 to 2013 increased year by year with statistical difference (Χ2 = 158.086 P <0.001), educational level and past history of drug abuse may be the factors that influence the awareness rate of HIV / AIDS among 3,965 pregnant women, accounting for 0.7% The rate of HIV infection in mothers fluctuated, but the difference was not statistically significant (χ2 = 0.270, P> 0.05). Multivariate analysis showed that marital status, number of pregnancies, number of births, whether her husband was drug addict, and whether or not she had sexually transmitted diseases were the factors that affected maternal HIV infection. Conclusion: The knowledge level of HIV / AIDS among pregnant women and mothers in Qinzhou City has been increasing year by year. The prevalence of HIV infection fluctuates at a relatively high level, and effective intervention should be made according to the main influencing factors.