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目的了解淅川县孕产妇HIV检测服务情况及艾滋病知识和行为情况,为制定预防母婴传播策略及措施提供科学依据。方法对2012—2015年接受孕产期保健的孕产妇提供HIV检测服务,并进行认知行调查,采用χ~2检验分析变化趋势,P<0.05为差异有统计学意义。结果 2012—2015年孕产妇孕期HIV抗体检测率从2012年的64.46%上升到2015年的91.01%,呈逐年上升趋势,差异有统计学意义(趋势χ~2=2 035.87,P<0.05),其中孕早中期孕妇初次接受HIV抗体检测率从2012年的37.09%上升到2015年的64.01%,呈上升趋势,差异有统计学意义(趋势χ~2=1 383.37,P<0.05);住院分娩产妇仅产时HIV抗体检测率从2012年的34.43%下降到2015年的9.08%,呈逐年下降趋势,差异有统计学意义(趋势χ~2=1 223.85,P<0.05);艾滋病知识知晓率从2012年的65.8%上升到2015年的90.8%,呈逐年上升趋势,差异有统计学意义(趋势χ~2=1 502.46,P<0.05),但在行为上潜在一定危险。结论淅川县孕产妇产前HIV检测率、艾滋病知识知晓率较高,今后应强化针对性健康教育,提升孕早期的检测率。
Objective To understand maternal HIV testing services and AIDS knowledge and behavior in Xichuan County and provide scientific evidence for the development of strategies and measures to prevent mother-to-child transmission. Methods HIV testing services were provided to pregnant women who received maternal health care during 2012-2015, and cognitive survey was conducted. The changes of the HIV status were analyzed by Chi-square test (P <0.05). The difference was statistically significant. Results The detection rate of HIV antibody during pregnancy during the period from 2012 to 2015 increased from 64.46% in 2012 to 91.01% in 2015, showing an upward trend year by year with a significant difference (trend χ ~ 2 = 2035.87, P <0.05) Among them, the detection rate of HIV antibody in the first trimester pregnant women increased from 37.09% in 2012 to 64.01% in 2015, and the difference was statistically significant (trend χ ~ 2 = 1 383.37, P <0.05); hospital delivery The detection rate of HIV antibody in labor-only women decreased from 34.43% in 2012 to 9.08% in 2015, showing a trend of declining year by year with a statistically significant difference (trend χ ~ 2 = 1 223.85, P <0.05). Knowledge of HIV / AIDS From 65.8% in 2012 to 90.8% in 2015, showing an upward trend year by year with a statistically significant difference (trend χ ~ 2 = 1 502.46, P <0.05), but it is potentially dangerous in behavior. Conclusion The awareness rate of prenatal HIV testing and HIV / AIDS among pregnant women in Xichuan County is high, and targeted health education should be strengthened in the future to improve the detection rate in early pregnancy.