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目的了解济南市妇幼保健院孕产妇艾滋病(AIDS)相关知识水平及人类免疫缺陷病毒(HIV)、梅毒、丙型肝炎病毒(HCV)的感染状况,为济南市的经母婴传播的艾滋病防控提供一定的科学依据。方法根据《全国艾滋病哨点监测实施方案操作手册》的要求,对首次到济南市妇幼保健院就诊的1 200名怀孕妇女进行调查问卷和血清学检查,分析2013~2015年济南市孕产妇艾滋病哨点监测资料。结果孕产妇AIDS知识知晓率为89.25%(1 071/1 200)。不同文化程度、怀孕次数、生育次数的孕产妇对AIDS知识知晓率差异均有统计学意义(P<0.01),知晓率分别为:初中及以下77.49%,高中或中专85.42%,大专及以上93.98%;怀孕1次92.68%,怀孕2次86.18%,怀孕3次87.05%,怀孕4次83.87%;未生育91.86%,生育1次83.73%,生育2次90.91%。血清学检查未发现HIV和HCV抗体阳性者,梅毒阳性检出率为0.25%(3/1 200)。全部监测对象均否认危险行为史。结论济南市孕产妇对AIDS防治知识整体知晓率处于较高水平,但对部分条目知晓率较低。
Objective To understand the knowledge of maternal AIDS (AIDS) and the infection status of human immunodeficiency virus (HIV), syphilis and hepatitis C virus (HCV) in Ji’nan Maternal and Child Health Hospital and to provide information on the prevention and control of mother-to-child transmission of AIDS in Jinan Provide a certain scientific basis. Methods According to the “Operation Manual of National AIDS Epidemic Surveillance Implementation Plan”, a questionnaire and serological examination were conducted on 1,200 pregnant women attending MCH in Jinan City for the first time to analyze the status of HIV / AIDS in pregnant women in Jinan from 2013 to 2015 Point monitoring data. Results The awareness rate of maternal AIDS knowledge was 89.25% (1071/1 200). The knowledge rate of AIDS among pregnant women with different educational level, number of pregnancies and number of births were significantly different (P <0.01), the rate of awareness was 77.49% for junior high school and below, 85.42% for high school or secondary school, 93.98% of pregnant women, 92.68% of pregnant women, 86.18% of pregnant women of two pregnancies, 87.05% of pregnant women of three times, and 83.87% of pregnant women of four times; 91.86% of unmarried women, 83.73% of first births and 90.91% of second births. Serological tests did not find HIV and HCV antibody positive, syphilis positive rate of 0.25% (3/1 200). All subjects deny dangerous behavior history. Conclusion The overall awareness rate of AIDS prevention and treatment knowledge among pregnant women in Jinan is at a high level, but the awareness of some items is low.