新疆部分地区孕产妇HIV/AIDS感染调查及影响因素分析

Investigation on pregnant women infected with HIV/AIDS in some regions of Xinjiang and analysis of influencing factors

目的了解和掌握新疆孕产妇人群的HIV感染状况、高危行为的特点与相关影响因素。方法选择2010年6月1日～7月31日在乌鲁木齐市和伊犁州各类医疗卫生机构就诊、检查和住院分娩的妇女,对她们进行问卷调查和相关的实验室检测。结果本次共调查孕产妇4 235人,其中有效问卷4 187份(98.9%);在4 187人中共检出11例HIV阳性者,总感染率为0.26%;4 167人(99.52%)孕产妇参加梅毒检测,阳性10人(0.24%);4 041人(96.51%)进行了丙型肝炎的一次ELISA初筛,阳性12人(0.30%),经复检全部为阳性;孕产妇HIV知识的总体知晓率为40.27%(1 686/4 187)。结论少数民族孕产妇HIV的感染率明显高于汉族,配偶为吸毒者和配偶为HIV感染者的孕产妇其HIV感染率高,患有梅毒和丙型肝炎的孕产妇较容易感染HIV病毒,孕产妇HIV知识的总体知晓率较低。

Objective To investigate HIV/AIDS infection status and high risk behavior of pregnant women in some re- gions of Xinjiang. Methods The pregnant women, who went to medical institutions for prenatal examination from June 1 to July 31, 2010, were selected to carry out questionnaire survey and laboratory test. Results There were 4 235 eligible women in the study. 4 187 （98.9%） valid questionnaires were retrieved. Among them 11 womenm （0.26%） was HIV posi- tive. 4 041 women （96.5%） got the syphilis RPR test, 10 （0.24%） of them were positive. 4 041 （96.51%） got HCV ELISA test, with 12 （0.30%） person of the positive. The awareness rate of HIV/AIDS related knowledge of the pregnant women was only 40.27% （1 686/4 187）. Conclusions The infection rate of HIV of minority pregnant women is higher than that of Han pregnant women. The women with spouse of drug users and HIV infection have higher infection rate of HIV. Those pregnant women with syphilis and HCV can easily infect with HIV. The awareness rate of HIV/AIDS knowledge of pregnant women is low.