2004—2012年新疆孕产妇HIV感染状况及流行特征

Prevalence of HIV infection and its epidemic characteristics among pregnant women in Xinjiang,2004-2012

目的了解新疆孕产妇HIV感染状况和流行特征。方法利用2004—2012年在预防艾滋病母婴传播管理信息直报系统中报告的孕产妇HIV抗体筛查报表和HIV感染孕产妇个案卡资料进行分析。结果新疆2004—2012年孕产妇HIV总检出率和新增HIV感染率分别为0.20%和0.13%,自2007年起,HIV总检出率和新增HIV感染率呈逐年下降趋势,但局部地区疫情比较严重;HIV感染孕产妇以维吾尔族为主,平均年龄(28.5±5.2)岁,69.59%是初中及以下文化程度,83.44%为农民和无业者;58.42%的HIV感染孕产妇通过性接触感染,35.92%的HIV感染孕产妇感染途径不详;29.05%的HIV感染孕产妇产时和产后被确认。结论新疆孕产妇HIV感染率逐年下降,但局部地区疫情较严重。建议重点地区加强目标人群艾滋病防治工作,同时加大预防艾滋病母婴传播社区健康教育力度。

Objective To understand the prevalence of HIV infection and its characteristics among pregnant women in Xinjiang. Methods The reports of pregnant women HIV antibody screening and HIV positive cases in prevention of mother-to-child transmission of HIV management information system from 2004 to 2012 were analyzed. Results The total detection rate and the new HIV infection rates were 0. 20% and 0. 13% among pregnant women from 2004 to 2012 in Xinjiang. Since 2007, the total detection rate of HIV and new HIV infection rate showed declining trends by years, but local areas appeared serious outbreaks. HIV positive pregnant women were mainly the Uyghur＇ s, the average age of （28.5 ±5.2） years, 69. 59% of them had junior high school education level or lower. 83.44% of them were farmers or unemployed. 58.42% of them were infected through sexual contact, 35.92% of them were infected by unknown ways. 29. 05% of them were found in delivery or postpartum. Conclusion The rate of HIV infection in pregnant women was declined by years in Xinjiang, but it was serious in local areas. It is suggested to strengthen AIDS prevention and control work among target crowded, and to increase the intensity of prevention on mother-to-child transmission route in community health education.