四川省HIV感染孕妇终止妊娠情况及其影响因素

The Current Status and Influence Factors to Pregnancy Termination among Pregnant Women with HIV in Sichuan Province

目的：了解四川省人类免疫缺陷病毒（HIV）感染孕妇选择终止妊娠的情况，并分析相关影响因素，促进预防艾滋病母婴传播（PMTCT）工作。方法：对全省2008—2012年间所有县（市、区）确认的HIV感染孕妇1957例，进行面对面问卷调查，收集和分析相关资料。结果：HIV感染孕妇选择终止妊娠的比例是12．9l％，随着时间变化，HIV感染孕妇选择终止妊娠的比例呈逐年上升趋势（P〈0．05），不同地区类别HIV感染孕妇选择终止妊娠的比例不同（P〈0．05）。多因素Logistic回归分析显示，影响HIV感染孕妇选择终止妊娠的因素为婚姻状况、现有子女数、丈夫／性伴年龄、丈夫／性伴感染状况（P〈0．05）。结论：应探索个性化的服务模式，动员配偶或家庭成员与其一同参与PMTCT相关检测咨询，有的放矢地提供服务，避免非意愿妊娠，尽可能地减少感染儿童出生。

Objective：To learn the current status and the influence factors of pregnancy termination a- mong pregnant women with HIV for promoting PMTCT work in Sichuan Province. Methods ：1957 pregnant women with HIV,identified in all counties of our province from 2008 to 2012,were investigated to collect and analyze relevant information through face-to-face questionnaire. Results：The percentage of pregnancy ter- mination among pregnant women with HIV was 12. 91%, and the percentage of time-change showed an in- creasing trend （P 〈 0.05）. The percentages also varied among different regions（ P 〈 0.05）. Multivariate lo- gistic regression analysis showed that the influence factors of pregnancy termination among pregnant women with HIV included marital status, number of children, age and infection status of husbands or sexual partners （ P 〈 0.05）. Conclusions： It is important to set up a personalized service mode for mobilizing spouse or fam- ily members together to participate testing and counseling of PMTCT. We also should provide more targeted services and avoid unwanted pregnancy, to reduce infected children as much as possible.