60例艾滋病病毒感染孕妇的社会特征及母婴阻断效果分析

Social characteristic of sixty HIV-infected pregnant women and the effect of mother to child transmission blockage

目的：分析新疆孕产妇感染HIV状况,为母婴阻断提供支持.方法：对HIV阳性孕妇填写艾滋病病毒感染孕产妇妊娠及所生婴儿登记卡,整合HIV感染孕产妇数据,描述HIV感染孕产妇的分布及流行特点.结果：新疆艾滋病感染孕产妇危险因素以HIV感染配偶有性行为、再婚2次以上、多性伙伴为主;年龄18～39岁之间,受教育程度以初中文化为主占53.33％,个体及无业占73.33％,少数民族感染比例较高,以伊犁州直、阿克苏地区、喀什地区、和田地区、吐鲁番地区孕妇及配偶较为集中,占报告总数的53.33％.孕产妇HIV病毒阳性检出率为0.43％.结论：新疆孕产妇HIV病毒感染检出率,接近中国艾滋病流行高发地区,性传播风险明显增加,受感染的孕产妇及新生儿在增加,因此预防艾滋病母婴传播的防治形势仍然较为严峻.

Objectives： To analyze the epidemic situation of HIV infection in pregnant women in Xinjiang, to provide support for the prevention of mother to child transmission （PMTCT）. Methods： HIV positive pregnant women were required to fill in the HIV - infected Pregnant Women and Infants Register Card; data of the subjects were collected to describe the distribution and epidemic characteristics of maternal HIV infection. Results： Risk factors of HIV - infected pregnant women in Xinjiang mainly included having sex with infected spouse, having re- married for over twice, and having multi sexual partners. For women between 18 and 39, 53.33% were of junior middle school education, and 73.33% were self-employed or unemployed. With a higher infection rate, minority re- presented by pregnant women and their spouses in Yili, Akesu, Kashi, Turpan and Hetian accounted for 53. 33% of total reports. Positive rate of maternal HIV was 0. 43%. Conclusion： HIV positive rate of pregnant women in Xin- jiang is close to China＇ s AIDS -prone areas. Sexual transmission risk has increased significantly, resulting into more infected pregnant women and newborns, therefore the prevention and treatment of PMTCT for AIDS is still very severe.