2009-2013年攀枝花市艾滋病哨点孕产妇监测结果分析

HIV Sentinel Surveillance Among Pregnant Women in Panzhihua City,2009-2013

目的了解攀枝花市孕产妇艾滋病病毒(HIV)、梅毒、丙型肝炎病毒(HCV)的感染状况、相关危险因素及其变化趋势,为制定防控措施和评估干预效果提供依据。方法严格按照《全国艾滋病哨点监测实施方案操作手册》的要求,2009/2013-04-06,分别对首次到哨点医院建卡或进行围产期保健的400名孕产妇进行问卷调查和血清学检测。结果2009-2013年共监测2002名孕产妇,HIV和梅毒抗体阳性率分别为0.05%、0.20%,未检出HCV抗体阳性者;艾滋病知识知晓率为58.44%。结论攀枝花市孕产妇人群HIV、梅毒和丙肝呈低流行,但艾滋病知识知晓率较低,存在多种危险因素。今后应开展针对性的健康教育和行为干预,加强孕期HIV和梅毒检测。

Objective To investigate the infection status of HIV, syphilis and hepatitis C among pregnant women and the related risk factors and the developing trend in Panzhihua city, and thus provide reference for formula- ting prevention and control measures. Methods According to the “National HIV sentinel surveillance imple- mentation operation manual”, 400 pregnant women from the sentinel hospital for registering or perinatal care were investigated with questionnaire and conducted serum tested from April to June annually in 2009 -2013. Results A total of 2002 pregnant women were investigated, the HIV positive rate was 0. 05%, syphilis positive rate was 0. 20%, HCV antibodies were not detected. The awareness rate of HIV knowledge was 58.44%. Conclusion The HIV, syphilis and HCV are at a low endemic situation among pregnant women in Panzhihua. Nevertheless, the awareness rate of HIV knowledge is low, and multiple risk factors exist. Targeted health ed- ucation, behavioral intervention as well as HIV and syphilis test during pregnancy are reeommended as key in- tervention measures in future.