2004-2013年新疆HIV感染孕产妇婚姻状况分析

Marital status analysis of pregnant and lying-in women infected with HIV in Xinjiang from 2004 to 2013

目的了解新疆2004-2013年艾滋病病毒(HIV)感染孕产妇的婚姻状况,为制定感染孕产妇及配偶的随访管理措施,进一步降低艾滋病母婴传播率提供政策依据。方法利用2004-2013年新疆预防艾滋病母婴传播信息管理系统上报的数据,对HIV感染孕产妇婚姻状况进行分析。结果调查了3970例HIV感染孕产妇。2004-2013年,HIV感染孕产妇再婚比例由2004年的14.7%上升至2013年的44.7%。HIV感染孕产妇的配偶/性伴HIV抗体检测率为64.1%(2453/3829),阳性检出率为56.0%(1373/2453),阴性率达44.0%(1080/2453)。再婚感染孕产妇配偶的阳性检出率为46.5%(414/891),阴性率为53.5%(477/891),其阴性率明显高于初婚者(χ2=51.33,P<0.001)。结论加强单阳家庭阴性配偶的告知和检测工作,提高对再婚感染妇女的随访管理,进一步预防艾滋病婚内传播和母婴传播。

Objective To know the marital status of pregnant and lying-in women infected with human immuno- deficiency virus （HIV） in Xinjiang from 2004 to 2013, and provide policy basis for follow-up management measures of pregnant and lying-in women infected with HIV and their spouses, so as to further reduce HIV mother-to-child transmission rate. Method To analyze the marital status of maternals infected with HIV according to reporting data of Xinjiang Preventing HIV/AIDS Mother-to-Child Transmission Management System from 2004 to 2013. Result Remarried ratio of HIV infected maternals increased from 14.7% （in 2004） to 44.74% （in 2013）. The HIV anti- body positive rate of spouse/partners of HIV infected maternals was 64.1% （2453/3829）, while the negative pro- portion was 44.0% （1081/2453）, which was significantly higher in digamist than that of first marriages （x^2= 51.33, P〈0. 001）. Conclusion Notification and detection of negative spouses in HIV single positive families should be strengthened, and follow-up management of remarried women infected with HIV should be improved, which is con- ducive to further prevent the HIV spreading within marriage and mother-to-child transmission.