广东省2012-2013年孕产妇接受HIV梅毒和HBV检测服务情况

Analysis the situation of HIV,syphilis and HBV testing services among pregnant women in Guangdong,2012-2013

目的了解广东省各地区孕产妇接受艾滋病病毒(HIV)、梅毒和乙型肝炎病毒(HBV)检测服务状况,及各地区检测服务的差异,为各地区持续改进HIV、梅毒和HBV检测服务能力提供参考依据。方法常规收集广东省各地区2012年与2013年孕产妇在医疗保健机构接受HIV、梅毒和HBV检测与咨询服务的相关信息,并通过国家预防艾滋病、梅毒和乙型肝炎母婴传播管理信息系统报告与收集相关数据,采用描述性统计分析与卡方检验分析各地市分娩产妇HIV、梅毒和HBV检测率及孕期检测率。结果广东省各地区2012-2013年分娩产妇共计3 530 186人,其中,2012年为1 763 034人,2013年为1 767 152人。2013年广东省孕产妇HIV、梅毒和HBV检测率分别为93.33%、83.02%和84.30%,均显著高于2012年的孕产妇检测率。两年间,珠三角地区、东翼地区、西翼地区和山区HIV、梅毒和HBV的检测率分别为97.77%、83.15%和84.48%,74.72%、76.15%和77.14%,92.97%、83.93%和85.60%,94.67%、88.22%和89.24%;珠三角地区HIV、梅毒和HBV检测率显著高于其他地区。结论广东省孕产妇孕期检测率不高,各地区项目检测现状不均衡,预防梅毒和乙型肝炎母婴传播有待进一步加强。

Objective To understand the situation and difference of HIV, syphilis and HIV testing service in each district in Guangdong and to provide a reference to the testing services for each district in the next step. Meth- ods Data about HIV, syphilis and HIV testing and counseling accepted by pregnant women during the first time antenatal examination from National Integrated Prevention of Mother-to-child Transmission of HIV, Syphilis and HBV （iPMTCT） Surveillance System during 2012 to 2013 were collected. The indices of testing rate and testing rate during pregnancy were analyzed by use of descriptive statistics and Chi-square test. Results In 2012 and 2013, there were about 3530186 maternal with 1763034 in 2012 and 1767152 in 2013. The rate of hospitalized delivery was 99.60%. In 2013, the rates of HIV, syphilis and HBV testing were 93.33%, 83.02% and 84.30%, which were significantly higher than that in 2012. The rate of HIV testing （syphilis testing and HBV testing） in Pearl River Delta region, the east wing area, the west wing and mountainous areas of Guangdong province were 97.77% （83.15% and 84.48%）, 74.72%（76.15% and 77.14%）, 92.97% （83.93% and 85.60%）, 94.67% （88.22% and 89.24%）. The data indicated a higher testing rate in Pearl River Delta region than any other areas. Conclusion With the implementation of iPMTCT service in Guangdong province, the service of HIV, syphilis and HBV testingand counseling in each area was gradually increased in 2013, which played an important role in iPMTCT. However, the testing rate during pregnancy period was not high, and the situation in each region was uneven. To enhance service ability of HIV, syphilis and HBV in Guangdong was the most important issues in iPMTCT.