2012-2013年贵州省梅毒感染孕产妇流行特征及接受服务意愿分析

Analysis of maternal epidemiological characteristics of syphilis and willingness to receive services in Guizhou Province during 2012-2013

目的了解近年来贵州省梅毒感染孕产妇流行特征及接受服务等意愿。方法对贵州全省9个市(州)26个县2012-2013年确诊的梅毒阳性孕产妇进行问卷调查。结果 2012-2013年,282例确诊的梅毒阳性孕产妇的年龄结构、民族、户籍、文化程度及月收入两年来无显著变化(P>0.05);居住情况差异有统计学意义(P<0.05),2013年流动人口中感染梅毒的孕产妇有增多趋势;95.03%孕产妇知道自己感染了梅毒,80.28%孕产妇愿意告诉丈夫,60.99%梅毒阳性孕产妇愿意与感染的亲属交往,主要认为同病相怜及影响不大;96.45%梅毒阳性孕产妇愿意接受产检,是想知道健康情况及得到医生帮助,9.22%愿意终止妊娠,因为担心小孩也感染或受歧视,90.78%不愿意终止妊娠。2012-2013年梅毒阳性孕产妇愿意终止妊娠构成比差异有统计学意义(P<0.05),愿意终止妊娠者构成比呈下降趋势。结论积极开展早孕保健服务,加强健康教育,及早干预、规范化治疗及随访,减少梅毒母婴传播。

Objective To understand the epidemiological characteristics of syphilis and willingness to receive services infection in pregnant women in Guizhou Province. Methods Questionnaire survey was carried out among the Syphilis positive pregnant women who come from 26 counties in 9 cities during 2012 to 2013. Results The difference in age structure,nationality,household register,education level and monthly income of 282 cases with syphilis positive for the recent two years were not statistically significant（ P〈0. 05）,there was statistically significant difference in residence（ P〈0. 05）,the floating population of pregnant women infected syphilis in 2013 had an increasing trend. 95. 03% of the pregnant women know that they had infected with syphilis,80. 28% of the pregnant women were willing to tell her husband; 60. 99 of the pregnant women with syphilis positive were willing to contact with the relatives who infected; 96. 45% of them were willing accept antenatal care in order to understand the health and obtain doctor＇s help;9. 22% of them were willing to terminate pregnancy because they worried that children infected or discriminated; 90. 78% of them were not willing to terminate pregnancy; Between 2012 and 2013,there was a statistically significant difference in the proportion of syphilis positive pregnant women（ P〈0. 05）. Conclusions It is important to carry out early pregnancy health services actively,to strengthen health education,early intervention,standardized treatment and follow-up,in order to reduce maternal and child transmission of syphilis.