2012—2016年盐城市盐都区孕产妇艾滋病哨点监测结果

Results of HIV/AIDS sentinel surveillance among pregnant women in Yandu District of Yancheng City from 2012-2016

目的了解盐城市盐都区孕产妇人群艾滋病(AIDS)、梅毒、丙型肝炎的感染状况、AIDS相关危险因素及AIDS防治知识知晓情况,从而为制定该地区孕产妇这一特定人群的AIDS干预措施和防治策略提供科学依据。方法按照《全国艾滋病哨点监测实施方案》要求,2012—2016年每年4—6月份开展孕产妇监测,对监测对象进行问卷调查和血清学检测。结果共监测2 000人,孕产妇对AIDS知识的知晓率为78%~98.5%,各年度知晓率差异有统计学意义(P<0.01);不同年龄、文化程度、婚姻状况、户籍、民族的孕产妇对AIDS防治知识知晓率差异均有统计学意义(P<0.05)。血清学检查未发现丙型肝炎病毒抗体阳性,人类免疫缺陷病毒(HIV)抗体检出率为0.15%(3/2 000)、梅毒抗体检出率为0.40%(8/2 000)。结论盐城市盐都区孕产妇对AIDS防治知识的知晓率处于水平较高,但对个别条目知晓率较低;盐都区孕产妇AIDS、梅毒和丙型肝炎呈低流行,但是仍存在多种危险因素,应继续加强宣传教育和行为干预,阻断母婴传播。

[Objective]To learn about the infection status of HIV/AIDS,syphilis and hepatitis C,related hazards of HIV/AIDS,and the awareness of HIV/AIDS prevention and treatment knowledge among pregnant women in Yandu District of Yancheng City,provide scientific basis for formulation of HIV/AIDS intervention measures and prevention and treatment strategies for pregnant women in this district.[Methods] According to the National HIV/AIDS Sentinel Surveillance Guidelines,the surveillance in pregnant women was carried out between April and June every year,and the questionnaire surveys and serological tests were performed on the surveillance objects.[Results]Totally 2 000 pregnant women were monitored during 2012-2016. The awareness rate of HIV/AIDS knowledge was 78%-98.5%,and the difference in awareness rate was statistically significant among different years（P〈0.01）. There were statistically significant differences in awareness rate of HIV/AIDS prevention and treatment knowledge among pregnant women of different age,educational level,marital status,household registration,and nation（P〈0.05）. In the serological tests,no positive case of hepatitis C virus（HCV） was found,and the detection rate of human immunodeficiency virus（HIV）antibody and syphilis antibody was 0.15%（3/2 000）and 0.40%（8/2 000）respectively.[Conclusion]The pregnant women in Yandu District have a higher awareness rate of HIV/AIDS prevention and treatment knowledge,but the awareness rates of some items are relatively low. The epidemic situation of HIV/AIDS,syphilis and hepatitis C in pregnant women is at a low level in Yandu District,but there are still various hazards. It is necessary to continue to strengthen publicity and education and conduct interventions to prevent mother-to-child transmission.