湖南省2011-2020年预防艾滋病母婴传播服务效果分析

Effect of mother-to-child HIV transmission prevention service in Hunan Province from 2011 to 2020

目的评估湖南省预防艾滋病母婴传播服务工作效果,找出预防艾滋病母婴传播服务工作中薄弱环节,为湖南省预防和控制艾滋病母婴传播提供理论依据。方法从国家“预防艾滋病、梅毒和乙肝母婴传播信息管理系统”中导出2011年1月1日至2020年12月31日湖南省预防艾滋病母婴传播月报表和个案卡信息,采用Excel 2007软件进行数据整理,运用SPSS 22.0软件进行数据分析。结果2011-2020年,湖南省孕产妇HIV检测率由87.15%上升至99.99%,孕期检测率由45.78%上升至98.85%,孕早期检测率由49.07%上升至78.91%,孕产妇HIV感染率由1.76/万上升至3.93/万。HIV感染孕产妇年龄主要集中在20~34岁,文化程度初中及以下者占69.63%,职业家务/待业和农民占77.75%,经性传播占54.39%。HIV感染产妇用药率由34.44%上升到97.25%,婴儿用药率由48.28%上升到100.00%。HIV感染孕产妇所生婴儿平均早期诊断率为79.81%,满18月龄儿童抗体平均检测率为73.21%。艾滋病母婴传播率由25.00%下降至2.92%。结论湖南省2011-2020年孕产妇HIV检测率、孕期检测率、孕早期检测率、HIV感染孕妇产妇及所生儿童用药率均呈上升趋势,艾滋病母婴传播综合防治措施运行有效,母婴传播率下降较明显。

Objective To evaluate the effect of the mother-to-child HIV transmission prevention service in Hunan Province,find out the main problems and related factors and provide theoretical guidance for the prevention of mother-tochild HIV transmission.Methods We collected monthly reports and case card information through the national Motherto-Child transmission management information system for the prevention of AIDS,syphilis and hepatitis B in Hunan Province from January 1,2011,to December 31,2020 for statistical analysis.Excel 2007 was used for data reduction,and SPSS 22.0 was used for data analysis.Results From 2011 to 2020,the HIV detection rate of pregnant women in Hunan Province increased from 87.15%to 99.99%.Detection rate during pregnancy increased from 45.78%to 98.85%and rate during the early pregnancy increased from 49.07%to 78.91%.HIV infection rate of pregnant and lying-in women increased from 1.76/10,000 to 3.93/ten thousand.The age of HIV-infected pregnant and lying-in women was mainly concentrated in 20~34 age group.69.63%were educated at junior high school and below,77.75%were professional housework/unemployed and farmers and 54.39%were sexually transmitted.ART drug use rate increased from 34.44%to97.25%,and the infant drug use rate increased from 48.28%to 100.00%.The average early diagnosis rate of infants was79.81%and the average antibody detection rate of children aged 18 months was 73.21%.Mother-to-child transmission rate of HIV decreased from 25.00%to 2.92%.Conclusion From 2011 to 2020 in Hunan Province,the HIV detection rate of pregnant and lying-in women,the detection rate during pregnancy,the detection rate in early pregnancy,and the drug use rate of HIV-infected pregnant women and their children all showed an upward trend.The comprehensive prevention and control measures for HIV/AIDS mother-to-child transmission were effective and the mother-to-child transmission rate decreased significantly.