农村孕产妇艾滋病咨询检测利用及影响因素

目的 了解部分低流行区农村孕产妇艾滋病咨询检测服务利用状况，分析其影响因素，为加强低流行区农村孕产妇艾滋病防控提供依据。 方法 对吉林省4个县（市）401名农村孕产妇艾滋病咨询检测状况进行问卷调查，影响因素的单因素分析采用χ²检验，多因素分析采用logistic回归分析。结果 孕产妇艾滋病咨询率为8%，人类免疫缺陷病毒（HIV）抗体检测率为57.9%，其中14.7%于孕早中期接受检测，74.6%于临产前接受检测；少数民族、与配偶感情一般、参加孕妇学校培训、孕期检查次数≥5次、知晓艾滋病母婴传播知识及参加预防艾滋病健康教育活动的孕产妇咨询率较高；少数民族、分娩2次、参加孕妇学校培训、孕期检查次数≥5次的孕产妇HIV抗体检测率高。结论 吉林省农村孕产妇艾滋病咨询检测服务利用不足，少数民族、参加孕妇学校培训、孕期检查次数≥5次的孕产妇艾滋病咨询检测率高。

Utilization of AIDS counseling and HIV test and its influencing factors among rural pregnant women

Objective To examine the status of accquired immunodeficiency syndrome(AIDS)counseling and human immunodeficiency virus(HIV)test and its influencing factors among rural pregnant women in some low prevalent regions for making policies of HIV/AIDS prevention in the rural pregnant women.Methods Totally 401 rural pregnant women in 4 counties of Jilin province were investigated with a questionnaire survey.Univariate analysis with chi-square test and multivariate analysis with logistic regression were applied in the study.Results The rates of AIDS counseling and HIV test were 8% and 57.9%.Of the women taking AIDS counseling and HIV test,14.7% were at early pregnancy and 74.6% were during the second trimester.The rate of AIDS counseling was relatively high among minority pregnant women,the women having common affection with hasbands,attending school training,having prenatal check 5 times or more,having the knowledge of mother to child transmission,and participating education program on prevention of mother to child transmission.The rate of HIV test was higher among minority women,the women having 2 deliveries,attending school for pnegnant women,and having prenatal check 5 times or more.Conclusion The service utilization of AIDS counseling and HIV test was low among rural pregnant women in Jilin province.Minority women,pregnant women attending training programms,and having pregnancy check 5 times or more had higher utilization of AIDS counseling and HIV test.