云南省德宏州2005-2010年未婚孕产妇艾滋病病毒感染及其影响因素分析

目的:了解云南省德宏州未婚孕产妇艾滋病流行趋势,探讨影响未婚孕产妇感染艾滋病病毒(HIV)的危险因素。方法:收集2005-2010年间进入德宏州各级医院和计划生育服务站就诊的未婚孕产妇的社会人口学、行为学和HIV感染信息,对HIV阳性者血清进行BED-捕获酶联免疫试验(BED-CEIA)以检测其是否系新近感染者。结果:德宏州2005-2010年间共调查12 742例未婚孕产妇,HIV感染率和新近感染率分别为0.71%和0.25%。2007年HIV感染率和新近感染率最高,分别为1.13%和0.86%。多因素logistic回归分析结果显示,缅甸籍(AOR:2.57;95%CI:1.13～5.84)未婚孕产妇HIV感染率较高,而高中/中专文化程度(AOR:0.19;95%CI:0.06～0.58)、"丈夫"/男朋友无吸毒史(AOR:0.18;95%CI:0.04～0.75)未婚孕产妇HIV感染率较低。结论:德宏州未婚孕产妇HIV感染率及新近感染率较高。缅甸籍、"丈夫"/男朋友吸毒史、文化水平低是导致未婚孕产妇感染HIV的高危因素。有必要加强未婚孕产妇人群艾滋病防控工作。

HIV infection and risk factors among unmarried pregnant women during 2005-2010 in Dehong Prefecture,Yunnan Province

Objective To understand HIV epidemic trends and risk factors among unmarried pregnant women in Dehong prefecture,Yunnan province.Methods Data of sociodemographic and behavioral characteristics and HIV infection status of all unmarried pregnant women who attended antenatal clinics,hospitals and family planning clinics in Dehong Prefecture during 2005-2010 were collected and statistically analyzedFor HIV positive women,the BED-Capture Enzymatic Immune Assay(BED-CEIA) was preformed to determine recent infections.Results The overall HIV prevalence and recent infection rates among the total of 12742 unmarried pregnant women were 0.71% and 0.25%,respectivelyThe HIV prevalence and recent infection rates were both the highest in 2007,with 1.13% and 0.86% respectivelyMultiple logistic regression analysis indicated that HIV infection was higher among those who were Burmese(AOR:2.5795% CI:1.13-5.84),but lower among those who had high school education or equivalent(AOR:0.1995% CI:0.06-0.58) or had a ’husband’ or boyfriend without drug abuse history(AOR:0.1895% CI:0.04-0.75).Conclusion Both HIV prevalence and recent infection rates among unmarried pregnant women in Dehong Prefecture were fairly highBeing Burmese,having a ’husband’ or boyfriend who was a drug user,and low education were risk factors for HIV infection among unmarried pregnant womenMore efforts are needed for HIV prevention and control targeting unmarried pregnant women.