四川省艾滋病高发区艾滋病病毒感染孕产妇卫生保健服务利用现状分析

目的了解艾滋病高发区艾滋病病毒(human immunodeficiency virus,HIV)感染孕产妇的卫生服务及围产保健服务利用现状。方法选取艾滋病高发区四川省凉山州为样本地区,对212名HIV感染孕产妇开展卫生服务利用的问卷调查。结果 HIV感染孕产妇两周患病率和两周就诊率分别为31.13%和27.27%,年住院率为1.42%,需住院未住院率为66.67%。产前检查的比例为72.17%,产后访视的比例为57.08%,住院分娩比例为82.55%。两周患病率在不同年龄、民族和是否务农间有差异,两周就诊率在不同年收入家庭间存在差异。结论 HIV感染孕产妇卫生服务需求和门诊服务利用较高,住院服务和围产保健服务利用不足。

Status of the health service and perinatal care service utilization among pregnant women with HIV in the high HIV epidemic area of Sichuan Province

Objective To identify health service and perinatal care service utilization of pregnant women with human immunodeficiency virus ( HIV) in high prevalence areas of AIDS .Methods 212 HIV pregnant women were randomly selected in Liangshan,Sichuan Province.Health and perinatal care service demands was investigated by questionnaire .Results Two week prevalence rate and two week visit rate were 31.13%and 27.27 %respectively ,annual hospitalization rate was 1.42%and need to be hospitalized without hospitalization rate was 66.67 %.The proportion of prenatal examination , postpartum visit and hospitalized delivery were 72.17%, 57.08%, 82.55%respectively.Two week prevalence rate had significant differences among different ages , ethnic, and whether farming .Two week visit rate had significant differences among annual household incomes .Conclusion The health service needs and the outpatient service utilization of pregnant women with HIV is high , but the inpatient service and perinatal health care service utilization is low .