江门市2009至2015年孕产妇人群艾滋病哨点监测结果分析

目的：了解江门市孕产妇的行为特征及艾滋病感染危险因素流行情况。方法分析2009年至2015年国家级孕产妇监测哨点的数据资料。结果2009年至2015年不同年度孕产妇年龄、婚姻状况、户籍、文化程度、妊娠次数和生育情况构成比均有显著性差异（χ2值分别为43．02、5．04、85．79、194．19、217．82、131．97，均P＜0．05）。2009年至2015年，孕产妇艾滋病知晓率相对较高，总体知晓率为93．47％～99．75％，不同年度间比较差异具有统计学意义（χ2＝15．96，P＜0．01）。2009年至2015年7年连续监测共发现7人承认有吸毒行为，吸毒比例总体为0．24％，各年度比较趋势检验无统计学意义（χ2＝0．785，P＞0．05）。2011年检出3例梅毒抗体阳性者，2014年检出2例梅毒抗体阳性者，梅毒抗体阳性率分别为0．21％（3／469）和0．49％（2／405），各年度无显著性差异（确切概率P＞0．05）。2012年至2014年分别检出4例、1例和3例HIV抗体阳性者，HIV抗体阳性率分别为1．00％（4／402）、0．25％（1／405）和0．74％（3／405），各年度无显著性差异（确切概率P＞0．05）。结论江门市孕产妇人群艾滋病呈高流行状态，目前孕产妇人群艾滋病知晓率较高，但既往感染者生育愿望与频次的增加，使艾滋病流行的危险因素加大，应加强孕产妇检测工作，并采取有效干预措施，减少母婴传播危险性。

Result analysis of sentinel surveillance of AIDS among pregnant and lying-in women in Jiangmen City from 2009 to 2015

Objective To get to know the behavior characteristics of pregnant and lying-in women and epidemic conditions of infection risk factors of AIDS in Jiangmen City .Methods Data of national sentinel surveillance on AIDS among pregnant and lying-in women from 2009 to 2015 was analyzed .Results During the period , significant differences were identified among pregnant and lying-in women in different age, marital status, census register, education background, number of pregnancies and fertility circumstances (χ2 value was 43.02, 5.04, 85.79, 194.19, 217.82 and 131.97, respectively, all P<0.05).From 2009 to 2015, the awareness rate of AIDS among pregnant and lying-in women was relatively high , and the overall awareness rate reached 93.47%to 99.75%.Statistical difference was identified when year-over-year comparisons were conducted (χ2 =15.96,P<0.01).A total of seven people admitted their drug use after a continuous surveillance of AIDS for seven consecutive years , namely from 2009 to 2015.The population proportion of drug use was 0.24%.No statistical difference was noticed when year-over-year comparisons of trend test were carried out (χ2 =0.785,P>0.05).In 2011, test results of syphilis antibody of three patients were positive while in 2014 the number was two .The positive rate of syphilis antibody was 0.21%(3/469) and 0.49%(2/405), respectively.There was no significant difference (exact probability P>0.05).During the period from 2012 to 2014, the number of positive HIV antibody cases was 4, 1, and 3, respectively.The positive rate of HIV antibody was 1.00%(4/402), 0.25% (1/405) and 0.74% (3/405), respectively.No significant difference was found ( exact probability P >0.05).Conclusion The prevalence of AIDS is high among pregnant and lying-in women in Jiangmen City.At present, the awareness rate of AIDS is relatively high in pregnant and lying-in women.An increase in bearing desire and frequency is witnessed among former infected women, which elevates the risk of the prevalence of AIDS .Therefore, it is necessary to strengthen the detection of AIDS among pregnant and lying-in women and take effective measures to prevent mother-to-child transmission.