孕产妇艾滋病知识、态度和感染情况调查

[目的]了解孕产妇对艾滋病传播和预防知识知晓率水平、对感染人类免疫缺陷病毒(HIV)感染者的态度、高危行为以及艾滋病病毒(HIV)感染状况,为制订本地区母婴阻断艾滋病干预措施提供科学依据。[方法]采用现况调查方式了解辖区内孕产妇对艾滋病知识掌握情况、所持态度及其吸毒、有偿供血、外出打工、性病感染情况等高危行为和干预措施进行分析,并采集静脉血进行HIV抗体检测。[结果]在本次监测的454名孕产妇中,孕产妇HIV感染率为0.22%;对传播途径等8个核心指标知晓率为47.58%;64.1%不愿意与HIV感染者交往;0.44%丈夫有吸毒史;30.40%丈夫去外地打工或经商;17.10%接受过安全套发放服务;84.36%艾滋病知识信息来源于电视。[结论]该地区孕产妇HIV感染率高于本地区全人群感染率,艾滋病知识知晓率低,对HIV感染者存在恐惧和歧视,安全套发放、知识宣传这些干预工作开展力度和普及面尚不能满足目前艾滋病防治工作的需要。应充分关注本地区孕产妇的艾滋病预防工作,并采取更为有效的艾滋病健康促进干预措施。建议开展产前门诊常规HIV检测,提高孕妇HIV自愿咨询检测率。

SURVEY ON AIDS KAP AMONG PREGNANT AND PARTURIENT WOMEN

[Objective] To kwon the AIDS knowledge, attitude and practice among pregnant and parturient women. To develop policies for blocking mother-to-child transmission. [Methods] A cross sectional study using a questionnaire was carried out to know the percentage of HIV transmission and prevention awareness, the attitude to persons living with HIV / AIDS. Currently exiting high-risk behaviors were also included; the items were drug abuse, blood donation, leaving hometown for working, having sexually transmitted diseases. Blood samples were collected for HIV test. [Results] The prevalence of HIV infection in the 454 pregnant and parturient women was 0.22%, the awareness of eight core indicators of HIV transmission awareness was 47.58%; 64.1% of the interviewees did not want to have everyday-life contact with HIV-positive individuals. The per- centages of drug abuse history and leaving hometown for working among the husbands were 0.44% and 30.40% respectively. 17.10% had ever received condom hand-out services and 84.36% reported that AIDS knowledge and information were from television approach. [Conclusion] Maternal HIV infection rate is higher than the common population in the area. For the low awareness of AIDS knowledge, existing fear and discrimination toward HIV infection, unimproved condom distribution and health education, there should be more awareness on prevention work of maternal AIDS. Conventional HIV test in antenatal clinics should be carried out to improve voluntary counseling and test rate of pregnant and parturient women.