孕产妇首次接受HIV检测的时期及影响因素

目的了解云南省瑞丽市孕产妇在孕期首次接受艾滋病病毒（HIV）检测服务的时期及影响因素。方法利用2012年10-12月瑞丽市县乡级孕产妇艾滋病筛查登记表资料，描述孕产妇首次接受HIV检测的时期分布，采用单因素和无序多分类Logistic回归分析影响因素。结果754例孕期首次接受HIV检测的孕产妇，在孕早、中、晚期检测的比例分别为32．6％、46．2％和21．2％。以孕早期检测为对照，对孕中期检测，年龄14～〈22岁、傣族、居住在乡镇、在乡镇级机构检测的调整OR值分别为1．638（95％CI：1．038-2．583）、0．611（95％CI：0．377-0．988）、1．923（95％CI：1.177～3．140）、0．172（95％CI：0．073～0．408）。对孕晚期检测，小学及以下文化程度、居住地为乡镇、检测级别为乡镇的调整OR值分别为2．823（95％CI：1．582～5．039）、2．883（95％CI：1．619～5．135）、0．138（95％CI：0．048-0．401）。结论瑞丽市孕早期HIV检测比例仍有提升空间；居住在缅甸和乡镇的孕产妇为重点关注人群，建议提高乡镇级孕产妇HIV检测服务的可及性。

Time of receiving the first HIV testing and its influencing factors among pregnant women

Objective To learn the time piont of receiving the first HIV-testing among pregnant women and its influencing factors in Ruili city, Yunnan Province. Methods From October to December in 2012, the maternal HIV screening information registration forms were collected to describe the distribution of the time point of receiving the first HIV testing. Univariate and multi-variate logistic regression analyses were used for statistical inference. Results The proportions of having HIV testing during early, middle and late pregnancy among 754 pregnant women were 32.6%, 46.2% and 21.2%respectively. Compared with HIV testing during early pregnancy, adjusted odds ratios during middle pregnancy for people between 14 and 22 years old, Dai nationality, residing in townships, and testing at township hospitals were 1. 638（95% CI： 1. 038- 2. 583）, 0. 611 （95% CI： 0. 377--0. 988）, 1. 923 （95% CI： 1. 177--3. 140） and 0. 172（95% CI： 0. 073--0. 408）, respectively. And the adjusted odds ratios of HIV testing dur ing late pregnancy or at delivery for education level of primary school or lower, residing in twonships, and testing at township hospitals were 2. 823 （95% CI： 1. 582- 5. 039）, 2. 883 （95% CI： 1. 619- 5. 135） and 0. 138 （95% CI= 0. 048--0. 401）, respectively. Conclusion There is room to further improve proportion of HIV testing during early pregnancy. It is necessary to pay more attention to women residing in Myanmar or twonships and to improve the HIV testing accessibility at twonship level.