中国部分地区2011--2012年孕产妇接受HIV梅毒和HBV检测服务现状

目的了解中国部分地区孕产妇接受艾滋病病毒（HIV）、梅毒和乙型肝炎（乙肝）病毒（HBV）检测服务的现状，分析检测率及孕期检测的比例。方法选取中国西部3个艾滋病疫情相对高发省中的3个县（市、区）作为调查地区，常规收集2011—2012年孕产妇在医疗保健机构接受HIV、梅毒和HBV检测与咨询服务的相关信息，并通过国家预防艾滋病、梅毒和乙肝母婴传播管理信息系统报告与收集相关数据，采用描述性统计分析与趋势卡方检验方法，分析相关信息。结果3个地区2011—2012年分娩的孕产妇总数为41586人，其中2011年为19380人，2012年22206人。2012年的HIV检测率为96．2％，高于2011年的93．1％（χ2=24．56，P〈0．O001）；2012年的梅毒检测率为96．0％，高于2011年的69．5％（χ2=19．01，P〈0．O001）；2012年HBV检测率为96．0％，高于2011年的71．8％（χ2=19．21，P〈0．0001）。结论随着中国预防艾滋病、梅毒和乙肝母婴传播整合工作的开展，越来越多的孕产妇能够在孕期尽早地接受HIV、梅毒和HBV的检测，提高孕期检测的比例已成为开展预防艾滋病、梅毒和乙肝母婴传播工作的一项重要工作。

Analysis of HIV,Syphilis and HBV testing services among pregnant women in some counties of China

Objective To analyze HIV, Syphilis and HBV testing rate and testing proportion during Antenatal Care （ANC） among maternities in some western counties of China. Methods Three counties from western prov- inces of China were selected in this research. We collected routine record data and information of pregnant women who received HIV, Syphilis and HBV testing and counseling services during first time antenatal examination from National Integrated Prevention of Mother to Child Transmission of HIV, Syphilis and HBV（IPMTCT）Surveillance System during 2011 to 2012. The indicators of testing rate and testing proportion during pregnant period among the three areas were analyzed after data cleaning. Results The total number of delivered women recorded in these three counties during 2011--2012 was 41586 （19380 in 2011, 22206 in 2012）. The rate of HIV testing in 2012 was 96.2%, which was higher than that of 93.1% in 2012 （χ2=24.56, P〈0. 0001）. And the rate of Syphilis testing a mong the three counties was 96.01% in 2012, which was higher than that of 69.54% in Z011 （ χ2 =19.01, P〈 0.0001）. Meanwhile, the HBV testing rate increased from 71.8% in 2011 to 95.9% in 2012 （χ2=19.21, P〈 0. 0001）. Conclusions With the implementation of IPMTCT services in China these two years, a great number of pregnant women could receive HIV, Syphilis and HBV testing and counseling simultaneously when they receive first time antenatal care service. To enhance testing rate, especially for the testing proportion during antenatal care peri- od, has become one of the most important issues in IPMTCT services.