中山市HIV感染孕产妇流行病学特征分析
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摘要
目的了解中山市艾滋病病毒(HIV)感染孕产妇的流行病学特征和感染途径,为预防HIV母婴传播提供依据。方法对2006～2012年中山市新发现的93例确诊HIV感染孕产妇的个案卡资料进行基本的流行病学特征和感染途径分析。结果 HIV感染孕产妇年龄19～41岁,年龄中位数为27岁;86.02%HIV感染孕产妇是初中以下文化程度;户籍以外省为主,占52.69%;职业构成以家务、工人为主,各占56.99%和23.66%。镇区分布以小榄镇报告最多,占发现病例数的19.35%,其次是石岐区(12.90%)和东升镇(9.68%)。感染途径以性接触感染为主,占81.72%,其次是共用注射器静脉吸毒,占3.23%。73.04%的感染孕产妇经过咨询后选择继续妊娠,27.96%选择终止妊娠。结论本市HIV感染孕产妇以外来流动人口为主,预防艾滋病母婴传播工作的重点人群是流动人口中的育龄妇女。HIV感染孕产妇感染途径主要以性接触感染为主。及时对感染孕产妇开展预防艾滋病母婴传播咨询服务可以有效提高预防艾滋病母婴传播的成功率。
Objective To investigate epidemiological characteristics and route of infection in maternal with AIDS virus(HIV) infection in Zhongshan City,for the prevention of mother-to-child HIV transmission provide a basis.Methods Analyze the basic epidemiological characteristics and routes of infection in case card data of newly discovered 93 cases of HIV maternal infection in Zhongshan city from 2006 to 2012.Results Pregnant women with HIV infection were between the ages of 19 ～ 41 years old,the median age is 27 years old;86.02% maternal with HIV infection has a junior high school education;census register mainly of non-Guangdong,accounting for 52.69%;occupation mainly belong to housework,workers,each accounted for 56.99% and 23.66%.Town partition,the largest distribution were reported in Xiaolan,in which 19.35% cases were found,followed by Shiqi District Town(12.90%) and Dongsheng(9.68%).Infection ways include contact infection,accounting for 81.72%,followed by the sharing of syringes for intravenous drug use,3.23%.73.04% of the maternal infection after consulting chose to continue pregnancy,27.96% choice on termination of pregnancy.Conclusion The pregnant women with HIV infection is mainly in floating population,the emphasis of prevention of mother to child transmission of AIDS among floating population is in women of reproductive age.The main route of Maternal HIV infection was sexual contact.Timely advisory services to infected maternity about how to prevent mother to child transmission of AIDS can effectively improve the success rate of prevention of mother-to-child transmission of HIV.
Objective To investigate epidemiological characteristics and route of infection in maternal with AIDS virus(HIV) infection in Zhongshan City,for the prevention of mother-to-child HIV transmission provide a basis.Methods Analyze the basic epidemiological characteristics and routes of infection in case card data of newly discovered 93 cases of HIV maternal infection in Zhongshan city from 2006 to 2012.Results Pregnant women with HIV infection were between the ages of 19 ～ 41 years old,the median age is 27 years old;86.02% maternal with HIV infection has a junior high school education;census register mainly of non-Guangdong,accounting for 52.69%;occupation mainly belong to housework,workers,each accounted for 56.99% and 23.66%.Town partition,the largest distribution were reported in Xiaolan,in which 19.35% cases were found,followed by Shiqi District Town(12.90%) and Dongsheng(9.68%).Infection ways include contact infection,accounting for 81.72%,followed by the sharing of syringes for intravenous drug use,3.23%.73.04% of the maternal infection after consulting chose to continue pregnancy,27.96% choice on termination of pregnancy.Conclusion The pregnant women with HIV infection is mainly in floating population,the emphasis of prevention of mother to child transmission of AIDS among floating population is in women of reproductive age.The main route of Maternal HIV infection was sexual contact.Timely advisory services to infected maternity about how to prevent mother to child transmission of AIDS can effectively improve the success rate of prevention of mother-to-child transmission of HIV.
引文
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[2]方利文,王临虹,王前,等.四省572例HIV感染孕产妇流行病学特征及感染途径分析[J].中国妇幼保健,2008,23(11):528.
[3]钟活麟,陈谐捷,钟海丹,等.广州地区30例儿童艾滋病临床流行病学特征分析[J].现代医院,2010,10(2):155-156.
[4]U S.Centers for Disease Control and Prevention(CDC).Introduc-tion of routine HIV testing in prenatal care-Botswana,2004[J].MMWR Morb Mortal Wkly Rep,2004,53(46):1083-1086.