CAJ | 학술논문

目的：了解广西南宁市2009～2011年孕产妇艾滋病流行情况和发展趋势，为制定预防和控制艾滋病策略提供参考依据。方法从“预防艾滋病母婴传播管理信息系统”收集南宁市2009～2011年预防艾滋病母婴传播工作报表、HIV阳性孕产妇个案信息表并进行描述性流行病学分析。结果2009～2011年南宁市孕产妇共检出HIV感染者317例，感染率为0.103％，各年感染率分别为0.100％、0.096％和0.112％，差异无统计学意义（χ2＝1.572，P＝0.456）；HIV感染者年龄以20～34岁为主，占总数的86.1％；民族以汉族（156例/49.2％）和壮族（143例/45.1％）为主；职业以无业（106例/33.4％）和农民为主（112例/35.3％）；文化程度以初中及以下为主（239例/75.4％）；性传播227例，2009～2011年艾滋病性传播率分别为0.061％、0.071％、0.087％，各年差异无统计学意义（χ2＝4.927，P＝0.085）；2009～2011年HIV感染孕产妇终止妊娠率分别为4.49％、8.08％、17.83％，差异有统计学意义（χ2＝10.819， P＝0.004）。2009～2011年实施母婴阻断人数为290人，阻断率为91.48％，年度阻断率分别为93.26％、90.91％、90.70％，各年差异无统计学意义（χ2＝0.504，P＝0.777）。结论2009～2011年南宁市孕产妇HIV感染率呈平稳趋势，性传播是艾滋病的主要传播途径，艾滋病母婴阻断效果显著，但防控形势依然严峻，有必要继续采取有效的预防策略及措施控制其流行。
목적：료해엄서남저시2009～2011년잉산부애자병류행정황화발전추세，위제정예방화공제애자병책략제공삼고의거。방법종“예방애자병모영전파관리신식계통”수집남저시2009～2011년예방애자병모영전파공작보표、HIV양성잉산부개안신식표병진행묘술성류행병학분석。결과2009～2011년남저시잉산부공검출HIV감염자317례，감염솔위0.103％，각년감염솔분별위0.100％、0.096％화0.112％，차이무통계학의의（χ2＝1.572，P＝0.456）；HIV감염자년령이20～34세위주，점총수적86.1％；민족이한족（156례/49.2％）화장족（143례/45.1％）위주；직업이무업（106례/33.4％）화농민위주（112례/35.3％）；문화정도이초중급이하위주（239례/75.4％）；성전파227례，2009～2011년애자병성전파솔분별위0.061％、0.071％、0.087％，각년차이무통계학의의（χ2＝4.927，P＝0.085）；2009～2011년HIV감염잉산부종지임신솔분별위4.49％、8.08％、17.83％，차이유통계학의의（χ2＝10.819， P＝0.004）。2009～2011년실시모영조단인수위290인，조단솔위91.48％，년도조단솔분별위93.26％、90.91％、90.70％，각년차이무통계학의의（χ2＝0.504，P＝0.777）。결론2009～2011년남저시잉산부HIV감염솔정평은추세，성전파시애자병적주요전파도경，애자병모영조단효과현저，단방공형세의연엄준，유필요계속채취유효적예방책략급조시공제기류행。
Objective To investigate the epidemiological characteristics and prevalent trend of AIDS among pregnant women in Nanning City , and to provide scientific basis for preventing AIDS .Methods The preventing Mother-to-Child Transmission( PMTCT) report forms and HIV infections information from 2009 to 2011 were collected and analyzed .Results Three hundred and seventeen pregnant women in Nanning City were infected with HIV .From 2009 to 2011 , the HIV infection rate were 0.100%, 0.096%and 0.112%, respectively , which had no significant association among the three groups (χ2 =1.572 ,P=0.456 ) .Most of the HIV infected pregnant women aged from 20~34,highly to be 86.1%of the cases.Their nationalities were mainly Han nationality (156 cases/49.2%) and Zhuang nationality(143 cases/45.1%),with an occupation as unemployed (106 cases/33.4%) and farmers(112 cases/35.3%),as well as a poor education background for only received junior middle school or even under education (239 ca-ses/75.4%) .Two hundred and twenty-seven cases were infected by sex transmission , accounted for 71.6%.From 2009 to 2011, the sex transmission rate of HIV infections were 0.061%,0.071%,0.087%, respectively.There was no significant association of the three groups (χ2 =4.927 ,P=0.085 ) .During 2009 to 2011 ,the termination of preg-nancy rate of HIV infected pregnant women were 4.49%,8.08%,17.83%,separately,which had significant associa-tion among the groups (χ2 =10.819 ,P=0.004 ) .Two hundred and ninety cases were implemented PMTCT ,the bloc-king rates was 91.48%,and subannual blocking rates were 93.26%,90.91%,90.70%, which had no significant as-sociation(χ2 =0.504,P =0.777).Conclusion The prevalent trend of HIV infections among pregnant women in Nanning City from 2009 to 2011 showed a stable trend , and sex transmission was the primary transmission of AIDS . The intervention for PMTCT is effective and feasible .But the prevention and control of AIDS is still a severe chal-lenge.It is necessary to adopt effective preventive measures to control the prevalence .