CAJ | 학술논문

目的调查HIV感染孕产妇配偶知晓孕产妇HIV感染状态后对其态度变化情况及影响因素.方法采用多阶段横断面调查方法,于2005年至201 1年对新疆的伊宁市,云南的瑞丽市和陇川县,广西的贺州市、灵山县和凭祥市等6个研究地区医疗保健机构所发现的1164例HIV感染孕产妇进行问卷调查.调查研究对象的社会人口学特征、性行为及其配偶的态度,分析HIV感染孕产妇受配偶歧视的影响因素.结果 85.1％ (991/1164)的感染HIV孕产妇配偶已知晓其HIV感染状态,其中有39例HIV感染孕产妇认为配偶对自己有歧视,占3.9％.多因素分析结果显示,城镇户籍的HIV感染孕产妇遭受配偶歧视的比例为6.5％ (15/231),农村户籍HIV感染孕产妇受到配偶歧视的比例较低,为3.2％(24/760)(OR=0.40,95％ CI:0.12 ～ 0.77);初婚HIV感染孕产妇受到配偶歧视的比例为2.9％ (21/731),再婚者及其他婚姻状态HIV感染孕产妇现任配偶歧视的比例较高,分别为6.5％ (15/232)(OR=2.45,95％ CI:1.61～5.25)、10.7％ (3/28)(OR=3.77,95％CI:1.46～9.88);未与现任配偶以外的人发生过性关系的HIV孕产妇受到配偶歧视的比例是2.6％ (15/580),而与现任配偶以外的人发生过性关系者受配偶歧视的比例较高,为5.9％(23/389)(OR =2.21,95％ CI:1.80 ～6.23).结论 HIV感染孕产妇受配偶歧视与其人口学特征及性行为特征有关.
목적 조사HIV감염잉산부배우지효잉산부HIV감염상태후대기태도변화정황급영향인소.방법 채용다계단횡단면조사방법,우2005년지201 1년대신강적이저시,운남적서려시화롱천현,엄서적하주시、령산현화빙상시등6개연구지구의료보건궤구소발현적1164례HIV감염잉산부진행문권조사.조사연구대상적사회인구학특정、성행위급기배우적태도,분석HIV감염잉산부수배우기시적영향인소.결과 85.1％ (991/1164)적감염HIV잉산부배우이지효기HIV감염상태,기중유39례HIV감염잉산부인위배우대자기유기시,점3.9％.다인소분석결과현시,성진호적적HIV감염잉산부조수배우기시적비례위6.5％ (15/231),농촌호적HIV감염잉산부수도배우기시적비례교저,위3.2％(24/760)(OR=0.40,95％ CI:0.12 ～ 0.77);초혼HIV감염잉산부수도배우기시적비례위2.9％ (21/731),재혼자급기타혼인상태HIV감염잉산부현임배우기시적비례교고,분별위6.5％ (15/232)(OR=2.45,95％ CI:1.61～5.25)、10.7％ (3/28)(OR=3.77,95％CI:1.46～9.88);미여현임배우이외적인발생과성관계적HIV잉산부수도배우기시적비례시2.6％ (15/580),이여현임배우이외적인발생과성관계자수배우기시적비례교고,위5.9％(23/389)(OR =2.21,95％ CI:1.80 ～6.23).결론 HIV감염잉산부수배우기시여기인구학특정급성행위특정유관.
Objective To analyze partner attitude change and influencing factors on HIV infected pregnant women HIV disclosure.Method A multi-stage cross sectional method was used to collect information by questionnaires on 1164 HIV infected pregnant women in 6 counties including Ruili and Longchuan in Yunnan,Hezhou,Lingshan and Pingxiang in Guangxi and Yining in Xinjiang.Information on demographic characteristics and sexual behavior of the subjects and partner attitude toward HIV infected pregnant women were obtained.The influencing factors of partner's discrimination against HIV infected pregnant women were analyzed.Result A total of 991 (85.1％) HIV infected pregnant women have disclosed HIV status to partners among 1164 respondents and 39 (3.9％) reported they were discriminated against partners.Multivariate analysis showed that the 6.5％ (15/231) of HIV infected pregnant women in urban had discrimination from their husbands while the ratio among rural preguant women was lower(3.2％ (24/760),OR =0.40,95 ％ CI:0.12-0.77).Compared with the ratio of discrimination among the women of first marriage(2.9％,21/731),the discrimination ratio among women with remarriage and other status was higher (6.5 ％ (15/232),OR =2.45,95％ CI:1.61-5.25 and 10.7％ (3/28),OR =3.77,95％ CI:1.46-9.88) respectively.The discrimination ratio among pregnant women with multiple sexual partners was 5.9％ (23/389),higher than women with single partner (2.6％,15/580) (OR =2.21,95％ CI:1.80-6.23).Conclusion The discrimination toward HIV infected pregnant women from husbands was related to demographic characteristics and sexual behaviors.