中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2015年
17期
282-284,285
,共4页
孕前%孕产期%检测咨询%人类免疫缺陷病毒%母婴阻断
孕前%孕產期%檢測咨詢%人類免疫缺陷病毒%母嬰阻斷
잉전%잉산기%검측자순%인류면역결함병독%모영조단
Progestation%Pregnancy%Provider-initiated HIV testing and counseling%Human immunodeficiency virus%Prevention of mother to child transmission
目的：分析城乡结合社区开展孕前孕产期医务人员主动提供人类免疫缺陷病毒(HIV)检测咨询(PITC)实施母婴阻断的效果,探讨预防HIV母婴传播综合性干预模式。方法对3042名新婚或怀孕夫妇开展PITC并动员配偶参与检测,比较PITC前、后夫妇双方对艾滋病母婴阻断防治的知晓率、自愿接受HIV检测率和对预防艾滋病宣传的认可变化,分析PITC对城乡结合社区实施母婴阻断的效果。结果开展孕前孕产期PITC,新婚或怀孕夫妇双方对艾滋病母婴阻断防治的知晓率、自愿接受HIV检测率和对预防HIV母婴传播宣传的认可度较PITC前均显著提高,流动人群更为显著,发现的HIV阳性者经及时转介,母婴阻断成功。结论城乡结合社区开展孕前孕产期PITC并动员配偶参与检测对于实施HIV母婴阻断效果明显,但覆盖面有待扩大。
目的：分析城鄉結閤社區開展孕前孕產期醫務人員主動提供人類免疫缺陷病毒(HIV)檢測咨詢(PITC)實施母嬰阻斷的效果,探討預防HIV母嬰傳播綜閤性榦預模式。方法對3042名新婚或懷孕伕婦開展PITC併動員配偶參與檢測,比較PITC前、後伕婦雙方對艾滋病母嬰阻斷防治的知曉率、自願接受HIV檢測率和對預防艾滋病宣傳的認可變化,分析PITC對城鄉結閤社區實施母嬰阻斷的效果。結果開展孕前孕產期PITC,新婚或懷孕伕婦雙方對艾滋病母嬰阻斷防治的知曉率、自願接受HIV檢測率和對預防HIV母嬰傳播宣傳的認可度較PITC前均顯著提高,流動人群更為顯著,髮現的HIV暘性者經及時轉介,母嬰阻斷成功。結論城鄉結閤社區開展孕前孕產期PITC併動員配偶參與檢測對于實施HIV母嬰阻斷效果明顯,但覆蓋麵有待擴大。
목적：분석성향결합사구개전잉전잉산기의무인원주동제공인류면역결함병독(HIV)검측자순(PITC)실시모영조단적효과,탐토예방HIV모영전파종합성간예모식。방법대3042명신혼혹부잉부부개전PITC병동원배우삼여검측,비교PITC전、후부부쌍방대애자병모영조단방치적지효솔、자원접수HIV검측솔화대예방애자병선전적인가변화,분석PITC대성향결합사구실시모영조단적효과。결과개전잉전잉산기PITC,신혼혹부잉부부쌍방대애자병모영조단방치적지효솔、자원접수HIV검측솔화대예방HIV모영전파선전적인가도교PITC전균현저제고,류동인군경위현저,발현적HIV양성자경급시전개,모영조단성공。결론성향결합사구개전잉전잉산기PITC병동원배우삼여검측대우실시HIV모영조단효과명현,단복개면유대확대。
Objective To analyze the effect of prevention of mother to child transmission of active progestation and provider-initiated human immunodeficiency virus (HIV) testing and counseling (PITC) by medical staff in urban-rural integration community, and to investigate comprehensive intervention mode of prevention of mother to child transmission of HIV.Methods PITC was applied in 3042 newlyweds or pregnant couples. Their acknowledge rate of HIV prevention of mother to child transmission, voluntary HIV inspection rate, and changes of acknowledge for prevention HIV propaganda were compared before and after PITC. Effect of PITC for prevention of mother to child transmission in urban-rural integration community was analyzed.Results After implement of PITC, acknowledge rate of HIV prevention of mother to child transmission, voluntary HIV inspection rate, and changes of acknowledge for prevention HIV propaganda in newlyweds or pregnant couples were all significantly improve than those before PITC. Improvement was much obvious in migrant population. Prevention of mother to child transmission was successful after timely referral for positive HIV patients.Conclusion Implement of progestation and pregnancy PITC and mobilization in urban-rural integration community provides precise effect for HIV prevention of mother to child transmission, while its coverage is needed to be expanded.
