CAJ | 학술논문

目的：了解2012至2014年因注射吸毒感染艾滋病( AIDS)孕产妇的流行病学特征及危险因素。方法对在2012至2014年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艾滋病感染途径为注射吸毒的974例孕产妇进行调查与分析。结果注射吸毒感染艾滋病孕产妇的文化程度相对较低,初中及以下文化程度占86.6%,3次及以上妊娠经历的孕产妇占50.0%,流动人口占23.3%；非汉族人口比例呈上升趋势,由2012年的41.7%上升到2014年的57.3%(χ2=18.55,P<0.01),文化程度在小学及以下的比例由2012年的39.7%上升到2014年的54.4%(χ2=14.58,P<0.01)。与人类免疫缺陷病毒(HIV)感染的配偶或男友有性生活为当前的主要危险行为,有2种及以上危险行为者所占比例逐年提升,由2012年的15.8%上升到2014年的22.3%(χ2=45.75,P<0.01)。结论因注射吸毒感染艾滋病的孕产妇受教育程度普遍偏低,当前的主要危险行为种类也呈上升趋势,应针对不同人口学特征的感染孕产妇,采取有针对性的预防艾滋病母婴传播服务策略。
목적：료해2012지2014년인주사흡독감염애자병( AIDS)잉산부적류행병학특정급위험인소。방법대재2012지2014년통과국가예방애자병、매독화을간모영전파관리신식계통보고애자병감염도경위주사흡독적974례잉산부진행조사여분석。결과주사흡독감염애자병잉산부적문화정도상대교저,초중급이하문화정도점86.6%,3차급이상임신경력적잉산부점50.0%,류동인구점23.3%；비한족인구비례정상승추세,유2012년적41.7%상승도2014년적57.3%(χ2=18.55,P<0.01),문화정도재소학급이하적비례유2012년적39.7%상승도2014년적54.4%(χ2=14.58,P<0.01)。여인류면역결함병독(HIV)감염적배우혹남우유성생활위당전적주요위험행위,유2충급이상위험행위자소점비례축년제승,유2012년적15.8%상승도2014년적22.3%(χ2=45.75,P<0.01)。결론인주사흡독감염애자병적잉산부수교육정도보편편저,당전적주요위험행위충류야정상승추세,응침대불동인구학특정적감염잉산부,채취유침대성적예방애자병모영전파복무책략。
Objective To understand the epidemiologic features and high risk factors of AIDS pregnant women infected by injecting drug during 2012 to 2014. Methods Survey and analysis was conducted on 974 HIV infected pregnant women by injecting drug reported in National PMTCT MIS in 2012 to 2014. Results The educational level of the pregnant women was relatively low, and the proportion of them with junior school and below culture level accounted for 86. 6%. The pregnant women with 3 or more times of pregnancy accounted for 50. 0%, and the migrants occupied 23. 3%. The proportion of minority nationality increased from 41. 7% in 2012 to 57. 3% in 2014 (χ2=18. 55, P<0. 01), and the proportion of pregnant women with primary school or below level rose from 39. 7% in 2012 to 54. 4% in 2014 (χ2 =14. 58, P<0. 01). The major high risk behavior was sex behaviors with HIV infected partners or boyfriend. The proportion of pregnant women with two or more kinds of risk behaviors increased from 15. 8% in 2012 to 22. 3% in 2014 (χ2 =45. 75,P<0. 01). Conclusion The educational level of the pregnant women infected by injecting drug is relatively low, and the kinds of present major risk behaviors show a rising trend. Different preventive services should be provided according to epidemiologic features of infected pregnant women.