摘要
目的评估促进妊娠妇女获取艾滋病自愿咨询检测服务的效果,为更有效地开展预防艾滋病母婴传播工作提供科学依据。方法选择条件类似的两个乡镇作为干预地区(干预组)和对照地区(对照组),开展促进妊娠妇女获取艾滋病自愿咨询检测服务的干预研究,评价干预的效果。结果共完成对1701名妊娠妇女的调查,其中干预组923人,对照组778人。干预前两组预防艾滋病母婴传播知识政策的知晓率和获取自愿咨询检测服务比较差异无统计学意义(P>0.05);实施干预后,干预组预防艾滋病母婴传播知识政策的知晓率高于对照组(2χ=26.90,P<0.001),干预后知晓率的提高促进了行为的改变,干预组比对照组的艾滋病毒抗体检测率和孕28周前检测率均有提高(2χ分别为14.02、261.75,均P<0.001)。结论建立以社区为基础的促进妊娠妇女艾滋病自愿咨询检测获取服务模式,明显提高了妊娠妇女的预防艾滋病母婴传播知识政策知晓率、总艾滋病抗体检测覆盖率和孕28周前艾滋病抗体检测覆盖率,对避免艾滋病母婴传播起到了积极的作用,经验值得推广。
Objective To evaluate effect of promoting pregnant women to obtain HIV voluntary counseling and testing （VCT）, so as to provide scientific basis for developing effectively prevention for mother-to-child transmission （PMTCT） of HIV among pregnant women. Methods Pregnant women in two villages and towns of a county with similar conditions were selected as intervention group and control group, ：respectively. The intervention study on promoting pregnant women to obtain VCT for AIDS was conducted and effect of the intervention was evaluated. Results Totally, 1701 pregnant women were investigated （in the intervention group, n = 923 ; in the control group, n = 778 ）. There were no significant differences in informed rate of PMTCT knowledge and policy and VCT services obtained between the two groups before the intervention （ both P 〉 0.05 ）. After the intervention, the informed rate of PMTCT knowledge and policy of pregnant women in the intervention group was higher than that in the control group （χ^2 = 26.90, P 〈 0. 001 ）. The increased informed rate of PMTCT changed behaviors of the pregnant women, and the anti-HIV antibodies test rate and anti-HIV antibodies test rate before 28 weeks of gestation were higher in the intervention group than in the control group （χ^2 = 14.02, 261.75, respectively, both P 〈 0. 001 ）. Conclusion The model of promoting community - based VCT services for pregnant women improve the informed rate of PMTCT knowledge and policy and total anti-HIV antibodies test rate and anti-HIV antibodies test rate before 28 weeks of gestation of the pregnant women.
出处
《中国妇幼健康研究》
2008年第4期322-324,共3页
Chinese Journal of Woman and Child Health Research
基金
国家"十五"科技攻关课题河南子课题资助项目(2004BA719A03)
关键词
妊娠妇女
自愿咨询检测
干预
预防母婴传播
pregnant woman
voluntary counseling and testing （VCT）
intervention
prevention for mother to child transmission （PMTCT）
