摘要
目的 了解经济发达地区孕产妇接受艾滋病、梅毒和乙肝咨询检测服务的现状,监测孕产妇这3种疾病感染水平,为政府及卫生部门进一步促进母婴阻断提供科学依据.方法 以江苏省常州市2018年1至12月孕产妇为研究对象,利用国家预防艾滋病、梅毒和乙肝母婴传播管理信息系统中《预防艾滋病母婴传播工作月报表》和《预防梅毒、乙肝母婴传播工作月报表》的监测数据,并对其进行统计分析.结果 2018年42778名孕产妇中,孕期艾滋病、梅毒和乙肝检测率达到98.06%(41950/42778),阳性检出率分别为2.38/10万(1/41950)、2.86‰(120/41950)、4.06%(1705/41950).只有1.94% 的孕妇仅在产时才进行艾滋病、梅毒、乙肝检测,阳性检出率分别为0、7.25‰和5.31%.结论 常州市孕产妇艾滋病、梅毒、乙肝检测率较高,但仍有部分妇女寻求孕期保健服务的意识不强,需要加强社会宣传,有针对性地开展健康教育,以提升育龄妇女预防母婴传播疾病的素养,从而进一步有效地减少艾滋病、梅毒、乙肝母婴传播的发生.
Objective To understand the status and difference of Human Immunodeficiency Virus(HIV),syphilis and Hepatitis B Virus(HBV)among pregnant women in each district in a city of Jiangsu in 2018.Methods The pregnant women from January to December 2018 in Changzhou city,Jiangsu Province as the research object,using the monitoring data of"Work Month Report on Rrevention of Mother to Child Transmission of AIDS"and"Work Month Report on Prevention of Mother to Child Transmission of Syphilis and Hepatitis B"in the national management information system on prevention of AIDS,syphilis and mother to child transmission of hepatitis B,and making statistical analysis on them.Results Among the 42778 pregnant women,94.07%detected HIV,syphilis and HBV when received prenatal care services in the first trimester and the prevalence were 0.00%,2.04‰and 2.92%,respectively.In 2018,the proportion of HIV testing among 12713 premarital medical checks women was 98.11%,and no one infected.98.06%(41950/42778)pregnant women tested HIV,syphilis and HBV and the positive rates were 2.38 per 100000,2.86‰,4.06%,respectively.In addition,there are still 1.94%of pregnant women tested HIV,syphilis and HBV in childbirth,and the positive rate were 0.00,7.25‰and 5.31%,respectively.Conclusion The testing rates of HIV,syphilis and HBV among pregnant women were high.However,some pregnant women did not received the screening service until delivery period.The health education is advised to carry out for the women of childbearing age to enhance earlier test during pregnancy period.The earlier test and the earlier intervention could help to reduce the occurrence of mother-to-child transmission of HIV,syphilis,HBV.
作者
于学霞
林小芳
蒋春新
王丽
胡慧文
曹杰杰
秦志强
YU Xuexia;LIN Xiaofang;JIANG Chunxin;WANG Li;HU Huiwen;CAO Jiejie;QIN Zhiqiang(Changzhou Malernily and Child Healh Care Hos pial Affiliated 10 Nanjing Medical Universily,.Jiangsu Chaugzhou 213003,China;Department of Maternal,Child and Adolescent Health,School of Publie Health,Nanjing Medical University.Jiangsu Nanjing 211166,China;Changzhou Comission of Healh.Jiangsu Changzhou 213001,China)
出处
《中国妇幼健康研究》
2020年第7期979-982,共4页
Chinese Journal of Woman and Child Health Research
基金
江苏省高校自然科学研究面上资助项目(16KJB330006)。
关键词
孕产妇
艾滋病
梅毒
乙肝
检测
阳性率
pregnant women
HIV
syphilis
HBV
test
positive rate
