艾比拜·买买提明, 关灵灵, 沙吾力·艾力卡. 新疆艾滋病高发地区经母婴传播的HIV感染儿童及其母亲保健服务利用情况分析[J]. 疾病监测, 2020, 35(7): 574-577. DOI: 10.3784/j.issn.1003-9961.2020.07.005
引用本文: 艾比拜·买买提明, 关灵灵, 沙吾力·艾力卡. 新疆艾滋病高发地区经母婴传播的HIV感染儿童及其母亲保健服务利用情况分析[J]. 疾病监测, 2020, 35(7): 574-577. DOI: 10.3784/j.issn.1003-9961.2020.07.005
Maimaitiming Aibibai·, Lingling Guan, Ailika Sawuli·. Utilizations of health care and prevention of mother-to-child transmission services for children and their mothers infected with HIV vertically in areas with high AIDS prevalence in Xinjiang[J]. Disease Surveillance, 2020, 35(7): 574-577. DOI: 10.3784/j.issn.1003-9961.2020.07.005
Citation: Maimaitiming Aibibai·, Lingling Guan, Ailika Sawuli·. Utilizations of health care and prevention of mother-to-child transmission services for children and their mothers infected with HIV vertically in areas with high AIDS prevalence in Xinjiang[J]. Disease Surveillance, 2020, 35(7): 574-577. DOI: 10.3784/j.issn.1003-9961.2020.07.005

新疆艾滋病高发地区经母婴传播的HIV感染儿童及其母亲保健服务利用情况分析

Utilizations of health care and prevention of mother-to-child transmission services for children and their mothers infected with HIV vertically in areas with high AIDS prevalence in Xinjiang

  • 摘要:
    目的了解新疆维吾尔自治区(新疆)艾滋病高发地区经母婴传播的HIV感染儿童及其母亲接受孕产期保健和预防艾滋病母婴传播(PMTCT)服务情况,为制定新疆消除儿童艾滋病感染方案提供依据。
    方法从“新疆维吾尔自治区艾滋病综合防治信息系统”和“预防艾滋病、梅毒和乙肝母婴传播管理信息系统”中获得2011 — 2017年出生的调查对象基本信息,使用自行设计的问卷通过一对一、面对面的询问方式,回顾性调查HIV感染儿童和母亲孕产期接受保健服务和PMTCT服务的有关信息。
    结果144例HIV感染儿童的母亲初中及以下文化程度者占81.25%(117/144),81.25%(117/144)是农民和家庭妇女;孕期产前检查比例为61.81%,住院分娩比例为79.17%,孕产期HIV抗体检测比例为72.22%,HIV抗体阳性检出比例为75.96%;母亲在孕产期纳入PMTCT服务体系比例为44.44%;南疆地区HIV感染儿童母亲纳入PMTCT服务体系比例为38.18%,北疆地区为64.71%,二者差异有统计学意义。
    结论新疆南部和北部地区HIV感染儿童母亲接受孕产期保健和PMTCT服务利用方面存在较大差距。 HIV感染儿童的母亲文化程度偏低,缺乏孕产期保健意识,PMTCT服务利用不足,应持续加强育龄妇女和孕产妇PMTCT健康教育。

     

    Abstract:
    ObjectiveTo understand the utilizations of health care and prevention of mother-to-child transmission (PMTCT) services for children and their mothers infected with HIV vertically in areas with high AIDS prevalence in Xinjiang and provide evidence for development of the protocol of elimination of HIV infection in children in Xinjiang.
    MethodsThe demographic information of the mothers who gave births of HIV infected infants from 2011 to 2017 were collected from the “Information System for Integrated AIDS Prevention and Control Program in Xinjiang Uygur Autonomous Region” and “Information Management System for the Prevention of Mother-to-Child Transmission of HIV, Syphilis, and Hepatitis B”. Face-to-face interviews were conducted in these women to retrospectively collect information about their utilizations of maternal health care and PMTCT services with a self-designed questionnaire.
    ResultsIn 114 mothers surveyed, 81.25% (117/144) had education level of junior middle school or below, and 81.25% (117/144) were farmers or housewives. The proportion of the mothers who received antenatal care during pregnancy was 61.81%, and 79.17% of the mothers were delivered in health care facilities. Up to 72.22% of the mothers had HIV test during pregnancy, in whom 75.96% were HIV positive. The proportion of mothers who were included in the PMTCT service system during pregnancy was 44.44%, and this proportion was 38.18% in southern Xinjiang and 64.71% in northern Xinjiang, the difference was significant.
    ConclusionThere was significant differences in utilizations of maternal health care and PMTCT services in mothers of children infected with HIV vertically between southern area and northern area in Xinjiang. The education levels of mothers of the HIV infected infants were low, they were more likely to lack maternal health care awareness and less likely to use PMTCT. Health education among women at reproductive age and pregnant women should be further strengthened.

     

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