海南省2010—2015年孕产妇艾滋病哨点监测结果

目的 分析海南省2010—2015年孕产妇艾滋病哨点监测数据,为全省艾滋病综合防治提供依据。 方法 按照《全国艾滋病哨点监测实施方案操作手册》要求,采用连续采样监测对准备分娩进行孕产期保健的孕妇进行问卷调查和血清学检测。 结果 2010—2015年共监测孕产妇9 699人,20~29岁年龄组占68.00%,在婚占94.32%,初中及以下文化程度占44.91%;各年度孕产妇艾滋病知识知晓率分别为57.20%、68.99%、81.52%、71.26%、82.88%和82.51%,呈上升趋势（P<0.05);不同年龄和文化程度孕产妇艾滋病知识知晓率差异有统计学意义（P<0.05)。有丈夫以外性伴比例为0.58%,本人患过性病比例为0.44%。孕产妇艾滋病病毒（HIV）、梅毒和丙型病毒性肝炎（HCV）抗体总阳性率分别为0.01%、0.23%和0.13%,各年度HIV和梅毒抗体阳性率差异均无统计学意义(P>0.05),HCV抗体阳性率差异有统计学意义（P<0.05）。 结论 海南省孕产妇人群艾滋病知识知晓率逐年提高,但仍低于其他省份知晓水平;尽管各年度HIV、梅毒和HCV抗体阳性率均处在较低水平,但部分孕产妇存在有多性伴且患性病比例较高等感染艾滋病的风险。

Results of sentinel surveillance on AIDS among pregnant women in Hainan, 2010-2015

Objective To analyze the data of sentinel surveillance on AIDS among pregnant women in Hainan Province from 2010 to 2015, so as to provide the evidence for the comprehensive prevention and control of AIDS. Methods According to the manual of national AIDS sentinel surveillance protocol, the questionnaire survey and serological tests were conducted among pregnant women who were prepared for maternity care with continuous sampling monitoring. Results A total of 9 699 pregnant women were monitored from 2010 to 2015, the 20-29 years age group accounted for 68.00%; the in marriage group accounted for 94.32%; the junior high school and below education level group accounted for 44.91%. The annual awareness rates of AIDS knowledge were 57.20%, 68.99%, 81.52%, 71.26%, 82.88% and 82.51% from 2010 to 2015 respectively, showing an upward trend (P<0.05). There were significant differences in the awareness rates of AIDS knowledge among pregnant women of different ages and educational levels ( P<0.05). The proportion of women with outside husband partners was 0.58%. The proportion of women having STD was 0.48%. The positive rates of HIV, syphilis, and HCV antibodies were 0.01%, 0.23% and 0.13%, respectively. There was no significant difference among the different years in the positive rates of HIV and syphilis antibodies (P>0.05),there were significant differences in the positive rates of HCV antibodies(P<0.05). Conclusions The awareness rate of AIDS knowledge among pregnant women is increasing year by year in Hainan Province from 2010 to 2015, but it is still lower than that in other provinces. Despite the annual positive rates of HIV, syphilis and HCV antibodies at low levels, some pregnant women with multiple sexual partners have a higher proportion of STDS and other risks of HIV infection.