兰州市孕妇AIDS/STI健康教育及相关知识分析

目的 了解兰州市孕妇艾滋病病毒(HIV)感染情况和艾滋病／性传播感染(AIDS／STI)及相关知识的现状。方法 对2所妇幼保健医院的孕妇进行匿名问券调查，同时进行HIV抗体检测。结果 共调查300名孕妇，未检出HIV阳性者。孕妇平均年龄27岁，以汉族、高中及以上文化程度、本地户口、工人和干部占大多数，安全套为首选避孕措施。对一般性AIDS／STI知识及性、血液、母婴三个传播途径知晓率较高。但对游泳、同厕、蚊虫叮咬认识有偏差。部分调查对象及配偶有吸毒、有偿供血、患过性病、流动性等高危行为存在。绝大多数未参加过AIDS／STD知识的宣传，其相关知识的获得以广播、电视等大众传媒为主。结论 HIV已由特殊人群向一般人群扩散蔓延，应有针对性的加强宣传，提高认识，改善检测条件，并进行大样本调查以明确事实。

AIDS/STI related health education among pregnant women in Lanzhou and analysis of related knowledge among them

Objective To understand HIV prevalence among pregnant women in Lanzhou and their AIDS/STD related knowledge.Methods Anonymous questionnaires were administered for pregnant women attending two local MCH clinics and HIV antibody tests were conducted simultaneously for them.Results A total of 300 pregnant women were interviewed and tested,and no HIV positive cases were detected.The average age of the women was 27 years,most of whom were local residents of Han nationality,had,senior high school background,and were employed as workers or cadres.Using condom was their contraception method of first choice.They had a higher level of knowledge about AIDS and STD,three routes of HIV transmission,i.e.sex,blood and mother to child transmission.But they had wrong ideas about transmission through swimming,using toilets and mosquito bites.Some of the respondents and their partners had a history of using drugs,selling blood and contracting STDs and other high risk behaviors.Majority of them never attended AIDS/STD related health education activities,and their knowledge about AIDS/STD were mainly from radio broadcast and television programs Conclusions HIV has spread from special population groups to the general population,and therefore,health education and public information should be strengthened,testing facilities be improved and surveys of large samples be conducted to clarify the current epidemic trends.