【摘要】 目的了解中国四川、云南、新疆三个艾滋病高流行地区,艾滋病病毒(HIV)感染产妇配偶的检测情况及影响因素,分析近年来配偶的HIV检测结果及感染的危险途径。方法选取3个艾滋病疫情相对高发省(自治区)中的3个地区(市、州)作为调查地区,常规收集2012-2014年间,HIV感染产妇在医疗保健机构接受预防艾滋病母婴传播服务时所提供的配偶的HIV检测相关信息,并通过国家预防艾滋病、梅毒和乙型肝炎母婴传播管理信息系统报告与收集相关数据,分析配偶HIV检测现状及感染途径等相关信息。结果共调查2007例HIV感染产妇及其配偶。其中接受过HIV检测的配偶占69.7%(1399人),检测结果为阳性者占63.6%(890/1399)。2012-2014年,各年配偶检测阳性率分别为60.7%(250/412)、64.2%(327/509)和65.5%(313/478),差异有统计学意义(χ2=11.71,P<0.05)。37.8%(758/2007)的人报告有过注射吸毒行为。产妇及配偶均为HIV阳性的家庭,在孕期接受预防艾滋病母婴传播服务的比例为62.1%,高于其他类型家庭的49.6%,差异有统计学意义(χ2=46.22,P<0.01)。结论配偶的HIV检测阳性率逐年提高,产妇及其配偶均为HIV感染的家庭,在孕期接受预防艾滋病母婴传播服务的比例较高,产妇及配偶的年龄、文化程度、婚姻状况、妊娠经历等,均为配偶接受HIV检测的影响因素。应针对不同类型的人群加强HIV检测的力度。更多还原

【Abstract】 Objective To understand HIV testing status and influence factors of HIV infected women’s partners,and to analysis partner’s HIV testing result and infected routes in some HIV high prevalence area of China.Methods Three prefectures from western provinces of China were selected in this survey,we collected routine record data and information about HIV testing among partners of HIV infected maternities who received integrated prevention of mother-to-child transmission of HIV,syphilis and HBV(IPMTCT)services in medical facilities during 2012-2014,and got the data from National IPMTCT Surveillance System.The indicators of HIV testing rate,testing results and HIV-related high risk behaviors among partners of HIV-infected maternities were analyzed after data cleaning.Results Among partners,HIV testing rate was 69.7%(1399/2007),and the testing positive rate was 63.6%(890/1399).The testing positive rates of HIV during 2012-2014 were 60.7%(250/412),64.2%(327/509)and 65.5%(313/478)respectively,the difference was statistically significant(χ2=11.71,P<0.05).37.8%(758/2007)of partners reported having injected drugs.The proportion of receiving IPMTCT services during pregnant period was relatively high in the group that the delivered women and their partners were both HIV positive(χ2=46.22,P<0.01).Conclusions Positive rates of HIV testing in partners kept increasing in recent years.Proportion of receiving PMTCT services during pregnancy was higher in women whose partners were HIV positive than that in those whose partners were negative.HIV testing rate in partners was associated with pregnant women and their partners’ age,education level,marriage status,pregnancy experiences,etc.HIV testing strategies should be tailored and enforced for different types of target population.更多还原