【摘要】 目的:系统评价我国育龄妇女预防获得性免疫缺陷综合征(acquired immune deficiency sydrome,AIDS)母婴传播健康教育干预效果。方法:计算机检索国内外全文数据库,收集2010年1月1日—2015年12月31日公开发表的关于我国育龄妇女预防AIDS母婴传播健康教育相关文献,并应用Rev Man 5.0.23软件和meta分析方法对纳入的19项研究进行综合定量分析。结果:经健康教育干预后,我国育龄妇女预防AIDS母婴传播知识总知晓率提高了41%(Z=7.84,P<0.001),正确态度持有率提高了22%(Z=4.08,P=0.008),正向行为改变率提高了27%(Z=5.12,P<0.001)。亚组分析显示,低基线率的健康教育效果好于高基线率(χ~2=68.31,P<0.001),积极健康教育效果好于一般健康教育(χ~2=40.96,P<0.001),高质量研究与低质量研究的健康教育效果相似(χ~2=0.29,P=0.840)。结论:健康教育干预对提高我国育龄妇女预防AIDS母婴传播知识知晓率、正确态度持有率和行为改变率均有显著效果。更多还原

【Abstract】 Objective:To systematically evaluate the intervention effect of health education on prevention of mother to child transmission of acquired immune deficiency syndrome(AIDS)in childbearing women in China. Methods:We retrieved full text databases at home and abroad by computer and collected relevant literature on the health education in preventing mother-to-child transmission of HIV among childbearing women in China from January 1,2010 to December 31,2015. Rev Man 5.0.23 software and meta analysis method were performed to comprehensively quantitatively analyze 19 included studies. Results:After health education intervention,the total awareness rate of prevention of mother to child transmission of HIV among childbearing women in China increased by 41%(Z=7.84,P<0.001),the rate of the correct attitude held increased by 22%(Z=4.08,P=0.008),and the positive behavior change rate increased by 27%(Z=5.12,P < 0.001). Subgroup analysis showed that the effect of health education in low baseline was better than that in high baseline(χ~2=68.31,P < 0.001),the effect of positive health education was better than that of general health education(χ~2=40.96,P < 0.001),and the effect of health education with high quality research and low quality research was similar(χ~2=0.29,P=0.840). Conclusion:Health education intervention has significant effect on improving the awareness rate of knowledge in preventing mother-to-child transmission of HIV,the correct attitude and behavior change rate of childbearing women in China.更多还原