【摘要】 目的了解艾滋病病毒(HIV)感染孕产妇的预防艾滋病母婴传播服务需求与服务利用障碍。方法对某艾滋病高发地区,自2003年以来截至2004年10月发现并分娩的HIV感染孕产妇进行问卷调查。结果13.79%的孕产妇不愿意接受产前检查,5.17%的孕产妇不愿意住院分娩,怕歧视、担心检查和住院分娩费用高等是孕产妇不接受孕产期保健的主要原因;96.43%的孕产妇愿意本人和给孩子服用抗逆转录病毒药物预防艾滋病母婴传播,但只有87.50%的孕产妇服用了抗HIV药物,未服药的原因为临产急诊分娩,未得到检测结果,延误了孕产妇和婴儿的服药时机;89.29%的孕产妇希望其所生婴幼儿获得随访服务,但只有58.93%的婴幼儿得到过随访服务,其中51.52%的婴幼儿在出生后3个月内得到首次随访;怕别人知道自己的感染情况是不愿意接受随访的主要原因;近7%的孕产妇不愿意或不知道要给所生的婴幼儿进行HIV抗体检测。结论育龄妇女和孕产妇艾滋病检测不及时、非住院分娩、婴幼儿随访服务薄弱、经济负担、社会歧视等问题,是预防艾滋病母婴传播服务利用的主要障碍,预防艾滋病母婴传播综合能力亟待加强。更多还原

【Abstract】 Objective To explore the demands and barriers conceming utilization of mother-to-child transmission(PMTCT) prevention services among HIV infected mothers.Methods HIV infected mothers identified and delivered from 2003 through October 2004 in a high prevalence area were investigated with a self-designed questionnaire.Results 13.79% of mothers wore reluctant to accept prenatal test,5.17% of mothers did not want to deliver their babies in hospital,the main reasons for women not wanting to accept such services were afraid of being discriminated and the high costs of test and delivery in hospital.Only 87.50% of mothers themselves used the ART drugs to prevent mother to child transmission though 96.43% of them wished to use the ART drugs for their children and themselves.The reasons for that were emergency delivery and delayed HIV test results leading tofailare of using ART.Only 58.93% of infants born by HIV infected mothers gained follow-up services,though 89.29% of mothers hoped so and 51.52% of infants got the first follow-up service within 3 months after birth;worrying about being exposure to others was the first reason for not wanting the follow-up service;nearly 7% of mothers did not know or wanted to know that their infants should be tested for HIV.Conclusions The major barriers for PMTCT prevention service utilization were delayed HIV antibody test for childbearing-age and pregnant women,low rate of delivery in hospital,lack of the service for infant follow-up,economic burden and social discrimination.It is urgent to improve comprehensive service capacity for PMTCT.更多还原