目的 比较我国艾滋病高发地区2013-2015年与2004-2006年HIV感染孕产妇流行病学特征的差异.方法 收集2013-2015年河南、广西、云南和新疆4省区492名确诊感染HIV孕产妇的社会人口学特征、感染途径等流行病学信息,并与在2004-2006年同省份调查的572名HIV感染孕产妇相应的流行病学数据指标进行对比分析.结果 与2004-2006年相比,2013-2015年孕产妇年龄增大,年龄中位数为30岁,农村户口所占比例由68.01％增加至84.35％,87.80％孕产妇仍为初中及以下文化程度,农民或无职业者比例由83.39％上升至93.49％,孕产妇再婚比例由22.03％升至40.45％.86.65％孕产妇报告经性传播感染HIV,而2004-2006年为47.55％,比例较之前增幅近一半.2013-2015年数据显示,广西、云南、新疆的HIV感染孕产妇感染途径相似,16 ～35岁年龄段HIV感染孕产妇随着年龄段升高,经性传播感染比例增加.结论 HIV感染孕产妇农村户口所占比例进一步提高,文化程度仍然较低,绝大多数仍是农民和无职业者,高龄孕产妇增多,再婚比例大幅提高,孕产妇主要通过性传播途径感染HIV且占比大幅提高.%Objective To compare the epidemiological characteristics of HIV infected pregnant women between 2013-2015 years and 2004-2006 years in high HIV-prevalence areas.Methods In 2013-2015,the information of social-demographic characteristics and infected route of 492 identified HIV infected pregnant women were collected in Henan,Guangxi,Yunnan,and Xinjiang,and the data of 572 HIV infected pregnant women in 2004-2006 were collected from previous literature.A comparative analysis was conducted.Results Compared with 2004-2006,HIV infected pregnant women were older,and the median age of 492 HIV infected pregnant women was 30 years old.The proportion of rural households was increased from 68.01％ to 84.35％.87.80％ of HIV infected pregnant women had middle school or lower education level,and the proportion of farmers or the unemployed was increased from 83.39％ to 93.49％.The remarried ratio was increased from 22.03％ to 40.45％ in 2013-2015.86.65％ pregnant women were infected HIV by sexual transmission and 47.55％ in 2004-2006,and it had been increased by almost half since 2004.According to the data from 2013 to 2015,the infected routes of HIV infected pregnant women in Guangxi,Yunnan and Xinjiang were similar.Among women aged 16-35,the proportions of sexual transmission were increased with age.Conclusion The proportion of rural households with HIV infection is further increased and their educational level is still low.Most of them are formers and unemployed.The age of pregnant women are older and the proportion of remarriage are increases significantly.Sexual transmission is the main infected route among HIV infected pregnant women with a substantial increase.
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