| 刘杰,王岚,汤后林.18~45岁已婚HIV感染者生育安全认知现状调查[J].中华流行病学杂志,2023,44(4):611-616 |
| 18~45岁已婚HIV感染者生育安全认知现状调查 |
| A survey on the current status of cognition of birth safety among married HIV-infected people aged 18-45 years |
| 收稿日期:2022-09-14 出版日期:2023-04-18 |
| DOI：10.3760/cma.j.cn112338-20220914-00781 |
| 中文关键词: 艾滋病病毒 艾滋病 生育 认知 |
| 英文关键词: HIV AIDS Fertility Cognition |
| 基金项目:国家自然科学基金（71874168） |
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| 中文摘要: |
| 目的 了解18~45岁已婚HIV感染者生育安全认知现状，为艾滋病感染家庭生育安全干预提供依据。方法 选择重庆市6个区和四川省自贡市2021年11月至2022年4月接受随访的18~45岁已婚HIV感染者进行问卷调查，收集其一般人口学特征、性行为史、生育意愿、生育安全认知等，采用非条件logistic回归分析和Poisson回归分析研究对象生育安全认知的相关因素。结果 266名研究对象中，女性占58.3%（155/266），有生育意愿的HIV感染者占48.9%（130/266）。研究对象的生育安全知识知晓率为59.4%（158/266），生育安全知识知晓情况的多因素logistic回归分析结果显示，女性生育安全知识知晓率是男性的2.14（95%CI：1.25~3.66）倍；高中及以上文化程度者生育安全知识知晓率是高中以下文化程度的1.88（95%CI：1.08~3.27）倍；有生育意愿者生育安全知识知晓率是无生育意愿的1.88（95%CI：1.10~3.22）倍，接受过艾滋病知识宣传教育者生育安全知识知晓率是未接受过艾滋病知识宣传教育的9.06（95%CI：2.46~33.32）倍。生育安全措施知晓率为5.3%（14/266），Poisson回归分析结果显示，生育安全措施知晓率在性别、年龄、文化程度等因素之间差异均无统计学意义。结论 18~45岁已婚HIV感染者生育安全认知水平较低，存在家庭内夫妻间和母婴传播HIV的风险，应加强针对性生育安全健康教育和干预，从而降低因生育造成的HIV家庭内传播。 |
| 英文摘要: |
| Objective To understand the current status of fertility safety cognition among married HIV-infected people aged 18-45 years and to provide evidence for fertility safety intervention in HIV-infected families. Methods Six districts in Chongqing and Zigong City in Sichuan Province were selected. A questionnaire survey was conducted among married HIV-infected people aged 18-45 years who were followed up from November 2021 to April 2022 to collect their general demographic characteristics, histories of sex experience, fertility intention, and knowledge of birth safety. Unconditional logistic regression and Poisson regression were used to analyze the factors affecting the cognition of birth safety. Results A total of 266 HIV-infected people were included in the study; 58.3% (155/266) were women, and 48.9% (130/266) had fertility desire. The cognition rate of knowledge of birth safety was 59.4% (158/266). The cognition rate of women's knowledge of birth safety was 2.14 (95%CI: 1.25-3.66) times that of men's. The cognition rate of knowledge of birth safety among HIV-infected persons with a high school education level or above was 1.88 (95%CI: 1.08-3.27) times that of those with a low education level. The cognition rate of knowledge of reproductive safety among HIV-infected people with fertility intention was 1.88 (95%CI: 1.10-3.22) times that of those without fertility intention. The cognition rate of knowledge of birth safety among HIV-infected persons who received AIDS knowledge promotion and education was 9.06 (95%CI: 2.46-33.32) times that of those who did not. The cognition rate of measures of birth safety was 5.3% (14/266). The Poisson regression analysis showed no significant difference in the cognition rate of specific measures among gender, age, education and other factors. Conclusions HIV-infected people aged 18-45 years and married with a spouse have a low awareness of birth safety, and there are risks of HIV transmission between couples and mother-to-child in the family. Targeted birth safety education and intervention should be strengthened to reduce HIV transmission. |
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