| 桂希恩,张元珍,杨蓉蓉,热孜艳·斯拉夫,黎逢良,覃爱华,李莉,吴丽珍,宗黎黎.孕产妇和婚检人群艾滋病、乙型肝炎及梅毒综合防治成本分析[J].Chinese journal of Epidemiology,2010,31(8):873-875 |
| 孕产妇和婚检人群艾滋病、乙型肝炎及梅毒综合防治成本分析 |
| A comprehensive prevention programs on AIDS, HBV and syphilis among pregnant women and couples experienced premarital medical examination |
| Received:March 15, 2010 Revised:June 23, 2012 |
| DOI： |
| KeyWord: 艾滋病 乙型病毒性肝炎 梅毒 综合防治 |
| English Key Word: Acquired immunedeficiency syndrom Hepatitis B virus Syphilis Comprehensive prevention |
| FundProject:择善基金会和湖北科技厅(2006AA301A02) |
| Author Name | Affiliation | E-mail | | Gui Xien | Zhongnan Hospital of Wuhan University, Wuhan 430071, China | ZNAcT@126.com | | Zhang Yuanzhen | Zhongnan Hospital of Wuhan University, Wuhan 430071, China | | | Yang Rongrong | Zhongnan Hospital of Wuhan University, Wuhan 430071, China | | | Re Ziyan·Si Lafu | Women and Children's Hospital of Yining,Xinjiang | | | Li Fengliang | Women and Children's Hospital of Tongcheng, Hube | | | Qin Aihua | Women and Children's Hospital of Badong , Hubei | | | Li Li | Women and Children's Hospital of Yining,Xinjiang | | | Wu Lizhen | Women and Children's Hospital of Tongcheng, Hube | | | Zong Lili | Women and Children's Hospital of Badong , Hubei | |
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| Abstract: |
| 目的 比较分析孕产妇及婚前医学检查人群艾滋病单项防治成本与艾滋病、乙型肝炎(乙肝)及梅毒综合防治的投入成本费用.方法 对湖北和新疆3县市部分孕产妇和婚前医学检查(婚检)人群进行HIV、HBV及梅毒螺旋体(TP)检测,并采取阻断母婴传播的措施及相关医学建议;对检测结果及投入成本做比较分析.结果 3县市孕产妇检测HIV抗体13 280人,阳性111例,阳性率为8.4‰;检测HBsAg 13 186人,阳性711例,阳性率54‰;检测TP抗体12 401人,阳性159例,阳性率12.8‰.3种疾病检出率73.8‰.婚检人群检测HIv抗体26 324人,阳性464例,阳性率17.6‰;检测HBsAg19 152人,阳性1826例,阳性率95.3‰;检测TP抗体19 099人,阳性355例,阳性率18.6‰;3种疾病检出率131.5‰,显著高于HIV检出率.但孕产妇综合防治费仅为HIV防治费的1.4倍,婚检综合防治费仅为HIV防治费的1.8倍.结论 对孕产妇及婚检人群进行HIV、HBV及TP的综合防治,易被接受,可提高防治效率. |
| English Abstract: |
| Objective To evaluate the effect of comprehensive prevention programs on HIV,HBV and syphilis transmission from mother to child and between premarital couples. Methods HIV, HBV and syphilis were screened among pregnant women with interventional measure for infected women; HIV, HBV and syphilis (TP) were screened among premarital couples with medical advice. Results The HIV,HBsAg and TP positive rates were 8.4‰(111/13 280) ,54‰(711/13 186)and 12.8‰( 159/12 401 ) respectively among pregnant women and the total positive rate of the three diseases was 73.8‰ which was significantly higher than HIV positive rate (P＜0.001). The positive rates of HIV, HBsAg and TP were 17.6‰(464/26 324), 95.3‰( 1826/19 152) and 18.6‰(355/19 099) respectively among premarital couples and the total positive rate of the three diseases was 131.5‰ which was significantly higher than HIV positive rate alone (P＜0.001).Comprehensive prevention was more economical than prevention for HIV alone. Conclusion The comprehensive strategies for prevention of HIV, HBV and syphilis was feasible, effective and economical that could help to actively conduct the preventive measures. |
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