越南广宁省和海防市 HIV 阳性妇女的人工流产情况。

Induced abortion among HIV-positive women in Quang Ninh and Hai Phong, Vietnam.

机构信息

Institute for Population and Development Studies, General Office for Population and Family Planning, Hanoi, Vietnam.

出版信息

Trop Med Int Health. 2010 Oct;15(10):1172-8. doi: 10.1111/j.1365-3156.2010.02604.x.

DOI:10.1111/j.1365-3156.2010.02604.x

PMID:20667048

Abstract

SUMMARY OBJECTIVES

To explore the decision of induced abortion among HIV-positive women and examine how the decision is associated with socioeconomic characteristics and the availability of comprehensive programmes aiming at preventing mother to child transmission of HIV.

METHODS

A descriptive cross-sectional study was conducted in two provinces of Northern Vietnam. In all 707 HIV-positive women were recruited through collaboration with commune health centres and peer groups. Information was obtained on women's socioeconomic characteristics and pregnancy outcomes before and after HIV diagnosis. Odds ratios (ORs) with 95% confidence intervals (CI) were calculated to measure the association between socioeconomic characteristics and induced abortion.

RESULTS

Among women who had been pregnant while being aware of their HIV-positive status, 68% stated having had an induced abortion, whereas 22% of the women who had not been aware of their HIV status stated the same. Induced abortion after HIV diagnosis was associated with being aged 30 or older (OR 5.44, 95% CI 1.28-23.02), being petty traders or independent labourers (OR 3.61, 95% CI 1.05-12.45) and being diagnosed with HIV in 2004 and earlier (OR 2.96, 95% CI 1.02-8.53).

CONCLUSIONS

Awareness of HIV-positive status is related with an increased tendency to have an induced abortion.

摘要

摘要目的：探讨 HIV 阳性妇女终止妊娠的决定，并分析该决定与社会经济特征的相关性，以及与旨在预防母婴 HIV 传播的综合方案的可及性之间的关系。

方法

本研究采用描述性的横断面研究，在越南北部的两个省进行。通过与社区卫生中心和同伴小组合作，共招募了 707 名 HIV 阳性妇女。收集了妇女的社会经济特征以及 HIV 诊断前后的妊娠结局信息。使用比值比（OR）及其 95%置信区间（CI）来衡量社会经济特征与人工流产之间的关联。

结果

在已知 HIV 阳性状况并怀孕的妇女中，有 68%的人表示曾进行过人工流产，而在不知道 HIV 状况的妇女中，有 22%的人表示曾进行过人工流产。HIV 诊断后的人工流产与年龄在 30 岁及以上（OR 5.44，95% CI 1.28-23.02）、从事小商贩或独立劳动者（OR 3.61，95% CI 1.05-12.45）以及在 2004 年及更早诊断为 HIV（OR 2.96，95% CI 1.02-8.53）有关。