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埃塞俄比亚比绍夫图医院产前护理科就诊孕妇中艾滋病毒感染率的趋势。

Trend of HIV prevalence among pregnant women attending Antenatal Care Unit of Bishoftu Hospital, Ethiopia.

作者信息

Cherinet Yoseph, Berihu Alem, Bekele Addisu, Biadgilign Sibhatu, Taye Bineyam, Tsegaye Aster

出版信息

Ethiop Med J. 2013 Jul;51(3):169-76.

PMID:24669673
Abstract

BACKGROUND

HIV prevalence data from prevention of mother-to-child-transmission (PMTCT) programs are being utilized to monitor the trend of HIV epidemics that helps policy makers to take appropriate action.

OBJECTIVE

To determine the trend of HIV among pregnant women attending the antenatal care unit of Bishoftu Hospital from January 2006 to June 2010.

METHODS

A cross-sectional study was conducted to determine the prevalence of HIV among pregnant women attending the ANC unit of Bishoftu Hospital. Data were analyzed for descriptive statistics and Chi-square for trends using SPSS Version 15.0. P-values < or = 0.05 were considered significant.

RESULTS

A total of 7887 pregnant women were registered in the ANC unit of Bishoftu Hospital from January 2006 to June 2010. The overall HIV prevalence rate was 5.4%. High prevalence rates were observed in those aged between 25-45 years. There was a decline in HIV prevalence from 8.3% in 2006 to 4.3% in 2010. A total of 1247 pregnant women were tested together with their partner. Of these, in 3.1% of the cases, both partners tested positive and 4.9% were discordant couples where 2.4% were female positive and male negative while 2.5% were male positive and female negative.

CONCLUSIONS

A remarkable decline in HIV prevalence was observed during the five years period The study also revealed that relatively higher proportions of HIV infected persons are living in a serodiscordant partnership. The involvement of male partners in HIV counseling and testing and preventive interventions targeted at HIV-negative individuals with discordant partnerships are urgently needed.

摘要

背景

来自预防母婴传播(PMTCT)项目的艾滋病毒流行率数据正被用于监测艾滋病毒流行趋势,这有助于政策制定者采取适当行动。

目的

确定2006年1月至2010年6月在比绍夫图医院产前护理单位就诊的孕妇中艾滋病毒的流行趋势。

方法

进行了一项横断面研究,以确定在比绍夫图医院产前护理单位就诊的孕妇中艾滋病毒的流行情况。使用SPSS 15.0软件对数据进行描述性统计分析和趋势卡方检验。P值≤0.05被认为具有统计学意义。

结果

2006年1月至2010年6月,比绍夫图医院产前护理单位共登记了7887名孕妇。艾滋病毒总体流行率为5.4%。在25至45岁的人群中观察到较高的流行率。艾滋病毒流行率从2006年的8.3%下降到2010年的4.3%。共有1247名孕妇与其伴侣一起接受了检测。其中,3.1%的夫妇双方检测呈阳性,4.9%为不一致夫妇,其中2.4%为女性阳性男性阴性,2.5%为男性阳性女性阴性。

结论

在五年期间观察到艾滋病毒流行率显著下降。该研究还表明,相对较高比例的艾滋病毒感染者处于血清学不一致的伴侣关系中。迫切需要男性伴侣参与艾滋病毒咨询和检测以及针对血清学不一致伴侣关系中艾滋病毒阴性个体的预防干预措施。

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