Qiao Y P, Wang A L, Wang X Y, Wang Q, Li Z, Jin X
National Center for Women and Children's Health, Chinese Center for Disease Control and Prevention, Beijing 100081, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2020 Apr 10;41(4):552-556. doi: 10.3760/cma.j.cn112338-20190606-00408.
To understand the status of maternal testing, detection and trends of HIV infection among pregnant women in Liangshan Yi Autonomous Prefecture (Liangshan) of Sichuan province during 2008-2016. Data were collected from the monthly work report on maternal HIV testings and the case-reporting records of HIV-positive pregnant women, from the National Management Information System of China's Prevention of Mother-to-child transmission of HIV, syphilis, and HBV Program. Descriptive method was applied to show both the maternal HIV and predelivery HIV testing rates and maternal HIV positive rates as well as the distribution in different counties, between 2008 and 2016. During 2008-2016, both maternal HIV test rates and predelivery maternal HIV testing increased from 40.7 (8 191/20 125) and 8.0 (1 607/20 125) to 95.7 (88 000/91 946) and 70.1 (64 421/91 946), respectively (trend (2)=94 497.28, <0.001; trend (2)=90 655.03, <0.001). A total of 3 271 HIV-positives were detected from 436 519 pregnant women, with the HIV positive rate as 0.75 (95: 0.72-0.77). Among 3 271 HIV-positive pregnant women, 1 527 (46.7) of them were tested at labor. The maternal HIV-positive rates at labor increased yearly (trend (2)=9.21, =0.002). In 2016, the maternal HIV-positive rate at labor was 1.32 (95: 1.18-1.47), which was higher than that (0.67, 95: 0.61-0.73) in the pregnant women who received HIV test predelivery ((2)=88.23, <0.001). The maternal HIV- positive rates in Butuo, Zhaojue, Jinyang, Meigu, and Yuexi counties all appeared ≥1, in 2016,respectively. The maternal HIV test rates increased in Liangshan during 2008-2016, but the maternal HIV test rates at labor were relatively high. The HIV prevalence among pregnant women in Liangshan was severe and late for pregnant women to receive testing.
了解2008 - 2016年四川省凉山彝族自治州（凉山）孕妇艾滋病毒感染的孕产妇检测、发现情况及趋势。数据来源于中国预防母婴传播艾滋病毒、梅毒和乙肝项目国家管理信息系统中孕产妇艾滋病毒检测月报及艾滋病毒阳性孕妇病例报告记录。采用描述性方法呈现2008年至2016年期间孕产妇艾滋病毒检测率、分娩前艾滋病毒检测率、孕产妇艾滋病毒阳性率以及不同县的分布情况。2008 - 2016年期间，孕产妇艾滋病毒检测率和分娩前孕产妇艾滋病毒检测率分别从40.7%（8191/20125）和8.0%（1607/20125）增至95.7%（88000/91946）和70.1%（64421/91946）（趋势χ² = 94497.28，P < 0.001；趋势χ² = 90655.03，P < 0.001）。在436519名孕妇中，共检测出3271例艾滋病毒阳性，艾滋病毒阳性率为0.75%（95%CI：0.72 - 0.77）。在3271例艾滋病毒阳性孕妇中，1527例（46.7%）在分娩时接受检测。分娩时孕产妇艾滋病毒阳性率逐年上升（趋势χ² = 9.21，P = 0.002）。2016年，分娩时孕产妇艾滋病毒阳性率为1.32%（95%CI：1.18 - 1.47），高于分娩前接受艾滋病毒检测的孕妇（0.67%，95%CI：0.61 - 0.73）（χ² = 88.23，P < 0.001）。2016年，布拖、昭觉、金阳、美姑和越西县的孕产妇艾滋病毒阳性率均≥1%。2008 - 2016年凉山孕产妇艾滋病毒检测率上升，但分娩时孕产妇艾滋病毒检测率相对较高。凉山孕妇艾滋病毒感染率严重，且孕妇接受检测较晚。
