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越南人群中孕妇的艾滋病毒感染:患病率及相关因素

HIV Infection Among Pregnant Women in a Vietnamese Population: Prevalence and Associated Factors.

作者信息

Ho Hang Thi Thu, Nguyen Thuan Hoa, Nguyen Ha Hong, Nguyen Sam Phan Hai, Nguyen Kien Trung

机构信息

Vinh Long Department of Health, Vinh Long City, Vietnam.

Faculty of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho City, Vietnam.

出版信息

HIV AIDS (Auckl). 2025 Jul 11;17:195-202. doi: 10.2147/HIV.S529618. eCollection 2025.

DOI:10.2147/HIV.S529618
PMID:40667453
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12262090/
Abstract

BACKGROUND

In pregnant women, HIV infection warrants special attention due to the high risk of complications during pregnancy and the increased likelihood of fetal HIV exposure. Consequently, screening for HIV in pregnant women within the community and identifying associated risk factors are essential.

OBJECTIVE

The study aims to investigate the prevalence of HIV infection and the associated risk factors in pregnant women.

MATERIALS AND METHODS

This is a cross-sectional study that utilized convenience sampling and was conducted between 2018 and 2020 at 107 commune health stations, 8 district health centers, and the Obstetrics Department of Vinh Long Provincial General Hospital.

RESULTS

A total of 18,034 pregnant women, with a median age of 28 years. Fifty-one cases (0.3%) tested positive for HIV. The risk factors associated with an increased likelihood of HIV infection included having multiple sexual partners, drug addiction, smoking, and engaging in unprotected sex. In the multivariate model, only multiple sexual partners, drug addiction and alcohol consumption were independent factors that significantly increased the risk of HIV infection among pregnant women.

CONCLUSION

The study among pregnant women indicated that the HIV exposure rate within the community is below 1.0%. Unsafe sexual behaviors with multiple partners were identified as the most significant risk factor for HIV exposure among pregnant women.

摘要

背景

在孕妇中,由于孕期并发症风险高以及胎儿感染艾滋病毒的可能性增加,艾滋病毒感染值得特别关注。因此,在社区内对孕妇进行艾滋病毒筛查并确定相关风险因素至关重要。

目的

本研究旨在调查孕妇中艾滋病毒感染的患病率及其相关风险因素。

材料与方法

这是一项横断面研究,采用便利抽样法,于2018年至2020年在107个公社卫生站、8个区卫生中心以及永隆省总医院妇产科进行。

结果

共有18034名孕妇,中位年龄为28岁。51例(0.3%)艾滋病毒检测呈阳性。与艾滋病毒感染可能性增加相关的风险因素包括有多个性伴侣、吸毒、吸烟以及进行无保护性行为。在多变量模型中,只有多个性伴侣、吸毒和饮酒是显著增加孕妇感染艾滋病毒风险的独立因素。

结论

对孕妇的研究表明,社区内艾滋病毒暴露率低于1.0%。与多个性伴侣的不安全性行为被确定为孕妇感染艾滋病毒的最主要风险因素。