[1]刘敬涛,蒲杰*,许跃忠,等.凉山州孕产妇围产保健服务利用现状分析[J].中国计划生育和妇产科,2017,(8):68-71.
　LIU Jing-tao,PU Jie*,XU Yue-zhong,et al.Analysis on the utilization of perinatal health care services of pregnant women in Liangshan area[J].Chinese Journal of Family Planning & Gynecotokology,2017,(8):68-71.
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凉山州孕产妇围产保健服务利用现状分析
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2017年8期
页码:
68-71
栏目:
论著与临床
出版日期:
2017-08-25

文章信息/Info

Title:
Analysis on the utilization of perinatal health care services of pregnant women in Liangshan area
作者:
刘敬涛1; 蒲杰1* ; 许跃忠1 ; 何丹1 ; 梁家智1 ; 孙玲玲1 ; 郑姝娟1 ; 唐英2 ; 布的尔波2 ; 廖辉1 ; 何朝华1
1. 610045四川成都，四川省妇幼保健院；2. 615000四川西昌，凉山州妇幼保健院
Author(s):
LIU Jing-tao1;  PU Jie1*; XU Yue-zhong1; HE Dan1; LIANG Jia-zhi1; SUN Ling-ling1; ZHENG Shu-juan1;  TANG Ying2;  BU De-er-po2; LIAO Hui1; HE Chao-hua1
1.Sichuan Provincial Hospital for Women and Children, Chengdu Sichuan 610045, P.R.China.2. Liangshan Maternal and Child Health Hospital,Xichang Sichuan 615000，P.R.China
关键词:
围产保健服务; 艾滋病; 孕产妇
Keywords:
perinatal care service; AIDS; pregnant women
分类号:
R 715.3
摘要:
目的了解凉山州艾滋病感染孕产妇与正常孕产妇围产保健服务利用现状。方法以艾滋病高发区四川省凉山州为样本地区，选取2013~2014年检测确诊并可追踪的212例人类缺陷免疫病毒（human immunodeficiency virus，HIV）感染孕产妇为研究组，随机等距抽取402例正常孕产妇作为对照组，开展围产保健服务利用的问卷调查。结果两组孕产妇在民族、文化程度和家庭年收入比较，差异有统计学意义（P＜005）。HIV感染孕产妇的住院分娩比例、产后访视比例高于对照组，产检次数低于对照组（P＜005）。文化程度和家庭年收入的差异是两组孕产妇利用围产保健服务状况不同的主要原因。结论凉山州HIV感染和正常孕产妇的围产保健服务利用受诸多因素影响，在精准扶贫中应有针对性地推行免费孕产期保健和住院分娩项目，提高边远地区孕产妇系统管理率。
Abstract:
ObjectiveTo identify perinatal care service utilization of pregnant women with human immunodeficiency virus(HIV) or without HIV in Liangshan areas. MethodsA total of 212 human immunodeficiency virus (HIV) infected maternal women were selected as the study group, which were diagnosed and trackable from 2013 to 2014 in Liangshan Prefecture, Sichuan Province.402 normal pregnant women were randomly equidistantly selected as control group. A investigation on perinatal care service needs and demands by questionnaire was carried out.ResultsThere were differences in ethnic groups,cultural degree, annual household income between the two groups(P＜005). The proportion of hospitalized delivery and postpartum visit in pregnant women infected with HIV were higher than that in pregnant women without HIV(P＜005). On the contrary, the times of antenatal examination in pregnant women infected with HIV were lower than the control group(P＜005). The differences of cultural degree and annual family income were the main reasons between the two groups to use perinatal care service.ConclusionMany factors might affect perinatal care service utilization of pregnant women with or without HIV in Liangshan areas.Targeted implementation of free maternity care and hospital delivery projects as well as improve the management rate of pregnant women in remote areas should be promoted in targeted measures in poverty alleviation.

参考文献/References:

［1］蒲杰，梁家智．预防艾滋病母婴传播的研究进展 ［J］．现代预防医学，2013，40 （6）：1122-1124, 1127． ［2］蒲杰．预防艾滋病,梅毒和乙肝母婴传播技术与进展 ［M］．成都：四川科学技术出版社，2015． ［3］杨爱辉．俄木阿呷,周艺彪，等凉山彝族聚居区育龄妇女HIV-AIDS感染横断面研究 ［J］．中华流行病学杂志，2013，34 （1）：105-106． ［4］宋莉，杨青，张伶俐，等．2 076例HIV感染孕产妇流行病学特征分析 ［J］．现代妇产科进展，2010，19 （2）：104-106． ［5］何丹，蒲杰，许跃忠，等．四川省艾滋病高流行地区人类免疫缺陷病毒感染孕产妇社会支持与生命质量现状研究 ［J］．中国计划生育和妇产科，2015，7（12）：23-26． ［6］蒲杰，何丹，梁家智，等．HIV/AIDS孕产妇社会支持和生命质量现状研究 ［J］．中国妇幼健康研究，2009，20 （6）：631-634．

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备注/Memo

备注/Memo:
四川省科技厅科技支撑项目（项目编号：2014SZ0114）
更新日期/Last Update: 2017-08-25