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目的了解四川省布拖县“两乡一镇”(即九都乡、木耳乡、特木里镇)感染艾滋病儿童的生存现状,为今后开展儿童艾滋病防治工作提供依据。方法 2015-01/03,对现住址为布拖县“两乡一镇”感染艾滋病儿童的监护人开展问卷调查,内容包括社会人口学特征、感染途径、接受咨询服务等情况。用SPSS软件进行描述性分析和卡方检验。结果 121例感染艾滋病的儿童中95.87%因母婴传播感染,男女之比为1.69∶1(76/45),家庭年收入低于2 000元的占76.8%,6岁以上未上学儿童占22.5%,20.7%的儿童认为受到过邻居、亲戚的不公平待遇;56.2%的儿童正在开展抗病毒治疗,有12.4%的监护人不知道什么是抗病毒治疗,其中已治疗儿童接受检测、机会性感染预防咨询、治疗咨询等服务的比例高于未治疗儿童。结论布拖县重点乡镇感染艾滋病儿童数量多,以母婴传播为主;家庭经济状况差,存在失学、歧视等问题;感染艾滋病儿童监护人对抗病毒治疗认知存在不足,未治疗儿童接受服务比例低。建议加强母婴阻断、提高早期检测比例,加强对艾滋病相关知识的宣传和教育,消除艾滋病歧视,扩大儿童抗病毒治疗服务覆盖面。
Objective To understand the status quo of children living with HIV / AIDS in Budu County, Sichuan Province, “two townships and one town” (Jiuduo Township, Muer Township and Trumli Township), and provide the basis for future AIDS prevention and control in children. Methods From January to March 2015, a questionnaire survey was carried out on the guardians of children living with HIV / AIDS who are currently located in the county of Buduo County. The contents include the characteristics of social demography, ways of infection, and counseling services. Descriptive analysis and chi-square test using SPSS software. Results 95.87% of 121 AIDS-infected children were infected with mother-to-infant transmission, the ratio of male to female was 1.69:1 (76/45), family income was less than 2 000 yuan, accounting for 76.8%, children aged 6 and over who were not attending school accounted for 22.5 %, 20.7% of children think they have been treated unfairly by their neighbors and relatives; 56.2% of children are under antiviral treatment and 12.4% of guardians do not know what is antiviral treatment, of which children have been tested and opportunistic infections Prevention counseling, counseling and other services than the proportion of untreated children. Conclusion The number of HIV / AIDS infected children in key villages and towns of Buwa County is high, with mother-to-child transmission as the mainstay. The family economy is poor with out-of-school and discrimination problems. The AIDS-infected children’s guardians have insufficient knowledge of anti-virus treatment and the proportion of untreated children receiving services is low . It is suggested to strengthen the maternal and child block-up, increase the proportion of early detection, strengthen the publicity and education on AIDS-related knowledge, eliminate AIDS discrimination and expand the service coverage of children’s antiviral treatment.