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目的了解近年来贵州省梅毒感染孕产妇流行特征及接受服务等意愿。方法对贵州全省9个市(州)26个县2012-2013年确诊的梅毒阳性孕产妇进行问卷调查。结果 2012-2013年,282例确诊的梅毒阳性孕产妇的年龄结构、民族、户籍、文化程度及月收入两年来无显著变化(P>0.05);居住情况差异有统计学意义(P<0.05),2013年流动人口中感染梅毒的孕产妇有增多趋势;95.03%孕产妇知道自己感染了梅毒,80.28%孕产妇愿意告诉丈夫,60.99%梅毒阳性孕产妇愿意与感染的亲属交往,主要认为同病相怜及影响不大;96.45%梅毒阳性孕产妇愿意接受产检,是想知道健康情况及得到医生帮助,9.22%愿意终止妊娠,因为担心小孩也感染或受歧视,90.78%不愿意终止妊娠。2012-2013年梅毒阳性孕产妇愿意终止妊娠构成比差异有统计学意义(P<0.05),愿意终止妊娠者构成比呈下降趋势。结论积极开展早孕保健服务,加强健康教育,及早干预、规范化治疗及随访,减少梅毒母婴传播。
Objective To understand the prevalence of syphilis infection among pregnant women in Guizhou Province in recent years and their willingness to accept services. Methods A questionnaire survey of syphilis-positive pregnant women diagnosed in 2012-2013 in 26 counties of 9 cities (prefectures) of Guizhou province was conducted. Results There were no significant changes in the age structure, ethnicity, household registration, educational level and monthly income of 282 confirmed pregnant women with syphilis between 2012 and 2013 (P> 0.05). There was significant difference in living status between them (P <0.05) 95.03% of pregnant women knew that they were infected with syphilis, 80.28% of pregnant women were willing to tell her husband that 60.99% of those who were positive for syphilis were willing to interact with their relatives who were infected, mainly because of their similarities and 96.45% of pregnant women who are positive for syphilis are willing to undergo childbirth. They want to know the health condition and have the help of a doctor. 9.22% are willing to terminate the pregnancy because they are worried about the child being infected or discriminated against. 90.78% do not want to terminate the pregnancy. The constituent ratio of syphilis-positive pregnant women who wish to terminate the pregnancy in 2012-2013 was significantly different (P <0.05), and the proportions of those who were willing to terminate pregnancy were in a downward trend. Conclusion Actively carry out early pregnancy health care services, strengthen health education, early intervention, standardized treatment and follow-up, reduce the mother-to-child transmission of syphilis.