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目的了解河南省2006—2011年艾滋病病毒(HIV)阳性育龄妇女流行病学特征及变化趋势。方法通过“河南省艾滋病感染家庭随访管理分析系统”和“河南省艾滋病防治数据综合分析系统”收集河南省2006—2011年HIV阳性育龄妇女相关资料,对HIV阳性育龄妇女的流行病学特征及6年来的变化进行分析。结果 2006—2011年河南省HIV阳性育龄妇女例数略有上升,18～20岁和41～50岁构成比增大;阳性育龄妇女怀孕及分娩情况基本稳定,CD4+T淋巴细胞(以下简称CD4)计数均值由322 cell/μL上升到399 cell/μL,CD4计数水平>350 cell/μL者构成比从37.11%增加到52.30%,病毒载量(VL)检测结果≤500 copy/mL者构成比从30.86%增加到63.00%;CD4计数≤200 cell/μL者构成比从30.36%减少到18.62%,VL检测结果 >105copy/mL者构成比从50.62%降低到6.56%;性生活频次≥4次/月的阳性育龄妇女构成比逐年增大,而性生活中每次均使用安全套的构成比有降低的趋势。结论河南省HIV阳性育龄妇女逐年增加,年龄趋于年轻化,无保护性行为比例趋于增高,是河南省预防艾滋病母婴传播和配偶间传播的重点。
Objective To understand the epidemiological characteristics and trends of HIV-positive women of childbearing age in Henan Province from 2006 to 2011. Methods The data collected from HIV positive women of childbearing age in Henan Province from 2006 to 2011 were collected and analyzed for the epidemiology of HIV positive women of childbearing age in Henan Province through the “Family Follow-up Management and Analysis System for HIV Infection in Henan Province” and “Comprehensive Analysis System of AIDS Prevention and Control Data of Henan Province” Characteristics and six years of changes in the analysis. Results The number of HIV positive women of childbearing age in Henan Province slightly increased from 2006 to 2011, and the constituent ratios of 18-20 and 41-50 years old increased. Pregnancy and childbirth of the women of childbearing age were basically stable. CD4 + T lymphocytes (hereinafter referred to as CD4 ) Increased from 322 cell / μL to 399 cell / μL, and CD4 count> 350 cell / μL increased from 37.11% to 52.30%, and the result of VL test ≤500 copy / mL From 30.86% to 63.00%; the proportion of patients with CD4 counts less than 200 cells / μL decreased from 30.36% to 18.62%, the VL test result> 105copy / mL decreased from 50.62% to 6.56%; the frequency of sexual life was ≥4 times / Month, the proportion of women of childbearing age increased year by year, while the proportion of condom use in each sex life tends to decrease. Conclusion The HIV-positive women of childbearing age in Henan Province have been increasing year by year. The age tends to be younger and the proportion of unprotected sex behavior tends to increase. It is the key point of preventing mother-to-child transmission and spouse-to-child transmission of AIDS in Henan Province.