Epidemiological characteristics of HIV-positive women of reproductive age from 2006 to 2011 in Henan province
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摘要: 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>105 copy/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。
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关键词:
- 艾滋病 /
- 艾滋病病毒(HIV)阳性育龄妇女 /
- 流行病学特征
Abstract: ObjectiveTo study the epidemiological characteristics of human immunodeficiency virus(HIV)-positive women of reproductive age in Henan province from 2006 to 2011. MethodsData on HIV-positive women of reproductive age from "AIDS-Infected Family Follow-up Management and Analysis System" and "Henan Province AIDS Data Analysis System" were collected and analyzed to examine the characteristics and change of the women from 2006 to 2011. ResultsDuring 2006-2011,the number of HIV positive women of reproductive age gradually increased and the proportions of the women aged between 18-20 years and 41-50 years increased.The number of conception and birth in HIV-positive women of reproductive age were stable.The average CD4+ count among the women increased from 322 cell/μL to 399 cell/μL.The proportion of higher CD4+ level and lower viral load(VL)increased from 37.11% to 52.30% and 30.86% to 63.00%,respectively.On the contrary,the proportions of lower CD4+ level and higher VL decreased from 30.36% to 18.62% and 50.62% to 6.56%,respectively.The ratio of the women with sexual life ≥4 time/per month increased.The proportion of condom use in every sexual activity presentsed a decrease trend. ConclusionThe population of HIV-positive women of reproductive age in Henan province increased gradually and presented a trend of younger age;the ratio of unprotected sexual behavior increased.HIV-positive women of reproductive age is a priority population in the prevention of HIV transmission from mother to child and between couples. -
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