【摘要】：目的在艾滋病疫情嚴重的四川涼山州,開展艾滋病病毒(HIV)感染產(chǎn)婦所生嬰兒喂養(yǎng)方式的調(diào)查,為制定適合該地區(qū)艾滋病暴露兒童安全喂養(yǎng)策略提供依據(jù)。方法從預防艾滋病、梅毒、乙型肝炎母嬰傳播管理信息系統(tǒng)中,獲得調(diào)查對象的基本信息。使用自行設(shè)計的問卷通過一對一、面對面的詢問方式,回顧性調(diào)查HIV感染產(chǎn)婦及所生嬰兒接受預防艾滋病母嬰傳播服務(wù)和保健服務(wù)的相關(guān)信息。結(jié)果 2014年涼山州308例HIV感染產(chǎn)婦所生嬰兒的人工喂養(yǎng)率為92.2%(284/308),其中僅21.8%(62/284)符合安全人工喂養(yǎng)行為。母親或撫養(yǎng)人實施人工喂養(yǎng)時,不能每次洗手和清洗喂養(yǎng)容器是調(diào)查地區(qū)最常見的不安全人工喂養(yǎng)行為。多因素Logistic回歸分析顯示:家庭收入相對較高與安全人工喂養(yǎng)有關(guān),同年收入5 000元的家庭相比,收入在5 000~10 000元和10 000元的家庭安全喂養(yǎng)比例高,調(diào)整比值比(aOR)分別為0.34[95%可信區(qū)間(CI):0.131~0.885]和0.367(95%CI:0.149~0.902),水源為安全飲用水的家庭發(fā)生非安全人工喂養(yǎng)的風險是水源為不安全飲用水家庭的0.2倍(aOR=0.2,95%CI:0.06~0.654)。結(jié)論涼山州HIV感染產(chǎn)婦所生嬰兒人工喂養(yǎng)比例高,但是符合安全人工喂養(yǎng)要求的比例低,家庭收入和家庭飲用水源等因素影響安全人工喂養(yǎng)行為。
[Abstract]:Objective to investigate the feeding methods of infants born to pregnant women infected with HIV (HIV) in Liangshan Prefecture of Sichuan Province so as to provide a basis for the formulation of safe feeding strategies for children exposed to AIDS in this area. Methods from the prevention of AIDS, syphilis, hepatitis B mother-to-child transmission management information system, to obtain the basic information of the survey object. The self-designed questionnaire was used to investigate retrospectively the information of HIV infected women and their babies receiving PMTCT services and health care services through one-to-one, face-to-face inquiry. Results in 2014, the rate of artificial feeding of 308 infants with HIV infection in Liangshan state was 92.2% (284 / 308), of which only 21.8% (62 / 284) was safe artificial feeding. It is the most common unsafe feeding behavior for mothers or dependents to wash their hands and clean feeding containers every time. Multivariate Logistic regression analysis showed that the relatively high household income was related to safe artificial feeding. Compared with the families with annual income of 5,000 yuan, the proportion of safe feeding in families with income of 5 000 yuan or 10 000 yuan was higher than that of families with income of 5 000 yuan or 10 000 yuan per year. The adjusted ratios of (aOR) were 0.34 [95% confidence interval (CI): 0.131 ~ 0.885] and 0.367 (95%CI:0.149~0.902), respectively. Households with safe drinking water were 0. 2 times more likely to develop unsafe artificial feeding than households with unsafe drinking water (aOR=0.2,95%CI:0.06~0.654). Conclusion the rate of artificial feeding of infants born to pregnant women infected with HIV in Liangshan state is high, but the proportion that meets the requirement of safe artificial feeding is low. The factors such as family income and family drinking water source influence the safe artificial feeding behavior.
【作者單位】： 涼山州婦幼保健計劃生育服務(wù)中心;中國疾病預防控制中心婦幼保健中心;
【基金】：國家衛(wèi)生計生委-聯(lián)合國兒童基金會預防艾滋病,梅毒和乙肝母嬰傳播項目(0135YH 602)~~
【分類號】：R714.251
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本文編號：2387550